1 Revista Brasileira de Medicina do Esporte 2005 Vol: 11(4):. DOI: 10.1590/S1517-86922005000400010

Efeitos da natação sobre a independência funcional de pacientes com lesão medular

FUNDAMENTOS Y OBJETIVO: El deporte tiene un papel fundamental en la rehabilitación física de pacientes con lesión medular por ampliar las alternativas terapéuticas y favorecer la independencia funcional. El estudio tiene por objeto conocer los efectos de la natación sobre las habilidades funcionales de los pacientes con lesión medular. MÉTODOS: Fueron seleccionados 16 pacientes portadores de lesión medular divididos en dos grupos: experimental y control. Los grupos fueron evaluados por medio de la Medida de Independencia Funcional (Escala FIM) antes y después de un procedimiento que consistió en sesiones de natación realizadas dos veces por semana durante cuatro meses. RESULTADOS: Los dos grupos presentaron cambios en los cuidados con el cuerpo, transferencias, puntaje motor total y puntaje total. El grupo experimental presentó ganancia mayor en las transferencias, puntaje motor total y puntaje total. CONCLUSIÓN: La actividad de natación fue efectiva en la mejora de la condición física, trayendo beneficios motores sobre las habilidades funcionales de los participantes del grupo experimental.

Mentions
Altmetric
References
  1. Kirshblum S. New rehabilitation interventions in spinal cord injury. J Spinal Cord Med27 , 342-50 (2004) .
  2. Guttmann SL, editor. Lesionados medulares: tratamiento global e investigación. Barcelona: Editorial JIMS , (1981) .
  3. Guttmann SL, editor. Spinal cord injuries: comprehensive management and research. Oxford: Blackwell Scientific Publications , (1976) .
  4. Miller MA, Rucker KS. Disabled athletes. Phys Med Rehabil11 , 465-88 (1997) .
  5. Hanson CS, Nabavi D, Yuen HK. The effect of sports on level integration as reported by persons with spinal cord injury. Am J Occ Ther55 , 332-8 (2001) .
  6. Lépore M. Programas aquáticos adaptados. São Paulo: Atheneu , (1999) .
  7. Campbell IG, Williams C, Lakomy HKA. Physiological responses of wheelchair athletes at percentages of top speed. Br J Sports Med31 , 36-40 (1997) .
  8. Slater D, Meade MA. Participation in recreation and sports for persons with spinal cord injury: review and recommendations. Neurorehabil19 , 121-9 (2004) .
  9. Hoffman MD. Cardiorespiratory fitness and training in quadriplegics and paraplegics. Sports Med3 , 312-30 (1986) .
  10. Bhambhabi Y. Physiology of wheelchair racing in athletes with spinal cord injury. Sports Med32 , 23-52 (2002) .
  11. Stotts KM. Health maintenance: paraplegic athletes and nonathletes. Arch Phys Med Rehabil67 , 109-14 (1986) .
  12. Krause JS, Kjorsvig JM. Mortality after spinal cord injury: a four year prospective study. Arch Phys Med Rehabil73 , 558-63 (1992) .
  13. Tasiemski T, Bergström E, Savic G, Gardner BP. Sports, recreation and employment following spinal cord injury a pilot study. Spinal Cord38 , 173-84 (2000) .
  14. Valliant PM, Bezzubyk I, Daley L, Asu ME. Psychological impact of sport on disabled athletes. Psychol Rep56 , 923-9 (1985) .
  15. Schutz LK. The wheelchair athlete. In: Buschbacher RM, Braddom RL, editors. Sports medicine and rehabilitation: a sport-specific approach. Philadelphia: Hanley & Belfus , 267-74 (1994) .
  16. Heath GW, Fentem PH. Physical activity among persons with disabilities: a public health perspective. Exerc Sport Sci Rev25 , 195-234 (1997) .
  17. Souza PA, editor. O esporte na paraplegia e tetraplegia. Rio de Janeiro: Guanabara Koogan , (1994) .
  18. Freitas PS, Cidade RE. Desporto e deficiência. In: Freitas PS, editor. Educação física e esporte para deficientes: coletânea. UFU Uberlândia , 25-40 (2000) .
  19. Bauman WA, Spungen AM. Disorders of carbohydrate and lipid metabolism in veterans with paraplegia or quadriplegia: a model of premature aging. Metabolism6 , 749-56 (1994) .
  20. Paeslack V. Esporte para paraplégicos. In: Hüllemann KD, editor. Medicina esportiva: clínica e prática. São Paulo: EPU , 292-9 (1978) .
  21. Bates A, Hanson N. Aquatic exercise therapy. Philadelphia: WB Saunders Company , (1996) .
  22. Campion MR, editor. Adult hydrotherapy: a practical approach. Oxford: Heinemann Medical Books , (1990) .
  23. Campion MR, editor. Hydrotherapy: principles and practice. Oxford: Butterworth Heinemann , (1997) .
  24. Campion MR, editor. Hidroterapia: princípios e prática. São Paulo: Manole , (2000) .
  25. Burkhardt R, Escobar MO, editors. Natação para portadores de deficiências. Rio de Janeiro: Ao Livro Técnico SA , (1985) .
  26. Reis JW, editor. A natação na sua expressão psicomotriz. Porto Alegre: Ed. da UFRGS , (1983) .
  27. Skinner AT, Thomson AM, editors. Duffield: exercícios na água. São Paulo: Manole , (1985) .
  28. Functional Independence Measure – FIM. Uniform Data System for Medical Rehabilitation. State University of New York: Buffalo , (1984) .
  29. Williams BC, Fries BE, Warren RL. Predicting patient scores between the functional independence measure and minimum data set: development and performance of a FIM-MDS "Crosswalk". Arch Phys Med Rehabil78 , 48-54 (1997) .
  30. Granger CV, Hamilton BB, Linacre JM, Heinemann AW, Wright BD. Performance profiles of the functional independence measure. Am J Phys Med Rehabil 72 , 84-9 (1993) .
  31. Karamehmetoglu SS, Karacan I, Elbasi N, Demirel G, Koyuncu H, Dosoglu M. The functional independence measure in spinal cord injured patients: Comparison of questioning with observational rating. Spinal Cord35 , 22-5 (1997) .
  32. Kidd D, Stewart G, Baldry J, Johnson J, Rossiter D, Petruckevitch A, et al. The functional independence measure: A comparative validity and reliability study. Disabil Rehabil17 , 10-4 (1995) .
  33. Ota T, Akaboshi K, Nagata M, Sonoda S, Domen K, Seki M, et al. Functional assessment of patients with spinal cord injury: measured by the motor score and the Functional Independent Measure. Spinal Cord34 , 531-5 (1996) .
  34. Ottenbacher KJ, Hsu Y, Granger CV, Fiedler RC. The reliability of the functional independence measure: A quantitative review. Arch Phys Med Rehabil 77 , 1226-32 (1996) .
  35. Hamilton BB, Laughlin JA, Fiedler RC, Granger CV. Interrater reliability of the 7-level functional independence measure (FIM). Scan J Rehabil Med26 , 115-9 (1994) .
  36. Spinal Cord Injury Association Annual Review. London: Spinal Injuries Association , (1992) .
  37. Conselho Nacional de Saúde. Diretrizes e Normas Regulamentadoras de Pesquisa Envolvendo Seres Humanos. Brasília: Ministério da Saúde , (1996) .
Expand