Efetividade e segurança do treinamento muscular respiratório na apneia obstrutiva do sono: protocolo de uma revisão sistemática

Autores

DOI:

https://doi.org/10.33233/fb.v23i6.5316

Palavras-chave:

exercícios respiratórios, apneia obstrutiva do sono , músculos respiratórios, pressão positiva contínua nas vias aéreas

Resumo

Introdução: A apneia obstrutiva do sono (AOS) é o distúrbio respiratório do sono mais comum. O treino muscular respiratório tem surgido como uma intervenção promissora para a melhora dos sintomas e com boa adesão, porém muito ainda se tem discutido sobre sua efetividade e segurança. Objetivo: Avaliar a efetividade e segurança do TMR no tratamento de pacientes com AOS. Métodos: Para tanto, realizaremos uma revisão sistemática de ensaios clínicos randomizados (ECR). O protocolo do estudo foi registrado na Plataforma Prospero (CRD42018096980). Incluiremos indivíduos de idade superior ou igual a 18 anos, com diagnóstico de AOS, em uso ou não de pressão positiva nas vias aéreas. Excluiremos estudos com pacientes diagnosticados com lesão da medula espinhal ou doenças neuromusculares. As buscas serão realizadas nas bases de dados: Medical Literature Analysis and Retrieval System Online (Medline) via Pubmed, Excerpta Medica dataBASE (Embase) via Elsevier, Cochrane Central Register of Controlled Trials (Central) via Cochrane Library, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) via Portal da Biblioteca Virtual em Saúde e Physiotherapy Evidence Database (PEDro), sem restrições de idioma ou ano de publicação. Avaliaremos o rigor metodológico dos estudos incluídos e a certeza da evidência dos principais desfechos da revisão sistemática utilizando a ferramenta Risco de Viés 2.0 da Cochrane e a abordagem Grading of Recommendations Assessment, Development and Evaluation (GRADE), respectivamente. A seleção dos estudos, extração de dados, avaliação do viés dos estudos incluídos e avaliação da certeza da evidência serão realizados por dois pesquisadores independentes. Resultados esperados: Espera-se que os resultados desta revisão forneçam informações úteis para a tomada de decisão clínica, exponham lacunas de conhecimento, assim como forneçam um bom embasamento para futuros ECR de alta qualidade sobre o assunto.

Biografia do Autor

André Silva de Sousa, UNIFAP

Departamento de Ciências Biológicas e da Saúde, Universidade Federal do Amapá, Macapá AP, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil

Aline Pereira Rocha, UNIFESP

Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil

Daniela Regina Brandão Tavares, UNIFESP

Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil

Jane Érika Frazão Okasaki, UNIFESP

Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil

Márcia Valéria de Andrade Santana, UNIFESP

Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil

Ana Carolina Pereira Nunes Pinto, UNIFAP

Departamento de Ciências Biológicas e da Saúde, Universidade Federal do Amapá, Macapá AP, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil

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Publicado

2022-12-22