Atividade física no controle da fadiga e fraqueza muscular na síndrome pós-polio
DOI:
https://doi.org/10.33233/fb.v7i4.1920Abstract
A síndrome pós-polio (SPP) é uma desordem neurológica caracterizada por um novo episódio de fraqueza muscular e/ou fadiga muscular anormal em indivíduos que apresentaram a poliomielite aguda. Esse trabalho de revisão de literatura associa a sintomatologia da síndrome pós-pólio, dando enfoque principalmente í fadiga e fraqueza muscular, com uma discussão do impacto desses sintomas no processo de reabilitação e a necessidade de uma intervenção terapêutica específica. A meta a longo prazo das intervenções no estágio da SPP é fornecer aos indivíduos acometidos, princípios e métodos para o manejo de seu corpo e efetuar mudanças no seu estilo de vida que reduzam a carga metabólica excessiva sobre os grupamentos musculares. Apesar de inúmeros estudos recomendarem programas de exercícios terapêuticos para pacientes com síndrome pós-pólio, os profissionais envolvidos precisam levar em consideração as particularidades e a condição clínica dos indivíduos acometidos.
Palavras-chave: Síndrome Pós-Pólio, fadiga, fraqueza muscular, exercício físico.
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References
Dalakas MC. Post Polio Syndrome, 12 years later. In: The Post Polio Syndrome: advances in the pathogenesis and treatment; 1995; New York: Annals of the New York Academy of Science;1995;11(18).
Dalakas MC. The Post-polio syndrome as an evolved clinical entity. Definition and Clinical description. Ann N Y Acad Sci 1995;753:68-80.
Tosta ED, Kuckelhaus CS: Neurological morbidity in vaccine- associated paralytic poliomyelitis in Brazil. Arq Neuropsiquiatr 2004;62(2-b):414-20.
Dalakas MC: The Post- Polio Syndrome as an evolving clinical entity In: The Post-Polio syndrome: Advances in the pathogenesis and treatment; 1995; New York: Annals of the New York Academy of Science; 1995;68(80).
Lima Filho J. Poliomielite – passado e presente. Bibliografia do Ministério da Saúde; 1993.
Schenck J. Quantitative strength changes with test repetitions. Phys Ther 1965;45:562.
Dias-Tosta E, Kuckelhaus CS. Guillian Barré Syndrome in a population less than 15 years old in Brazil. Arq Neuropsiquiatr 2002;60:367-73.
Rosenheimer J: Effects of chronic stress and exercise on age-related changes in end-plate architecture. J Neurophysiol 1985;53:1582.
Pan American Health Organization. Polimyelitis in the Americas 1969-1984. Bull Pan Ain Health Organ 1985;19(4):389-91.
Porto A, Ponte CF. Vacinas e campanhas: imagens de uma história a ser contada. História, Ciências e Saúde – Manguinhos 2003;10(2):725-42.
Dubowitz V. Disorders of the lower motor neurone: the spinal muscular atrophies. In: Dubowitz V (ed). Muscle disorders in childhood. 2a ed. London: W.B. Saunders; 1995, p.325-69.
Oliveira ASB. SÃndrome Pós-Poliomielite: aspectos neurológicos. Rev Neurociências 2002;10(1):30-4.
Windebank AJ, Daube JR, Litchy WJ, Codd M, Chao EYS, Kurland LT et al. Late sequelae of paralytic poliomyelitis in Olmsted Country, MN. In: Halstead LS, Wiechers DO (ed.). Research and clinical aspects of the late effects of poliomyelitis. NY: March of Dimes Birth Defects Foundation; 1987. p. 27-38.
Bodian D. Poliomyelitis: pathological anatomy In: Poliomyelitis: papers and discussions presented at the First International Poliomyelitis Conference Lippincott. Philadelphia: JB Lippincott; 1949:62-84.
Dias, JMB. Efeitos tardios da poliomielite. Rev. Neurociências 2002;10(1):35-37.
Schatzmayr, HG, Filippis AMB, Friedrich F. Erradicação da poliomielite no Brasil: a contribuição da fundação Oswaldo Cruz. História, Ciências, Saúde 2002;9(1):11-24.
Van Engelen BG, Kalkman JS, Schillings ML, Van Der Werf SP, Bleijenberg G, Zwarts MJ. Fatigue in neuromuscular disease. Ned Tijdschr Geneeskd 2004;148(27):1336-41.
Trojan DA, Cashman NR. Post poliomyelitis syndrome. Muscle Nerve 2005;31(1):6-19.
Jubelt B, Drucker J. Pos-Polio syndrome: an update. Semin Neurol 1993;13(3):283-90.
Bartman W, Biernawska J, Labuz- Roszak B, Kumor K, Pierzchala K. Post- polio syndrome. Neurol Neurochir Pol 2004;38(4):335-39.
Jubelt B, Cashman N. Neurological manifestation of the post-polio syndrome. Crit Rev Neurobiol 1987 3:199, 1987.
Bennett R, Knowlton GC. Overwork weakness in partially denervated skeletal muscle. Clin Orthop 1958;12: 22-9.
