Interferência de cuidados paliativos e atividades físicas na qualidade de vida de pessoas com Esclerose Múltipla
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May 2, 2025
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Resumo
Objetivo: Avaliar diferentes vias de tratamento e acompanhamento, os quais permitam a melhoria da qualidade de vida em pacientes diagnosticados com Esclerose Múltipla. Métodos: Trata-se de uma pesquisa de revisão bibliográfica integrativa com abordagem qualitativa, com um corte temporal de cinco anos, de 2019 a Agosto de 2024. O desenho do estudo, uma pesquisa não clínica, foi integrado aplicando-se a estratégia PICO. Para elaboração dos resultados foram avaliados: Local, Base de dados/Periódico, Autor(es) do artigo/ Ano, objetivo, Nível de Evidência. Resultados: Melhora significativa no desempenho e conforto dos pacientes com Esclerose Múltipla, tanto no aumento de frequência dos exercícios físicos, quanto na adoção de cuidados paliativos, a fim de aliviar os sintomas e permitir uma melhor qualidade de vida, para o paciente e para a família. Considerações finais: Estudos recentes evidenciam os avanços no tratamento da esclerose múltipla (EM), com foco no treinamento físico e cuidados paliativos. No entanto, a adesão a programas de reabilitação é desafiadora, com falta de informações sobre seus benefícios.
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Como Citar
CorrêaG. L. A., SilvaJ. B. L., SansonL. G., GamaV. C. da, & BarbosaJ. de S. P. (2025). Interferência de cuidados paliativos e atividades físicas na qualidade de vida de pessoas com Esclerose Múltipla. Revista Eletrônica Acervo Médico, 25, e19600. https://doi.org/10.25248/reamed.e19600.2025
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Referências
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5. ARGENTO O, et al. Motor, cognitive, and combined rehabilitation approaches on MS patients’ cognitive impairment. Neurological Sciences, 2023; 44(3): 1109-1118.
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10. CHEONG WL, et al. Accessing palliative care for multiple sclerosis: A qualitative study of a neglected neurological disease. Multiple Sclerosis and Related Disorders, 2019; 35: 86-91.
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15. FEINSTEIN A, et al. Cognitive rehabilitation and aerobic exercise for cognitive impairment in people with progressive multiple sclerosis (CogEx): A randomised, blinded, sham-controlled trial. Lancet Neurology, 2023; 22(10): 912-924.
16. FERIGOLLO JP, et al. Fisioterapia, fonoaudiologia e terapia ocupacional - prática interdisciplinar nos distúrbios da comunicação humana. Revista CEFAC, 2017; 19(2): 147-158.
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19. MOLHEMI F, et al. Effects of virtual reality vs conventional balance training on balance and falls in people with multiple sclerosis: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 2020; 102(2): 290-299.
20. MOTL RW, et al. Primary results of a phase-III, randomized controlled trial of the Behavioral Intervention for increasing Physical Activity in Multiple Sclerosis project. Multiple Sclerosis (Houndmills, Basingstoke, England), 2023; 29(3): 415-426.
21. OZKUL C, et al. Combined exercise training improves cognitive functions in multiple sclerosis patients with cognitive impairment: A single-blinded randomized controlled trial. Multiple Sclerosis and Related Disorders, 2020; 45: 102419.
22. PILOTI DTW, et al. Associação entre avaliação clínica e autopercepção da deglutição com a escala de incapacidade motora em pacientes com esclerose múltipla. CoDAS, 2022; 34(2): 20210026.
23. ROSATO R, et al. Living with severe multiple sclerosis: Cost-effectiveness of a palliative care intervention and cost of illness study. Multiple Sclerosis and Related Disorders, 2021; 49: 102756.
24. SADEGHI BAHMANI D, et al. In patients with multiple sclerosis, both objective and subjective sleep, depression, fatigue, and paresthesia improved after 3 weeks of regular exercise. Frontiers in Psychiatry, 2019; 10: 265.
25. SAXBY SM, et al. Effects of a remote multimodal intervention involving diet, walking program, and breathing exercise on quality of life among newly diagnosed people with multiple sclerosis: A quasi-experimental non-inferiority pilot study. Degenerative Neurological and Neuromuscular Disease, 2024; 14: 1-14.
26. SOUZA MT de, et al. Integrative review: what is it? how to do it? Einstein (São Paulo), 2010; 8(1): 102-106. Disponível em: http ://dx.doi.org/10.1590/s1679-45082010rw1134. Acessado em: 13 nov. 2024.
27. TOLLÁR J, et al. Exercise effects on multiple sclerosis quality of life and clinical-motor symptoms. Medicine and Science in Sports and Exercise, 2020; 52(5): 1007-1014.
28. WOLF F, et al. Multimodal agility-based exercise training (MAT) versus strength and endurance training (SET) to improve multiple sclerosis-related fatigue and fatigability during inpatient rehabilitation: A randomized controlled pilot and feasibility study [ReFEx]. BMC Neurology, 2023; 23(1): 388.
2. ABASIYANIK Z, et al. The effects of Clinical Pilates training on walking, balance, fall risk, respiratory, and cognitive functions in persons with multiple sclerosis: A randomized controlled trial. Explore (New York, N.Y.), 2019; 16(1): 12-20.
3. ANDREU-CARAVACA L, et al. Effects of fast-velocity concentric resistance training in people with multiple sclerosis: A randomized controlled trial. Acta Neurologica Scandinavica, 2022; 146(5): 652-661.
