Programa de pós-graduação em Ciências da Reabilitação
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Master Thesis Efeito de intervenções baseadas em exercícios na dor, função, percepção global de mudança e qualidade de vida de indivíduos com tendinopatia glútea: revisão sistemática incluindo recomendações grade(Universidade Federal do Rio Grande do Norte, 2022-03-30) Cordeiro, Thaisy Thuany Patrício; Silva, Rodrigo Scattone da; http://lattes.cnpq.br/9953273388451412; http://lattes.cnpq.br/2420561280453756; Barbosa, Germanna de Medeiros; https://orcid.org/0000-0002-1094-334X; http://lattes.cnpq.br/1702090920424206; Oliveira, Vinícius Cunha deTherapeutic exercises have been shown to be effective for the treatment of tendinopathies, however, the effects of exercise for the treatment of gluteal tendinopathy have not yet been systematically reviewed. The objective of this review was to evaluate the effect of exercise on pain intensity, function, global perception of change and quality of life in individuals with gluteal tendinopathy. The searches were performed until March 2021 in the Cochrane Library, MEDLINE/PubMed, CINAHL, Embase and PEDro databases. Randomized or quasirandomized clinical trials involving exercise-based interventions for gluteal tendinopathy were included. Two independent researchers carried out the selection of articles, data extraction and assessment of the methodological quality of the studies, and a third researcher resolved disagreements. The certainty of Evidence was assessed using the Grading of Recommendations Assessment (GRADE) approach. Results were summarized as mean differences and 95% confidence intervals according to the outcome of interest, group comparisons and follow-up. Five studies were included with a total sample of 747 patients. The results suggest that exercise is superior to the “wait and see” approach in terms of pain, function, general perception of change, and short- and long-term quality of life. There was no difference between isometric and isotonic exercise in pain, function, quality of life, or short-term treatment success rate. Exercise and education are superior to corticosteroid infiltration (CI) for short, medium, and long term treatment success rate. Finally, there was no difference between exercise and simulated exercise in terms of pain, function, overall perception of change, and short- and long-term quality of life. These findings were based on low to very low quality levels of evidence as assessed by GRADE. We conclude that exercise has better results than 'wait and see', or IC for the treatment of gluteal tendinopathy. However, treatment effect estimates have only low to very low certainty evidence to support them, and more high-quality controlled trials are needed to further clarify the matter.Master Thesis Quão abrangente é a descrição dos participantes em ensaios controlados aleatorizados envolvendo indivíduos com tendinopatia patelar? Uma revisão sistemática(Universidade Federal do Rio Grande do Norte, 2020-12-15) Araújo, Eduardo Henrique Dias; Silva, Rodrigo Scattone da; ; http://lattes.cnpq.br/9953273388451412; ; http://lattes.cnpq.br/3319148986317258; Lobato, Daniel Ferreira Moreira; ; http://lattes.cnpq.br/3736858758375395; Barbosa, Germanna de Medeiros; ; http://lattes.cnpq.br/1702090920424206The prevalence of patellar tendinopathy can be quite high in athletes of different sports modalities. The consequences of this dysfunction can be devastating for an athlete's career. Several randomized controlled trials have been developed in an attempt to identify the best treatment approaches for individuals with patellar tendinopathy. However, the description of study participants is not always clear and comprehensive. This makes it difficult for clinicians to understand how relevant the results of the research in question are to their patients. Recently, an International Tendinopathy Consensus established recommendations on the characteristics of participants that should be reported in clinical trials involving tendinopathies in general, including population demographics, clinical tendinopathy descriptors, general health and comorbidities, and participant recruitment and screening. To our knowledge, however, no study has verified whether the presentation of data from participants included in clinical trials involving patellar tendinopathy is in accordance with the criteria recommended by expert consensus. The purpose of this review is to verify how comprehensive the description of participants in randomized controlled trials involving individuals with patellar tendinopathy is. A literature review was carried out in (PubMed/MEDLINE, Scopus, PEDro, SciELO and LILACS) by two independent reviewers, seeking to identify randomized controlled trials involving individuals with patellar tendinopathy. To assess the quality of studies regarding the description of the participants, a scale was developed based on the score of the International Tendinopathy Consensus (eCONT). Pearson's correlation test was used to verify the existence of a relationship between year of publication of the trials and the quality of data presentation. Thirty-four clinical trials were included in the review. The studies involved a total of 1,262 individuals (996 men and 266 women), with an average age of 28.25 ± 4.10 years. The average score of studies in the eCONT was 9.88 ± 2.07 points, ranging from 6 to 13 points out of a total of 16 possible on the score. The inclusion criteria of the different studies were substantially heterogeneous. Most often incomplete information included medication use and the presence of comorbidities. There was no correlation between year of publication and score on the quality of data presentation scale (P=0.372). In conclusion, clinical trials involving individuals with patellar tendinopathy present heterogeneous and, in many cases, incomplete information about the included participants. The possibility that individuals with different conditions that cause anterior knee pain may have been recruited for these studies under the diagnosis of patellar tendinopathy is also of note. This could lead to confusion among the scientific community and clinicians as to which treatments are in fact effective for the rehabilitation of individuals with patellar tendinopathy.