Efeitos do treinamento de força em paciente com lesão medular : um estudo de caso.

Abstract

Spinal cord injury is one of the most serious and disabling syndromes that can affect human beings, thus becoming a real challenge of the patient in his rehabilitation. In terms of rehabilitation and physical recovery for these patients, the professional of Physical Education is active in this process, developing the patient muscle strength training to promote an improvement in physical health and condition of physical well-being and social patient. The aim of the study was to investigate the effects of strength training for lower and upper limbs, subject to cord injury. The case study involved a female subject, 49 years old, wheelchair and initiating the transfer to the walker. To collect data, we used the evaluation protocol Quality of the World Health Organization of Life WHOQOL - BREF (1998), which is to assess the quality of life of people affected by the syndrome, either traumatic or neuropathic injury. With the apparatus of the settings to achieve the pre-set exercises, the subject held sessions for lower limbs in the flexor and extensor chairs, obtaining gains of up to 40% compared to the initial charge in the pretest, and consequently increasing the amplitude movement when executing the leg extension machine, with start position at an angle of 90 ° to 140 ° degrees in the pretest, reaching 170 ° leg extension in the post-test. Regarding the exercises for the upper limbs, the subject tripled the burden on low rowing machines pulley back barbell biceps with dumbbells and development of shoulders on the machine, and all exercises performed with the subject sitting in the device, due to their physical condition, not putting the patient at risk of falling, as the injured area affected his balance and his motor skills. Considering the health condition of the subject under study, suffering from a serious illness, having never performed resistance exercises force, which has suffered permanent pain in joints and muscles involved during the training, and there was a reduction in the level of training and in some cases with extreme physical exhaustion, the results were satisfactory. Research indicates that the execution of the exercises set by a pre-set time without a reduction in load and improvement in physical capacity, can be considered the relevant result (BARBANTI, 1979).