Effects of a combined exercise program in muscle strength and functional capacity in a individual with Postpoliomyelitis syndrome: case report
DOI:
https://doi.org/10.11606/issn.2317-0190.v25i3a162646Keywords:
Postpoliomyelitis Syndrome, Muscle Strength, Exercise, AgedAbstract
Postpoliomyelitis Syndrome is a enterovirus pathology, which predominantly damages the lower muscles, which cause flaccid and asymmetric muscle paralysis, based on lower and late neuromuscular and functional symptoms denominate Postpoliomyelitis Syndrome (PPS). Objective: To apply a combined exercise program and to verify the results on the muscle strength and functional capacity of an elderly individual with PPS. Methods: The sample was one women, 66 years old, with comorbities hypertension, dyslipidemia, hypothyroidism. Muscle strength was measured by 7 - 10 maximal repetitions (MR) test. The distance traveled pedaling was performed by Adapted 12-minute Test and the balance was evaluated by Timed Up & Go Test. The muscle strength training was intensity 60% of a one maximum repetition. Results: After 24 weeks, the muscular strength of lower limbs increased 333.3% and the upper limbs, 216.5%. The balance improved 34.3%. The distance traveled pedaling increased 11.8%. Conclusion: The results suggest that individuals with PPS, even if elderly, may benefit from an exercise program to increase muscle strength and improve functional capacity, but it is important that other studies are developed to verify these results in a larger number of individuals.
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References
Neves MAO, Mello MP, Reis JPB, Rocha J, Rei AM, Antonioli RS. A síndrome pós-polio e o processo de reabilitação motora: relato de caso. Rev Neurocienc. 2007;15(4): 321-5.
Bakker M, Schipper K, Koopman FS, Nollet F, Abma TA. Experiences and perspectives of patients with post-polio syndrome and therapists with exercise and cognitive behavioural therapy. BMC Neurol. 2016;16:23. DOI: https://doi.org/10.1186/s12883-016-0544-0
Voorn EL, Gerrits KH, Koopman FS, Nollet F, Beelen A. Determining the anaerobic threshold in postpolio syndrome: comparison with current guidelines for training intensity prescription. Arch Phys Med Rehabil. 2014;95(5):935-40. DOI: https://doi.org/10.1016/j.apmr.2014.01.015
Baj A, Colombo M, Headley JL, McFarlane JR, Liethof MA, Toniolo A. Post-poliomyelitis syndrome as a possible viral disease. Int J Infect Dis. 2015;35:107-16. DOI: https://doi.org/10.1016/j.ijid.2015.04.018
Cup EH, Scholte op Reimer WJ, Thijssen MC, van Kuyk-Minis MA. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clin Rehabil. 2003;17(4):402-9. DOI: https://doi.org/10.1191/0269215503cr635oa
Voorn EL, Koopman FS, Brehm MA, Beelen A, de Haan A, Gerrits KH, et al. Aerobic exercise training in Post-Polio syndrome: process evaluation of a randomized controlled trial. PLoS One. 2016;11(7):e0159280. DOI: https://doi.org/10.1371/journal.pone.0159280
Ernstoff B, Wetterqvist H, Kvist H, Grimby G. Endurance training effect on individuals with postpoliomyelitis. Arch Phys Med Rehabil. 1996;77(9):843-8. DOI: https://doi.org/10.1016/s0003-9993(96)90268-3
Chan KM, Amirjani N, Sumrain M, Clarke A, Strohschein FJ. Randomized controlled trial of strength training in post-polio patients. Muscle Nerve. 2003;27(3):332-8. DOI: https://doi.org/10.1002/mus.10327
American College of Sports Medicine. Diretrizes do ACSM para os testes de esforço e sua prescrição. 9 ed. Rio de Janeiro: Guanabara Koogan; 2014.
Brzycki M. Strength Testing - predicting a one-rep max from reps-to-fatigue. J Physical Education, Recreation & Dance. 1993;64:1.88-90. DOI: https://doi.org/10.1080/07303084.1993.10606684
Cooper KH. A means of assessing maximal oxygen intake. Correlation between field and treadmill testing. JAMA. 1968;203(3):201-4. DOI: https://doi.org/10.1001/jama.1968.03140030033008
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Mcardle WD, Katch FI, Katch VL. Fisiologia do exercício: energia, nutrição e desempenho humano. 6 ed. São Paulo: Guanabara Koogan; 2007.
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