Efectos do exercicio terapéutico sobre a calidade de vida en pacientes con ACV: unha revisión sistemática

Abstract

[Resumo] Obxectivo. O obxectivo principal da presente revisión sistemática é analizar os efectos da realización de exercicio terapéutico sobre a calidade de vida dos pacientes diagnosticados de accidente cerebrovascular. Material e métodos. Realizouse unha busca sistemática nas bases de datos PubMed, Scopus e PEDro, empregando as palabras clave quality of life, physical therapy modalities, stroke, exercise, resistance training e cicuit- based exercise. Incluíronse os estudos piloto e ensaios clínicos controlados e aleatorizados publicados nos 10 últimos anos, en español, inglés, francés, portugués e italiano. Resultados. Atopáronse 8 estudos válidos para esta revisión sistemática, 7 ensaios clínicos controlados e aleatorizados e 1 estudo piloto. A maioría dos estudos analizados mostran unha mellora da calidade de vida a favor do grupo de intervención en comparación co grupo control. Conclusión. Posto que o obxectivo principal da maioría destes estudos non era o de medir a calidade de vida, e que cando o facían era con criterios e escalas moi dispares entre eles, os resultados atopados foron moi diferentes e foron difíciles de comparar entre si. Sería necesaria a realización de novos estudos nos que o obxectivo principal fose a medición deste parámetro e no que se unificaran os criterios de valoración e as escalas empregadas para realizar as medicións.

[Abstract] Objective. The main objective of this systematic review is to analyse the effects of the achievement of therapeutic exercise on the quality of life of stroke survivors. Material and methods. A systematic search was conducted in the databases PubMed, Scopus and PEDro, using the following keywords: quality of life, physical therapy modalities, stroke, exercise, resistance training and circuit- based exercise. Pilot and randomized controlled clinical trials published in the last 10 years in Spanish, English, French, Portuguese and Italian were included. Results. Eight valid studies were chosen for this systematic review: seven randomized controlled clinical trials and a pilot study. Most of the analysed studies show an improvement in the quality of life in favour of the intervention group compared with the control group. Conclusion. Given that the selected studies have not as a main aim to assess the quality of life in stroke survivors and because they used different measurement scales it was difficult to compare their results. Future studies are required with the main objective of measure the quality of life in stroke survivors. It is also necessary a future consensus regarding to the measurement scales of quality of life used in stroke survivors.