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Uma análise da força muscular e da depressão em participantes do programa PLE²NO : osteoartrose e/ ou prótese do joelho e/ou anca
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O presente relatório descreve as atividades desenvolvidas no âmbito do estágio curricular integrado no Mestrado de Exercício e Saúde, pela Faculdade de Motricidade Humana da Universidade de Lisboa, no ano letivo 2021/2022, com vista à obtenção do grau de mestre. O estágio curricular teve a duração de 10 meses no âmbito do Programa Livre de Educação e Exercício Na Osteoartrose (PLE²NO). Este estágio teve como principais objetivos: adquirir conhecimentos teóricos e práticos relativamente à osteoartrose (OA) do joelho e da anca; reconhecer, avaliar e analisar a sintomatologia e o diagnóstico da OA do joelho e da anca; adquirir capacidades de prescrição exercício e de liderança de sessões de exercício; e aprimorar capacidades de autonomia e proatividade. Os objetivos relativos à iniciação à investigação científica centraram-se em avaliar os efeitos do programa educacional e do programa de exercício com três meses de duração e avaliar os efeitos do programa de exercício com dois meses de duração, efeitos esses que se refletiram nos níveis de depressão, os níveis da força de preensão manual e dos membros inferiores, e analisar a associação entre a depressão e a força muscular antes da intervenção. Como resultados da iniciação à investigação científica verificou-se que, entre os momentos 1 e 2, existiram melhorias no nível da força no teste de Levantar da Cadeira e Sentar e, entre os momentos 2 e 3, verificaram-se melhorias no nível da força no teste de Preensão Manual. Relativamente à associação entre as variáveis de depressão e ansiedade, do questionário de Depressão Geriátrica de Yesavage e da dimensão Ansiedade/Depressão do questionário EQ-5D-3L, e as variáveis da força, dos testes Levantar da Cadeira e Sentar e do teste de Preensão Manual, não se observaram correlações significativas entre nenhuma das variáveis. Através deste estágio foi possível desenvolver competências de liderança e instrução, assim como mais autonomia e proatividade, maior dinâmica de trabalho em equipa e maior capacidade de resolução de problemas. De um ponto de vista teórico, o estágio possibilitou a aquisição de conhecimentos sobre doenças reumáticas, nomeadamente a OA, o reconhecer, avaliar e analisar a sintomatologia e o diagnóstico da OA do joelho e da anca e a aquisição de conhecimento sobre o processo de prescrição de um programa de exercício personalizado, para estas condições de saúde específicas.
This report describes the activities developed in the scope of the curricular internship integrated in the master’s degree in Exercise and Health, by the Faculty of Human Kinetics of the University of Lisbon, in the 2021/2022 school year, to obtain the master’s degree. The internship lasted 10 months within the scope of the Free Education and Exercise Program for Osteoarthritis (PLE²NO). This internship had the following main objectives: to acquire theoretical and practical knowledge regarding knee and hip osteoarthritis; to recognize, assess and analyze the symptomatology and diagnosis of knee and hip osteoarthritis; to acquire the ability to prescribe exercise and to lead exercise sessions; improve autonomy and proactivity skills; and learn to deal with the elderly population. The objectives regarding the initiation of scientific research focused on evaluating the effects of the educational program and the exercise program lasting three months and evaluating the effects of the exercise program lasting two months, effects that were reflected in the levels of depression, the levels of handgrip and lower limb strength, and to analyze the association between depression and muscle strength before the intervention. The results of the initiation of scientific research showed that, between moments 1 and 2, there were improvements in the level of strength in the Sit to Stand Test, and between moments 2 and 3, there were improvements in the level of strength in the Handgrip Test. Regarding the association between the depression and anxiety variables, from the Yesavage Geriatric Depression questionnaire and the Anxiety/Depression dimension of the EQ-5D-3L questionnaire, and the strength variables, from the Rise from Chair and Sit tests and the Handgrip test, no significant correlations were observed between any of the variables. Through this internship, it was possible to develop leadership and instruction skills, as well as more autonomy and proactivity, greater teamwork dynamics and problem-solving skills. From a theoretical point of view, the internship allowed the acquisition of knowledge about rheumatic diseases, namely OA, the recognition, evaluation and analysis of the symptomatology and diagnosis of knee and hip OA, and the acquisition of knowledge about the prescription process of a personalized exercise program for these specific health conditions.
This report describes the activities developed in the scope of the curricular internship integrated in the master’s degree in Exercise and Health, by the Faculty of Human Kinetics of the University of Lisbon, in the 2021/2022 school year, to obtain the master’s degree. The internship lasted 10 months within the scope of the Free Education and Exercise Program for Osteoarthritis (PLE²NO). This internship had the following main objectives: to acquire theoretical and practical knowledge regarding knee and hip osteoarthritis; to recognize, assess and analyze the symptomatology and diagnosis of knee and hip osteoarthritis; to acquire the ability to prescribe exercise and to lead exercise sessions; improve autonomy and proactivity skills; and learn to deal with the elderly population. The objectives regarding the initiation of scientific research focused on evaluating the effects of the educational program and the exercise program lasting three months and evaluating the effects of the exercise program lasting two months, effects that were reflected in the levels of depression, the levels of handgrip and lower limb strength, and to analyze the association between depression and muscle strength before the intervention. The results of the initiation of scientific research showed that, between moments 1 and 2, there were improvements in the level of strength in the Sit to Stand Test, and between moments 2 and 3, there were improvements in the level of strength in the Handgrip Test. Regarding the association between the depression and anxiety variables, from the Yesavage Geriatric Depression questionnaire and the Anxiety/Depression dimension of the EQ-5D-3L questionnaire, and the strength variables, from the Rise from Chair and Sit tests and the Handgrip test, no significant correlations were observed between any of the variables. Through this internship, it was possible to develop leadership and instruction skills, as well as more autonomy and proactivity, greater teamwork dynamics and problem-solving skills. From a theoretical point of view, the internship allowed the acquisition of knowledge about rheumatic diseases, namely OA, the recognition, evaluation and analysis of the symptomatology and diagnosis of knee and hip OA, and the acquisition of knowledge about the prescription process of a personalized exercise program for these specific health conditions.
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Palavras-chave
Osteoartrose do Joelho Osteoartrose da Anca Exercício Físico Depressão Força Muscular Knee Osteoarthritis Hip Osteoarthritis Physical Exercise Depression Muscle Strength