The effectiveness of a therapist-oriented home rehabilitation program for a patient with acromegaly: A case study.

Lima, Tatiana Rafaela Lemos; Kasuki, Leandro; Gadelha, Monica Roberto; Lopes, Agnaldo José

Lima, Tatiana Rafaela Lemos; Kasuki, Leandro; Gadelha, Monica Roberto; Lopes, Agnaldo José.

Afiliação

Lima TRL; Rehabilitation Sciences Post-graduate Program, Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil.
Kasuki L; Neuroendocrinology Research Center/Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; Neuroendocrine Unit, Instituto Estadual do Cérebro Paulo Niemeyer, Secretaria de Estado de Saúde do Rio d
Gadelha MR; Neuroendocrinology Research Center/Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; Neuroendocrine Unit, Instituto Estadual do Cérebro Paulo Niemeyer, Secretaria de Estado de Saúde do Rio d
Lopes AJ; Rehabilitation Sciences Post-graduate Program, Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil; Post-graduate Program in Medical Sciences, School of Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil. Electronic address: agnaldolopes@pq.cnp

J Bodyw Mov Ther ; 23(3): 634-642, 2019 Jul.

Article em En | MEDLINE | ID: mdl-31563382

RESUMO

BACKGROUND: Acromegaly causes numerous functional limitations that negatively impact patients' performance of activities of daily living (ADLs) and contribute to the deterioration of health-related quality of life (HRQoL). Thus, the purpose of the present case study was to evaluate the effect of therapist-oriented home rehabilitation (TOHR) for a patient with acromegaly. CASE DESCRIPTION: We report the case of a 53-year-old man who was diagnosed with primary acromegaly 17 years ago. He complained of difficulties performing tasks that involved his hands, pain in the lower limbs, and fatigue when he climbed a few flights of stairs. Although he performed ADLs independently, he reported some difficulties or discomfort when performing them. INTERVENTION AND OUTCOME: The patient underwent a booklet-guided physical exercise program that lasted two months (three times per week, 60 minutes per session). The activities included overall stretching, muscle strengthening, and endurance exercises, along with aerobic conditioning through functional circuit training. After two months of exercise, he reported improved HRQoL as assessed with the Acromegaly Quality of Life Questionnaire, with increases in quadriceps muscle strength and 6-min walking distance. However, none of these benefits remained when the patient was assessed after a 1-month washout period. CONCLUSION: This study showed that patients with acromegaly may benefit markedly from TOHR, which could provide a novel therapeutic approach as an adjunct to hormone control therapy.

Assuntos

Terapia por Exercício/métodos; Serviços de Assistência Domiciliar; Força Muscular/fisiologia; Resistência Física/fisiologia; Músculo Quadríceps/fisiologia; Atividades Cotidianas; Humanos; Masculino; Pessoa de Meia-Idade; Exercícios de Alongamento Muscular/métodos; Qualidade de Vida

Palavras-chave

Acromegaly; Exercise; Muscle dysfunction; Rehabilitation

Texto completo

Adicionar na Minha BVS

Imprimir

XML

PubMed Links

Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Resistência Física / Músculo Quadríceps / Terapia por Exercício / Força Muscular / Serviços de Assistência Domiciliar Tipo de estudo: Evaluation_studies / Qualitative_research Aspecto: Patient_preference Limite: Humans / Male / Middle aged Idioma: En Revista: J Bodyw Mov Ther Assunto da revista: MEDICINA FISICA / TERAPEUTICA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo

Adicionar na Minha BVS

Imprimir

XML

PubMed Links

Buscar no Google