Efeito do treinamento em circuito orientado a tarefas e do treinamento aeróbio sobre a fadiga em indivíduos com esclerose múltipla: uma revisão crítica de literatura

Abstract

Introduction: Fatigue is the most reported and most disabling symptom in people with multiple sclerosis leading to restrictions on activity and participation. Physical exercise can be an intervention option to reduce fatigue. Objective: The objective of the study was to investigate the effects of task-oriented circuit training (TOCT) and aerobic training on fatigue in people with multiple sclerosis. Methodology: A literature review was carried out in 4 databases (MEDLINE, PEDro, Lilacs and SciELO) in October 2018 that identified 118 articles, of which 11 were selected. Results: Two studies used a task-oriented circuit. Of the studies investigated aerobic training two articles used cycle ergometer, one combined endurance and endurance training, three varied aerobic activities, two treadmill and one walk. In only one study the fatigue was primary outcome, the outcome measures to assess fatigue were Fatigue Severity Scale (FSS), Modified Fatigue Impact Scale (MFIS), Checklist Individual Strenght (CIS20r) and Wurzburg ererschopfungs-inventarbei multipler sklerose (WEIMuS). Conclusion: Task-oriented circuit and aerobic training seems safe and well tolerated at all stages of the disease and can be used to improve fatigue in multiple sclerosis. The characteristics of the population and the interventions were heterogeneous, new studies are needed on the type of intervention and intensity more effective in the control of fatigue.