Inventário de avaliação do sistema locomotor de pacientes da reabilitação cardiopulmonar e metabólica / Inventory assessment of the locomotor system of rehabilitation for patients cardiopulmonary and metabolic

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

It is generally thought that a significant number of individuals who participate in Cardiopulmonary and Metabolic Rehabilitation Programs (CPMR) are also affected by changes in their locomotor system, partly due to the natural aging process. Such changes must be detected, to prevent musculoskeletal complications, to enhance adherence to treatment and to improve the benefits of physical exercises. As far as we know, an instrument specially developed to identify locomotor system conditions in patients referred to CPMR programs is lacking, at this moment. Thus, the Locomotor System Assessment Inventory (IASL Inventário de Avaliação do Sistema Locomotor) was developed, comprising the following stages: the instruments creation, the theoretical validation of items through a content and semantic analysis and also by means of analytical procedures, aiming to identify locomotor conditions, specially those causing pain; to check if the identified conditions bear a relation with the physical exercises, and to allow the patients screening for complete medical clearance, clearance with some reserve and no medical clearance before a specialized opinion. A group of 103 individuals who were participating in CPMR programs was assessed. The group comprised 33 male participants (32%) and 70 female participants (68%) ages 36 to 84, with 47 participants (45.6) diagnosed with a locomotor condition, 39 (37.9%) under a specific treatment (drug treatment, physiotherapy, and surgery), 33 (32%) taking some pain killer for locomotor symptoms, and 10 individuals (9.7%) stating that at some point their physicians had advised them against physical exercises. It is worth mentioning that 48 subjects (46.6%) reported some pain, and in 14 of these subjects (13.6%), physical exercises exacerbated their symptoms. In our opinion, patients with these conditions would require na expert opinion, before being allowed to resume their exercises.<0} IASL was developed as a 6-question test, with yes or no answers. The internal validity of the instrument was checked by Cronbach s alpha showed that for items 1, 2,3 and 5 of Cronbach s alpha coefficient for being more than satisfactory 0.70 (alpha 0.80) and items 4 and 6 received moderate alpha (alpha 0.61).

ASSUNTO(S)

physical exercises locomotor system avaliação educacao fisica sistema locomotor assessment exercícios físicos reabilitação cardiopulmonar e metabólica cardiopulmonary and metabolic rehabilitation

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