Perry J, Barnes G, Gronley JK. The postpolio syndrome: an overuse phenomenon. Clin Orth Rel Res 1988;233:145-62.
Martinez A, Perez M, Ferrer M. Chronic partial denervation is more widespread than is suspected clinically in paralytic poliomyelitis- an electrophysiological study. Eur Neurol 1983;22:314.
Rodriguez AA, Agre JC. Electrophysiological study of the quadrÃceps muscles during fatiguing exercise and recovery. A comparison of symptomatic and asymptomatic postpolio patients and controls. Arch Phys Med Rehabil 1991;72:993-97.
Halstead L, Wiechers D (eds): Research and clinical aspects of the late effects of poliomyelitis. NY: March of Dimes Birth Defects Series 1987;23(4).
Halstead LS, Rossi CD. Post-polio syndrome: clinical experience with 132 consecutive out patients. In: Halstead LS, Wiechers DO (ed.). Research and clinical aspects of the late effects of poliomyelitis. NY: March of Dimes Birth Defects Foundation 1987;27-38.
Klingman J, Chui H, Corgiat M, Perry J. Functional recovery: a major risk factor for the development of post- poliomyelitis muscular atrophy. Arch Neurol 1988;45:645-47.
Wilhelm J, Schulte M, Muller T. Increased metabolic muscle Fatigue is caused by some but not all Mitochondrial Matations. Arch Neurol 2003;(60).
Ramlow J, Alexander M, Laporte R, Kaufmann C, Kuller L. Epidemiology of post- polio syndrome. Am J Epidemiol 1992;136:769-86.
McComas AJ, Upton HRM, Sica REP. Motor neuron disease and aging. Lancet 1973;2:1477-80.
Scorzelli, J. A poliomielite no Rio de Janeiro: estudo epidemiológico: Arquivos de Higiene 1966; 22(1):65-176.
Associação Brasileira de SÃndrome Pós-Pólio. Documento Técnico da SÃndrome Pós- Pólio; 2004.
Fowler WM. Consensus conference summary: Role of physical activity and exercise training in neuromuscular diseases. Am J Phy Med Rehabil 2002;81(suppl):187-95.
Garssen MPJ; Bussmann JBJ, Schmitz PIM. Physical training and fatigue, fitness, and quality of life in Guillain- Barré syndrome and CIDP. Neurology 2004;63:2393-95.
Umphred D. Neurological Rehabilitation, 4ª ed. St Louis: Mosby Company; 2004.
Michael H; Turner A; Williams R; Bowen J et al. Predictors of prescriptions for management of fatigue among veterans with multiple sclerosis. Arch Phys Med Rehabil 2005;86:1376-80.
Stalberg E, Thiele B. Motor unit fiber density in the extensor digitorum communis muscle. J Neurol Neurosurg Psychiatry 1975;38:874-80.
Allen GM, Gandevia SC, Neering IR. Muscle performance, voluntary activation and perceived effort in normal subjects and patients with prior poliomyelitis. Brain 1994;117:661-70.
Miller RG. Role of fatigue in limiting physical activities in humans with neuromuscular diseases. Am J Phys Med Rehabil 2002;81(suppl):99-107.
Grimby G, Einarsson G, Hedberg M, Aniansson A. Muscle adaptive changes in post- polio subjects. Scand J Rehabil Med 1989;21:19-26.
Einarsson G, Grimby G, Stalberg E. Electromyographic and morphological functional compensation in late poliomyelitis. Muscle Nerve 1990;13:165-71.
Wiechers D, Hubbel S. Late changes in the motor unit after acute poliomyelitis. Muscle Nerve 1981;4:524.
Borg K, Borg J, Dhoot G, Edstrom L, Grimby L, Thornell LE. Motoneuron firing and isomyosin type of muscle fibers in prior polio. J Neurol Neurosurg Psychiatry 1989;52:1141-8.
Borg K, Edstrom L. Prior poliomyelitis: an immunohistochemical study of cytoskeletal proteins and a marker for muscle fibre regeneration in relation to usage of remaining motor units. Acta Neurol Scand 1993;87:128-32.
Agre JC, Grimby G, Rodriguez AA, Einarsson G, Swiggum Er, Franke TM. A comparison of symptoms between Swedish and American post- polio individuals and assessment of lower limb strength – a four year cohort study. Scand J Rehabil Med 1995;27:183-92.
Fillyaw MJ, Badger GJ, Goodwin GD, Bradley WG, Fries TJ, Shukla A. The effects of long- term non- fatiguing resistance exercise in subjects with post- polio syndrome. Orthopedics 1991;14:1253-56.
Dean E, Ross J. Effect of modified aerobic training on movement energetics in polio survivors. Orthopedics 1991;14:1243-46.
Kriz JL. Jones DR, Speier JL, Owen RR, Serfass RC. Cardio- respiratory responses to upper extremity aerobic training by post- polio subjects. Arch Phys Med Rehabil 1992;73:49-54.
Prins JH, Hartung H, Merritt DJ, Blanq RJ, Goebert DA. Effect of aquatic exercise training in persons with poliomyelitis disability. Sports Med Training Rehabil 1994;5:29-39.
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