Effect of therapeutic exercise on pain intensity in individuals with diseases of the central nervous system: integrative review
Efeito do exercício terapêutico na intensidade de dor em indivíduos com doenças do sistema nervoso central: revisão integrativa
Alanna Letícia Santos Silva; Thiago dos Santos Sousa Abner; Isabela Freire Azevedo-Santos
Abstract
BACKGROUND AND OBJECTIVES: Pain is a common condition in people with diseases of the central nervous system and affects up to two thirds of patients with spinal cord injury, amyotrophic lateral sclerosis, cerebral palsy and, less frequently, stroke. The search for therapeutic methods, such as physical exercise, that can identify and mitigate pain in this population is essential. In order to integrate therapeutic planning and, consequently, improve treatment, the aim of this study was to analyze the effectiveness of physical exercise in reducing pain in people with diseases of the central nervous system.
METHODS: The search was carried out by a reviewer in the databases: Cochrane Library, Google Scholar (first 100 results), LILACS, PeDro, Pubmed Scielo, Scopus and Web of Science. Clinical trials published up to September 2023 were included, with no language restrictions. Selection of studies and data extraction were carried out by a reviewer using a spreadsheet with the relevant variables for preparing the review.
RESULTS: After analysis, 16 articles were eligible. The studies in this review recruited 966 individuals. Most of them showed a significant reduction in pain intensity when global muscle training (strengthening and stretching) was carried out compared to control groups.
CONCLUSION: Various modalities of physical exercise can be an effective intervention method for the treatment of pain in patients with central nervous system diseases. However, studies investigating this outcome are currently still limited.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: A dor é uma condição comum em pessoas com doenças do sistema nervoso central e atinge até dois terços dos pacientes com lesão medular, esclerose lateral amiotrófica, paralisia cerebral e, menos frequentemente, acidente vascular cerebral. Torna-se fundamental a busca por métodos terapêuticos, como o exercício físico, que possam identificar e atenuar a dor nessa população. Visando integrar o planejamento terapêutico e, consequentemente, aprimorar o tratamento, o objetivo deste estudo foi analisar a eficácia do exercício físico na redução da dor em pessoas com doenças do sistema nervoso central.
MÉTODOS: A busca foi feita por um revisor nas bases de dados: Cochrane Library, Google Acadêmico (100 primeiros resultados), LILACS, PeDro, Pubmed Scielo, Scopus e Web of Science. Foram incluídos ensaios clínicos publicados até setembro de 2023, sem restrição de idiomas. Assim como a seleção dos estudos, a extração dos dados também foi feita por um revisor, por meio de uma planilha com as variáveis relevantes para a elaboração da revisão.
RESULTADOS: Após análise, 16 artigos foram elegíveis. Os estudos desta revisão recrutaram 966 indivíduos. A maioria deles apontou redução significativa da intensidade de dor quando realizado o treinamento muscular global (fortalecimento e alongamento) em comparação a grupos controle.
CONCLUSÃO: Constatou-se que o exercício físico de diversas modalidades pode ser um método de intervenção eficaz para o tratamento da dor em pacientes com doenças do sistema nervoso central. No entanto, os estudos que pesquisam esse desfecho ainda são atualmente limitados.
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References
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Submitted date:
12/29/2023
Accepted date:
11/13/2024
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