Eficácia do treinamento aeróbico na mobilidade de indivíduos com esclerose múltipla: uma revisão da literatura

Abstract

Introduction: Among the most prevalent disabilities in Multiple Sclerosis (MS), we can mention the impairment of mobility that significantly affects the quality of life of these individuals. Considering the impact of the impairment of mobility in individuals with MS and the benefits of aerobic training for this population, it is necessary to understand if this therapeutic modality, used in isolation, is effective for functional improvement of this population. Objective: To verify the efficacy of aerobic training alone in improving the mobility of individuals with MS. Methodology: This is a review of the literature with searches performed in the databases: MEDLINE via PubMed, PEDro and SciELO in the month of July 2018. The selection of the studies and the extraction of the data were carried out by the principal investigator, in case of doubts about the inclusion of the study, there was discussion with a second examiner. The reference lists of the included studies as well as the existing systematic reviews on the subject have been consulted to identify other relevant studies. The inclusion criteria of the studies were: a) be a randomized clinical trial; b) involve individuals aged ≥18 years with diagnosis of MS; c) involve aerobic training intervention alone; d) involve outcome measures related to mobility. The methodological quality of the included studies was evaluated according to the PEDro scale. Results: Of the 873 studies identified, 14 met the eligibility criteria and were included in the review. Most of the studies scored six (50%) on the PEDro scale, being considered studies with good methodological quality. Different measurement instruments were used to assess mobility. Isolated aerobic training demonstrated an improvement in the mobility of individuals with MS, with the most reported benefits in exercise capacity and walking speed. Conclusion: Isolated aerobic training may be effective in improving the mobility of individuals with MS. The effect of this therapeutic strategy on other activities related to the mobility of individuals with MS, besides walking, need to be better investigated in future studies.