4. ANDREU-CARAVACA L, et al. Fast-velocity resistance training improves force development and mobility in multiple sclerosis. International Journal of Sports Medicine, 2022; 43(7): 593-599.
5. ARGENTO O, et al. Motor, cognitive, and combined rehabilitation approaches on MS patients’ cognitive impairment. Neurological Sciences, 2023; 44(3): 1109-1118.
6. BEN-ZACHARIA AB, et al. Palliative care knowledge and attitudes among patients with neuroinflammatory diseases. Journal of Palliative Medicine, 2024; 27(1): 10-17.
7. BRUSOLA G e ARMSTEAD A. A qualitative exploration of the rehabilitation perceptions and experiences of persons with early multiple sclerosis. Multiple Sclerosis and Related Disorders, 2023; 71(104589): 104589.
8. BUŽGOVÁ R e KOZÁKOVÁ R. Satisfaction of patients with severe multiple sclerosis and their family members with palliative care: Interventional study. American Journal of Hospice & Palliative Care, 2021; 38(11): 1348-1355.
9. CARDOSO JS, et al. Esclerose múltipla e ocupações: o que quero conseguir fazer, mas nem sempre consigo. Cadernos Brasileiros de Terapia Ocupacional, 2024; 32: 3591.
10. CHEONG WL, et al. Accessing palliative care for multiple sclerosis: A qualitative study of a neglected neurological disease. Multiple Sclerosis and Related Disorders, 2019; 35: 86-91.
11. COELHO VBCP, et al. Análise dos aspectos epidemiológicos da esclerose múltipla no Brasil durante o período de 2012 a 2022. Brazilian Journal of Health Review, 2023; 6(6): 27513-27527.
12. DADSETAN F, et al. Palliative care needs of patients with multiple sclerosis in southeast Iran. BMC Palliative Care, 2021; 20(1).
13. DATASUS – Ministério da Saúde. Disponível em: https ://datasus.saude.gov.br/. Acessado em: 6 nov. 2024.
14. DE CARVALHO RD. Atuação multidisciplinar na esclerose múltipla. Zenodo, 2023. Disponível em: http ://dx.doi.org/10.5281/ZENODO.7878863. Acessado em: 13 nov. 2024.
15. FEINSTEIN A, et al. Cognitive rehabilitation and aerobic exercise for cognitive impairment in people with progressive multiple sclerosis (CogEx): A randomised, blinded, sham-controlled trial. Lancet Neurology, 2023; 22(10): 912-924.
16. FERIGOLLO JP, et al. Fisioterapia, fonoaudiologia e terapia ocupacional - prática interdisciplinar nos distúrbios da comunicação humana. Revista CEFAC, 2017; 19(2): 147-158.
17. KLUGER BM, et al. Palliative care to support the needs of adults with neurological disease. Lancet Neurology, 2023; 22(7): 619-631.
18. LANGESKOV-CHRISTENSEN M, et al. Efficacy of high-intensity aerobic exercise on brain MRI measures in multiple sclerosis. Neurology, 2020; 96(2): 203-213.
19. MOLHEMI F, et al. Effects of virtual reality vs conventional balance training on balance and falls in people with multiple sclerosis: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 2020; 102(2): 290-299.
20. MOTL RW, et al. Primary results of a phase-III, randomized controlled trial of the Behavioral Intervention for increasing Physical Activity in Multiple Sclerosis project. Multiple Sclerosis (Houndmills, Basingstoke, England), 2023; 29(3): 415-426.
21. OZKUL C, et al. Combined exercise training improves cognitive functions in multiple sclerosis patients with cognitive impairment: A single-blinded randomized controlled trial. Multiple Sclerosis and Related Disorders, 2020; 45: 102419.
22. PILOTI DTW, et al. Associação entre avaliação clínica e autopercepção da deglutição com a escala de incapacidade motora em pacientes com esclerose múltipla. CoDAS, 2022; 34(2): 20210026.
23. ROSATO R, et al. Living with severe multiple sclerosis: Cost-effectiveness of a palliative care intervention and cost of illness study. Multiple Sclerosis and Related Disorders, 2021; 49: 102756.
24. SADEGHI BAHMANI D, et al. In patients with multiple sclerosis, both objective and subjective sleep, depression, fatigue, and paresthesia improved after 3 weeks of regular exercise. Frontiers in Psychiatry, 2019; 10: 265.
25. SAXBY SM, et al. Effects of a remote multimodal intervention involving diet, walking program, and breathing exercise on quality of life among newly diagnosed people with multiple sclerosis: A quasi-experimental non-inferiority pilot study. Degenerative Neurological and Neuromuscular Disease, 2024; 14: 1-14.
26. SOUZA MT de, et al. Integrative review: what is it? how to do it? Einstein (São Paulo), 2010; 8(1): 102-106. Disponível em: http ://dx.doi.org/10.1590/s1679-45082010rw1134. Acessado em: 13 nov. 2024.
27. TOLLÁR J, et al. Exercise effects on multiple sclerosis quality of life and clinical-motor symptoms. Medicine and Science in Sports and Exercise, 2020; 52(5): 1007-1014.
28. WOLF F, et al. Multimodal agility-based exercise training (MAT) versus strength and endurance training (SET) to improve multiple sclerosis-related fatigue and fatigability during inpatient rehabilitation: A randomized controlled pilot and feasibility study [ReFEx]. BMC Neurology, 2023; 23(1): 388.