Efeitos do treinamento funcional na reabilitação de lesões de joelho em indivíduos ativos fisicamente: uma revisao bibliografica

Abstract

The functional trainning was defined as moviment or excercises thatincorporate patterns of moviment that are usually used on AVD's, like walk, get up,climb stairs sit on the chair, using a combination of movimetns, instead of isolatedmoviments realized by a group of individual muscles. There is little consistentscientific output that objctively addresses the functional trainnig effects in the physicaltherapy session, aiming at the development and improvement in physicalperformance, of muscular force and AVD's of physically active patients, in processrehabilitation of knee injuries. The objective of this study was to review the existingliterature on the effects of functional training on muscle strength, physicalperformance and daily life activities of physically active individuals in the treatment ofknee injuries. The selected methodology was of a bibliographic nature: RandomizedClinical Trials and Quasi-experimental Essay published in the last ten years (20072017) were selected from the databases BIREME, PUBMED, SCIELO, Virtual HealthLibrary - VHL and Scopus, using the descriptors : "functional training", "education","knee injury" and "rehabilitation". Based on inclusion and exclusion criteria, threearticles were selected, whose methodological quality was evaluated. It was observedthat, in relation to the results, the articles selected showed improvement inquadriceps strength, improvement of the distance in the jump with unipodalsupport and triple jump and jump time of 6 meters in the individuals withACL lesion, besides the improvement in the measures of balance, mobilityand asymmetry of the gait pattern of individuals with osteoarthritisundergoing total knee arthroplasty. There was also an improvement in thescores of the KOS-ADLS, IKDC2000 and GRS questionnaires and the WOMAC physical function osteoarthritis index. It was concluded that functional training was effective in improving muscle strength, balance, physical performance and activities of daily living in patients with ACL lesions, knee osteoarthrosis and DPF. More studies are needed to better evaluate the benefits of functional training in rehabilitation of knee injuries