Pilot randomized controlled trial to evaluate the effect of aquatic and land physical therapy on musculoskeletal dysfunction of sickle cell disease patients
Rev. bras. hematol. hemoter
;
37(2): 82-89, Mar-Apr/2015. tab, graf
Artigo
em Inglês
| LILACS
| ID: lil-746089
ABSTRACT
Objective:
To compare the effect of aquatic and land-based physiotherapy in reducing musculoskeletal hip and lower back pain and increasing overall physical capabilities of sickle cell disease patients.Methods:
Informed written consent was obtained from all volunteers who were submitted to evaluations using different functional scales Lequesne's Algofunctional Questionnaire and Oswestry Disability Index, trunk and hip range of motion, goniometry, trunk and hip muscle strength assessment using load cell, and surface electromyography of the iliocostalis, long dorsal (longissimus), gluteus maximus, gluteus medius and tensor fasciae latae muscles. Ten patients were randomized into two groups aquatic physiotherapy with a mean age of 42 years (range 25-67) and conventional physiotherapy with a mean age of 49 years (range 43-59). Both groups were submitted to a twelve-week program of two sessions weekly.Results:
After the intervention, significant improvements were observed regarding the Lequesne index (p-value = 0.0217), Oswestry Disability Index (p-value = 0.0112), range of motion of trunk extension (p-value = 0.0320), trunk flexion muscle strength (p-value = 0.0459), hip extension and abduction muscle strength (p-value = 0.0062 and p-value = 0.0257, respec- tively). Range of motion of trunk and hip flexion, extension, adduction and abduction, trunk extensor muscle strength and all surface electromyography variables showed no significant statistical difference.Conclusion:
Physical therapy is efficient to treat musculoskeletal dysfunctions in sickle cell disease patients, irrespective of the technique; however, aquatic therapy showed a trend toward improvement in muscle strength. Further studies with a larger patient sample and longer periods of therapy are necessary to confirm these results.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Terapêutica
/
Exercício Físico
/
Hidroterapia
/
Anemia Falciforme
Tipo de estudo:
Ensaio Clínico Controlado
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Rev. bras. hematol. hemoter
Assunto da revista:
Hematologia
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual de Campinas/BR
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