Gasto energético de sujeitos com e sem amputação de membro inferior durante a realização de atividades físicas: Uma revisão sistemática da literatura
DOI:
https://doi.org/10.18316/sdh.v12i2.10678Keywords:
amputação, gasto energético, atividade motora, amputadosAbstract
Objetivo: revisar sistematicamente as diferenças no gasto energético durante a realização de atividades físicas de sujeitos com e sem amputação de membro inferior. Métodos: As buscas foram realizadas nas bases de dados MEDLINE via Pubmed, Web of Science e Scopus. Foram incluídos estudos originais, observacionais que compararam o gasto energético de sujeitos com e sem amputação de membro inferior durante a realização de atividades físicas. Resultados: Foram identificados 608 artigos, sendo excluídos os duplicados, fora dos critérios de elegibilidade e não disponíveis na íntegra, sendo elencados 17 artigos para análise. O gasto energético foi avaliado nas atividades de caminhada em solo, esteira e corrida. Na caminhada, o gasto energético foi de 13 a 83% maior nos amputados transfemorais e de 0 a 33% nos transtibiais em comparação com sujeitos sem amputação. Na corrida, o gasto energético foi de 29 a 34% maior nos transfemorais e de 9 a 38% nos transtibiais em comparação aos controles. A redução na velocidade da marcha foi outro fator observado. Conclusões: A amputação da extremidade inferior conduz a penalidades energéticas para a deambulação, sendo importante estratégias de intervenção visando uma marcha mais eficiente energeticamente para aumentar a autonomia e a qualidade de vida destes sujeitos.
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