Reabilitação física na Esclerose Lateral Amiotrófica

Autores

  • Marco Orsini Graduando em Medicina, na Universidade Grande Rio - UNIGRANRIO, Doutorando em Neurociências na Universidade Federal Fluminense – UFF e Professor Titular de Reabilitação Neurológica na Escola Superior de Ensino Helena Antipoff - ESEHA
  • Marcos RG de Freitas Neurologista. Doutor. Professor Titular e Chefe do Serviço de Neurologia na UFF
  • Mariana Pimentel Mello Fisioteapeutas. Centro Universitário Serra dos Órgãos – UNIFESO
  • Reny de Souza Antonioli Fisioteapeutas. Centro Universitário Serra dos Órgãos – UNIFESO
  • Jhon Petter Botelho Reis Fisioteapeutas. Centro Universitário Serra dos Órgãos – UNIFESO
  • Osvaldo J José Moreira Nascimento Neurologista, Doutor. Professor Titular de Neurologia/Neurociências e Coordenador da Pós-Graduação em Neurociências na UFF.
  • Gabriel Rodriguez de Freitas Doutor e Neurologista do Serviço de Doenças Cérebro-Vasculares na UFF
  • Carlos Henrique Melo Reis Neurologista, Professor Titular da Faculdade de Medicina de Valença e Hospital da Posse

DOI:

https://doi.org/10.34024/rnc.2009.v17.8601

Palavras-chave:

Esclerose Amiotrófica Lateral, Doenças Neuromusculares, Fisioterapia, Reabilitação

Resumo

Objetivo. Atentar aos profissionais de saúde engajados com a reabilitação física, sobre os riscos existentes no tratamento de pacientes com ELA no que diz respeito ao uso excessivo ou a atrofia por desuso. Método. Foram pesquisados os artigos no período de 1958 a 2006 localizados nas bases de dados Bireme, SciELO, Pubmed, Lilacs, por meio dos seguintes descritores: esclerose amiotrófica lateral, doenças neuromusculares, fadiga, fraqueza muscular, atividade física, reabilitação, fisioterapia. Resultados. O tratamento da ELA visa a prevenção da fadiga e dos danos pelo uso excessivo, além de otimizar a independência e a capacidade funcional, através de exercícios moderados, alongamentos, equipamentos de assistência e fisioterapia respiratória. Conclusão. Embora não haja muitos estudos de intervenção envolvendo exercícios para ganho de força em indivíduos com ELA devido ao curso variável e ao envolvimento bulbar, o fisioterapeuta, ao propor programas com tal finalidade, deve utilizar exercícios em níveis submáximos na esperança de atenuarem a perda de força, considerando a prevenção do uso excessivo e da atrofia por desuso e atentando sempre para o gerenciamento adequado destes.

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Publicado

2009-03-31

Como Citar

Orsini, M., Freitas, M. R. de, Mello, M. P., Antonioli, R. de S., Reis, J. P. B., Nascimento, O. J. J. M., Freitas, G. R. de, & Reis, C. H. M. (2009). Reabilitação física na Esclerose Lateral Amiotrófica. Revista Neurociências, 17(1), 30–36. https://doi.org/10.34024/rnc.2009.v17.8601

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Revisão de Literatura
Recebido: 2019-02-08
Publicado: 2009-03-31

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