Efeito Do Exercício Físico Sobre a Saúde E Sobrecarga De Mães De Crianças E Adolescentes Com Paralisia Cerebral

Abstract

rEsUmoIntrodução: A paralisia cerebral (PC) é considerada a incapacidade física mais comum na infância. Essa doença afeta profundamente a saúde e o bem-estar dos indivíduos acometidos e também pode influenciar múltiplos aspectos da vida de seus cuidadores, especialmente as mães. Objetivo: Avaliar o efeito de um programa de exercício resistido sobre a qualidade de vida relacionada à saúde (QVRS) de mães de crianças e adolescentes com PC. Método: Vinte e duas mães sedentárias cuidadoras de crianças e adolescentes com PC, aptas à prática de exercício resistido, participaram de um programa de exercício resistido de intensidade moderada, em 2 sessões semanais durante 12 semanas. Todos os participantes responderam ao questionário de QVRS, short form Questionnaire (sf-36), à escala de sobrecarga caregiver burden scale (CBS) e ao Inventário de Depressão de Beck (BDI) antes e após o programa de intervenção. Os escores dos questionários pré e pós-intervenção foram comparados pelo teste de Wilcoxon e a magnitude das diferenças foi medida pelo tamanho do efeito. Resultados: A mediana de idade das mães foi de 41 anos e variou de 18 a 58 anos. A mediana da idade das crianças/adolescentes foi de 14 anos, variando 3 a 21 anos. Após a intervenção foram encontrados aumentos significativos nos escores do SF-36 (p < 0,05), exceto nos domínios aspectos físicos e aspectos emocionais, que já obtiveram pontuação máxima pré-intervenção. Os escores do CBS e do BDI tiveram redução significativa pós-intervenção (p < 0,05). Conclusão: A prática regular de exercícios resistidos tem impacto positivo sobre a QVRS, a percepção de sobrecarga e a intensidade de sintomas depressivos de mães cuidadoras de crianças e adolescentes com PC. descritores: treinamento de resistência; depressão; cuidadores. ABSTRACT introduction: cerebral palsy (cp) is considered the most common physical disability in childhood. this disease profoundly affects the health and well-being of affected individuals and can influence multiple aspects of the life of their

Effect of Exercise Training on the Mental and Physical Well-Being of Caregivers for Persons Living With Chronic Illnesses: A Systematic Review and Meta-Analysis

“…Nine studies used randomized controlled trial (RCT) research designs with two or more independent groups, whereas one study used a nonrandomized controlled trial, and three studies used a prepost design. Two studies used an intervention of resistance exercise only (Batista et al, 2016;Winters-Stone et al, 2016), whereas three used aerobic exercise only (King & Brassington, 1997;King et al, 2002;Lowery et al, 2014). Two studies used nontraditional exercise (i.e., yoga or Tai-Chi) (Martin & Keats, 2014;Van Puymbroeck et al, 2007), and six used a combination of exercise types with individualized training plans (Canonici et al, 2012;Connell & Janevic, 2009;Farran et al, 2016;Hill et al, 2007;Hirano et al, 2011;Prick et al, 2015).…”

“…Most of the studies included in the analysis were judged to have high risk of bias in the "allocation concealment" and "blinding of participants and personnel" categories due to the nature of the studies (i.e., an exercise training is difficult to blind). Most of the studies have two or more "high risk of bias" categories, with three of the studies containing four "high risk of bias" categories (Batista et al, 2016;Hill et al, 2007;Martin & Keats, 2014).…”

“…Meta-analysis on the 13 studies yielded a statistically significant and small-to-medium overall ES, indicating that exercise training does cause minor to moderate improvements in caregiver health (overall ES = 0.30; 95% CI = [0.08, 0.52]; p = .007) ( Figure 2). If the three studies judged to have four high risk of bias categories (Batista et al, 2016;Hill et al, 2007;Martin & Keats, 2014) were removed from the analysis, the overall ES would remain similar (overall ES = 0.26; 95% CI = [−0.03, 0.55]; p = .08), but would no longer be statistically significant. Those three studies were also characterized as pre-post study type.…”

Effect of parental mutuality on the quality of life of mothers of children with special health needs

“…It is also important to highlight a study carried out in the State of Minas Gerais that aimed to evaluate the effect of a resistance exercise program on the QoLRH of mothers of children and adolescents with cerebral palsy who, from the application of SF-36, identified a median for the vitality domain identical to that presented in this research (55.0); however, after the intervention with physical exercise, the median of the vitality domain increased to 77.5 (8) .…”

“…Among the challenges experienced, the need to provide full-time care stands out, a responsibility mostly assumed by the mother, which enhances financial difficulties, social isolation, marital dissatisfaction and feelings such as hopelessness, fatigue, fear and guilt (5)(6) . Furthermore, such challenges can compromise the quality of life related to health (QoLRH) of these caregiving mothers as well as their ability to provide care (7)(8) .…”