Banca de DEFESA: NATALIA TARCILA SANTOS AMORIM

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : NATALIA TARCILA SANTOS AMORIM
DATE: 28/12/2022
TIME: 09:00
LOCAL: Via google meet
TITLE:

EFFECTIVENESS OF A WHOLE-BODY VIBRATION PROTOCOL ON THE RISK OF FALLS, BALANCE AND HEART RATE VARIABILITY OF PATIENTS POST-COVID-19: RANDOMIZED CONTROLLED STUDY

KEY WORDS:

Lung Diseases, SARS-CoV-2, Autonomic Nervous System Diseases, Exercise, Complementary Therapeutic Methods.

PAGES: 137
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

The multisystemic infection caused by the New Coronavirus-19 (nCoV-19) causes consequences beyond the acute phase and respiratory symptoms, often observed in the first cases of infection. The identification of persistent sequelae in survivors of the New Coronavirus-19 Disease (COVID-19) has led to an increase in demand for rehabilitation services and has highlighted the need for a functional recovery intervention that is safe and well tolerated for this population. Whole Body Vibration (WBV) is an alternative strategy to conventional rehabilitation programs that has been studied in several people. The aim of this study was to evaluate the effectiveness of a whole-body vibration program on the risk of falls, balance, mobility and heart rate variability (HRV) in patients affected by moderate or severe forms of COVID-19. This is a randomized clinical trial approved by the Research Ethics Committee and the National Research Ethics Committee (CAAE 50633321.0.0000.5208, opinion nº 5.007.272), respecting all the norms of Resolution 466/12 of the National Health Council and registered in the Brazilian Clinical Trial Registry (ReBEC) (RBR-10c2pb73). Patients affected by COVID-19 who required hospitalization in a ward or ICU, discharged at least 4 months before the start of training, of both sexes, aged between 18 and 70 years were included in the research. The sample consisted of 13 patients. The study's primary endpoints were risk of falls, mobility and balance, and heart rate variability in its time and frequency domains. The normality and homogeneity of the sample were verified, respectively, using the Shapiro-Wilk and Levene tests. For comparison between the groups, the Anova test for repeated measures or the Kruskall-Wallis test were used for the risk of falls, mobility and balance and heart rate variability (HRV), based on time variations (pre and post) and intervention (Sham, IVC 4mm and IVC 2mm), followed by Tukey's or Nemenyi's post-hoc test. Statistical analysis was performed using the SPSS program, version 20.0. There was analysis by intention to treat in the groups where the loss was greater than 20%. Patients were allocated into the control group (G Sham, n=4), the 4 mm IVC group (G 4mm, n = 5) and the 2mm IVC group (G 2mm, n=4). Training with WBV at 2mm and 4mm amplitude resulted in a reduction in the risk of falls when compared to Sham (p= 0.023), with a large effect size of 0.530. No changes were observed for mobility and balance outcomes (p= 0.127) or for any of the HRV variables (p= 0.386). Whole-body vibration training was a safe and well-tolerated therapeutic modality by patients after 4 months of the acute phase of COVID-19. In addition, the perception of improvement in global status was satisfactory even in patients allocated to the Sham group. Adverse reactions such as mild itching in lower limbs and post-intervention muscle pain, which regressed within 24 hours, were observed in the studied population. Considering these findings, in order to strengthen the evidence regarding WBV training in post-COVID patients, this study will remain ongoing.

COMMITTEE MEMBERS:
Presidente - 2779450 - DANIELLA ARAUJO DE OLIVEIRA
Interna - ***.615.024-** - ANNA MYRNA JAGUARIBE DE LIMA - UFRPE
Externa à Instituição - LAISA LIANE PAINEIRAS DOMINGOS - UFBA