Benefícios e Segurança dos Exercícios Físicos em Pacientes com Metástases Ósseas: Revisão Sistemática da Literatura e Metanálise

Autores

  • Letícia Antoniolli Siiss Universidade de Passo Fundo (UPF), Hospital de Clínicas de Passo Fundo (HCPF), Programa de Residência Multiprofissional em Atenção ao Câncer. Secretaria Municipal de Saúde de Passo Fundo. Passo Fundo (RS), Brasil. https://orcid.org/0000-0002-2338-0718
  • Amanda Guarda Universidade de Passo Fundo (UPF), Hospital de Clínicas de Passo Fundo (HCPF), Programa de Residência Multiprofissional em Atenção ao Câncer. Secretaria Municipal de Saúde de Passo Fundo. Passo Fundo (RS), Brasil. https://orcid.org/000-0002-5822-8791
  • Daniela Bertol Graeff Universidade de Passo Fundo (UPF), Hospital de Clínicas de Passo Fundo (HCPF), Programa de Residência Multiprofissional em Atenção ao Câncer. Secretaria Municipal de Saúde de Passo Fundo. Passo Fundo (RS), Brasil. https://orcid.org/0000-0002-7182-8855
  • Sheila Cristina Cecagno-Zanini Universidade de Passo Fundo (UPF), Hospital de Clínicas de Passo Fundo (HCPF), Programa de Residência Multiprofissional em Atenção ao Câncer. Secretaria Municipal de Saúde de Passo Fundo. Passo Fundo (RS), Brasil. https://orcid.org/0000-0003-0833-0269

DOI:

https://doi.org/10.32635/2176-9745.RBC.2022v68n4.2520

Palavras-chave:

modalidades de fisioterapia, exercício físico, neoplasias ósseas, metástase neoplásica, ensaio clínico controlado aleatório

Resumo

Introdução: A expectativa de vida de pessoas com câncer metastático está aumentando, mas esse grupo de pacientes corre um risco considerável de apresentar problemas psicológicos e de saúde física. Nesse sentido, o exercício físico tem sido um aliado no tratamento de pacientes com metástases ósseas. Objetivo: Realizar uma revisão sistemática e metanálise sobre a segurança e os benefícios do exercício físico em pacientes com metástases ósseas. Método: Metanálise com pesquisa bibliográfica realizada nas bases eletrônicas: PubMed, LILACS, PEDro e Embase. Resultados: Dos 396 estudos, somente dez foram incluídos, com um total de 531 indivíduos. Não foi observado nenhum efeito adverso musculoesquelético durante a intervenção, sendo significativamente seguro o exercício em indivíduos com metástases ósseas. Não houve melhora considerável na capacidade aeróbica, progressão da doença, qualidade de vida, massa magra e gordura corporal. Três dos estudos incluídos avaliaram a dor durante e após a intervenção, demonstrando melhora no escore de dor, assim como a diminuição do uso do analgésico no grupo intervenção. Conclusão: A terapia com exercícios aeróbicos e isométricos e segura para pacientes com metástases ósseas, além de apresentar melhora da dor, mas sem evolução relevante na capacidade aeróbica, na progressão da doença, na massa corporal e na qualidade de vida.

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Publicado

2022-10-14

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1.
Siiss LA, Guarda A, Graeff DB, Cecagno-Zanini SC. Benefícios e Segurança dos Exercícios Físicos em Pacientes com Metástases Ósseas: Revisão Sistemática da Literatura e Metanálise. Rev. Bras. Cancerol. [Internet]. 14º de outubro de 2022 [citado 28º de novembro de 2022];68(4):e-062520. Disponível em: https://rbc.inca.gov.br/index.php/revista/article/view/2520

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REVISÃO DE LITERATURA