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Programa Comunitário PLE2NO : o papel do treino de força no controlo dos sintomas em pessoas com osteoartrose
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A Osteoartrose (OA) é uma doença reumática degenerativa, caracterizada pela destruição ou perda de cartilagem articular, afetando principalmente as regiões, do joelho, mãos e a anca. Esta doença tem uma elevada prevalência mundial, sobretudo em faixas etárias mais avançadas, tendo um grande impacto não só na qualidade de vida dos pacientes, mas também a nível socioeconómico do país.
No âmbito do estágio curricular do Mestrado de Exercício e Saúde (FMH-UL), o presente relatório descreve as atividades realizadas durante 11 meses no centro de saúde de Paço de Arcos, Oeiras (10 meses) e no Instituto Português de Reumatologia (IPR) (1 mês). Pretende-se ainda apresentar os resultados obtidos com o “Programa Livre de Educação e Exercício Na Osteoartrose” (PLE²NO), no qual centrei a maioria das minhas atividades. Como atividades complementares de estágio, também estagiei no Instituto Português de Reumatologia (IPR), e participei na Feira da Educação e da Saúde de Belém e no Programa 55+.
O programa PLE²NO, assim como as restantes atividades de estágio, permitiram-me desenvolver competências ao nível da liderança de sessões de exercício, aconselhamento de atividade física, prescrição de exercício personalizado, avaliação dos sintomas de doenças reumáticas, entre muitas outras.
Ao longo deste percurso, os objetivos estabelecidos foram concretizados, tendo adquirido, tanto valências profissionais quanto pessoais. No campo das competências profissionais realço a avaliação dos sintomas da dor/rigidez, preparação de sessões educativas (com enfoque no controlo dos sintomas - dor), prescrição de exercício mais adequado a indivíduos com OA e identificação de barreiras à prática de atividade física/exercício. Destaco ainda, uma melhoria na capacidade de trabalho em equipa e a autonomia de trabalho. No campo pessoal é notória a melhoria nas relações interpessoais em diversos contextos.
Osteoarthritis (OA) is a rheumatic degenerative disease characterized by the degradation or articular cartilage loss, being knees, hands and hip the most commonly affected body parts. The incidence and prevalence of OA are rising, mainly in older age groups, influencing not only the patients’ life quality, but also the country socioeconomic level. The present thesis describes the activities realized and the results obtained throughout the “Programa Livre de Educação e Exercício Na Osteoartrose” (PLE²NO) over 11 months, which took place in Centro de Saúde de Paço de Arcos (10 months), and the work developed at the Instituto Português de Reumatologia (IPR) (1 month), both under the Masters in Exercise and Health (FMH-UL). The point of this report is show the results about the program PLE²NO, when i've been most of time, 10 months. PLE²NO is a community program, for elderly individuals with OA, which includes 3 months of direct exercise intervention and 3 months of home based exercises assistance, comprising a total of 6 months. This program aimed to: i) improve the quality of life in patients with knee and hip OA associated condition; ii) promote the self-management of their disease; iii) promote social participation in the program and iv) increase the physical activity levels in these patients. In conclusion, the proposed aims of this thesis were accomplished. These were intense and hard-working months where I have grown as a person and as professional. Preparation of education sessions focused on OA made me learn more about this disease. I am now more prepared to lead with OA patients, in daily basis, as I could easily identify their symptoms, understand their real needs and prescribe personalized exercises. The opportunity to work in such a community program made me become more conscious about the real existing barriers to the practice of physical activity which I hope to fight in the future. I would also like to mention the self improvement in work as a team and autonomously. Overall, I am very delighted and grateful to finish this important chapter and excited for the future challenges.
Osteoarthritis (OA) is a rheumatic degenerative disease characterized by the degradation or articular cartilage loss, being knees, hands and hip the most commonly affected body parts. The incidence and prevalence of OA are rising, mainly in older age groups, influencing not only the patients’ life quality, but also the country socioeconomic level. The present thesis describes the activities realized and the results obtained throughout the “Programa Livre de Educação e Exercício Na Osteoartrose” (PLE²NO) over 11 months, which took place in Centro de Saúde de Paço de Arcos (10 months), and the work developed at the Instituto Português de Reumatologia (IPR) (1 month), both under the Masters in Exercise and Health (FMH-UL). The point of this report is show the results about the program PLE²NO, when i've been most of time, 10 months. PLE²NO is a community program, for elderly individuals with OA, which includes 3 months of direct exercise intervention and 3 months of home based exercises assistance, comprising a total of 6 months. This program aimed to: i) improve the quality of life in patients with knee and hip OA associated condition; ii) promote the self-management of their disease; iii) promote social participation in the program and iv) increase the physical activity levels in these patients. In conclusion, the proposed aims of this thesis were accomplished. These were intense and hard-working months where I have grown as a person and as professional. Preparation of education sessions focused on OA made me learn more about this disease. I am now more prepared to lead with OA patients, in daily basis, as I could easily identify their symptoms, understand their real needs and prescribe personalized exercises. The opportunity to work in such a community program made me become more conscious about the real existing barriers to the practice of physical activity which I hope to fight in the future. I would also like to mention the self improvement in work as a team and autonomously. Overall, I am very delighted and grateful to finish this important chapter and excited for the future challenges.
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Autogestão Dor Exercício físico Osteoartrose Treino de Força Osteoarthritis Pain Physical exercise Self-management Strength training