Impacto da fisioterapia na funcionalidade de pacientes pós-COVID-19
DOI:
https://doi.org/10.17267/2238-2704rpf.2025.e6078Palavras-chave:
Síndrome Pós-Aguda da COVID-19, Reabilitação, Estado Funcional, Estudo Quase-Experimental, AdultoResumo
CONTEXTO: Após a doença pelo coronavírus (COVID-19), cerca de 65% dos pacientes recuperaram sua condição de saúde prévia dentro de 14 a 21 dias após o início dos sintomas. No entanto, 10% permaneceram com sintomas e comprometimento funcional por mais de 12 semanas. MÉTODOS: Entre março de 2021 e maio de 2022, identificamos o efeito da fisioterapia em 26 pacientes pós-COVID-19 sintomáticos, com idade ≥18 anos, incluídos em um estudo quase-experimental, com diagnóstico confirmado de COVID-19, em tratamento para sintomas motores e respiratórios no serviço multidisciplinar pós-COVID-19 da Fundação José Silveira, em Salvador (Bahia, Brasil). Queixas gerais relatadas, dados de sinais vitais e testes funcionais (Timed-Up-and-Go, teste sentar-levantar-30s, e teste de marcha estacionária-2min) foram coletados antes e após 10 sessões de fisioterapia. Avaliamos parâmetros físicos como: tosse, dispneia, fadiga, distúrbios do sono, retrações intercostais e supraclaviculares, pressão inspiratória máxima, pressão expiratória máxima, ausculta pulmonar, pico de fluxo expiratório, pico de tosse, teste de apneia, mobilidade e expansibilidade torácica. RESULTADOS: Após 10 sessões de fisioterapia, observou-se melhora significativa na força muscular global (p<0,001), força de preensão manual (p=0,004), teste Timed-Up-and-Go (p=0,002), teste sentar-levantar-30seg (p=0,006), teste de marcha estacionária-2min (p=0,006), escala de fadiga (p=0,025) e teste de apneia (p=0,001). Além disso, houve redução nas queixas de tosse seca (p=0,008), dispneia aos esforços (p=0,002) e fadiga (p=0,006). CONCLUSÕES: Pacientes pós-COVID-19 sintomáticos avaliados após 10 sessões de fisioterapia respiratória e motora apresentaram redução significativa dos sintomas e recuperação dos parâmetros funcionais, embasando a necessidade de implementação de programas estruturados de reabilitação em serviços de saúde similares, a fim de otimizar ganhos funcionais, qualidade de vida e capacidade laboral após infecções ou hospitalizações.
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Copyright (c) 2025 Ana Francisca Ferreira Stagliorio, Juliana Awad de Oliveira Menezes, Taísa Nascimento de Aquino, Manuella Franco Cerqueira da Silva, Felipe de Jesus Souza, Jesús Enrique Patiño-Escarcina, Maria Belen Arriaga, Eduardo Martins Netto
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
