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Grupo de cinesioterapia

O “exercício baseado na comunidade” contempla programas em que grupos de indivíduos se exercitam juntos; ou programas nos quais os indivíduos seguem um programa de exercícios predeterminado em um ambiente comunitário, seja em casa ou em uma instalação comunitária. Esses programas geralmente incluem um componente de exercícios em casa. Não é necessário que os programas comunitários de exercícios sejam liderados por um fisioterapeuta, nem estejam associados a avaliações periódicas de programas individualizados de fisioterapia (Osborne JA et al., 2022).

Unitermos: Community physiotherapy, Community-based exercise, Group Physiotherapy, Group exercise, Group rehabilitation, Group therapy, Group training, Group treatments.

 

Guidelines

 

Revisões Sistemáticas

  • Hochheim M et al. The effectiveness of low-dosed outpatient biopsychosocial interventions compared to active physical interventions on pain and disability in adults with nonspecific chronic low back pain: A systematic review with meta-analysis. Pain Pract. 2023 Apr;23(4):409-436. <https://pubmed.ncbi.nlm.nih.gov/36565010/>.
  • O’Keeffe M et al. Are group-based and individual physiotherapy exercise programmes equally effective for musculoskeletal conditions? A systematic review and meta-analysis. Br J Sports Med. 2017 Jan;51(2):126-132. <https://pubmed.ncbi.nlm.nih.gov/27343238/>.

 

Ensaios Clínicos Randomizados Controlados

DOR LOMBAR

  • Walsh N et al. Facilitating Activity and Self-management for people with Arthritic knee, hip or lower back pain (FASA): A cluster randomised controlled trial. Musculoskelet Sci Pract. 2020 Dec;50:102271. <https://pubmed.ncbi.nlm.nih.gov/33068901/>. [08/10 PEDro, 349 participantes, 2 grupos]
  • Carr JL et al. A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area. Disabil Rehabil. 2005 Aug 19;27(16):929-37. <https://pubmed.ncbi.nlm.nih.gov/16096246/>. [08/10 PEDro, 237 participantes, 2 grupos]
  • Sarper RB et al. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Ann Intern Med. 2017 Jul 18;167(2):85-94. <https://pubmed.ncbi.nlm.nih.gov/28631003/>. [07/10 PEDro, 320 participantes, 3 grupos]
  • Dufour N et al. Treatment of chronic low back pain: a randomized, clinical trial comparing group-based multidisciplinary biopsychosocial rehabilitation and intensive individual therapist-assisted back muscle strengthening exercises. Spine (Phila Pa 1976). 2010 Mar 1;35(5):469-76. <https://pubmed.ncbi.nlm.nih.gov/20147878/>. [07/10 PEDro, 286 participantes, 2 grupos]
  • Critchley DJ et al. Effectiveness and cost-effectiveness of three types of physiotherapy used to reduce chronic low back pain disability: a pragmatic randomized trial with economic evaluation. Spine (Phila Pa 1976). 2007 Jun 15;32(14):1474-81. <https://pubmed.ncbi.nlm.nih.gov/17572614/>. [07/10 PEDro, 212 participantes, 3 grupos]
  • Kääpä EH et al. Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial. Spine (Phila Pa 1976). 2006 Feb 15;31(4):371-6. <https://pubmed.ncbi.nlm.nih.gov/16481945/>. [07/10 PEDro, 120 participantes, 2 grupos]
  • van der Roer N et al. Intensive group training protocol versus guideline physiotherapy for patients with chronic low back pain: a randomised controlled trial. Eur Spine J. 2008 Sep;17(9):1193-200. <https://pubmed.ncbi.nlm.nih.gov/18663487/>. [07/10 PEDro, 114 participantes, 2 grupos]

TAXA DE RESPOSTA

AUTOR TREATMENT PAIN PHYSICAL FUNCTION / PERFORMANCE QUALITY OF LIFE
Dufour N et al. Spine (Phila Pa 1976). 2010

Multidisciplinary biopsychosocial rehabilitation

(12wks: 1º period = 3x/wk, 2º period = 2x/wk, 3º period = 3x/wk at home)

VAS-pain average
(-20mm or 30%)

54%

RMDQ
(-2 points)

51%

 

DOR JOELHO

  • Walsh N et al. Facilitating Activity and Self-management for people with Arthritic knee, hip or lower back pain (FASA): A cluster randomised controlled trial. Musculoskelet Sci Pract. 2020 Dec;50:102271. <https://pubmed.ncbi.nlm.nih.gov/33068901/>. [08/10 PEDro, 349 participantes, 2 grupos]
  • Hay EM, Foster NE, Thomas E, Peat G, Phelan M, Yates HE, Blenkinsopp A, Sim J. Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: pragmatic randomised trial. BMJ. 2006 Nov 11;333(7576):995. <https://pubmed.ncbi.nlm.nih.gov/17056608/>. [08/10 PEDro, 325 participantes, 3 grupos]
  • Allen KD et al. Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial. Phys Ther. 2016 May;96(5):597-608. <https://pubmed.ncbi.nlm.nih.gov/26586865/>. [07/10 PEDro, 320 participantes, 2 grupos]
  • Wang C et al. Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis: A Randomized Trial. Ann Intern Med. 2016 Jul 19; 165(2): 77-86. <https://www.ncbi.nlm.nih.gov/pubmed/27183035>. [07/10 PEDro, 204 participantes, 2 grupos]
  • Jessep SA et al. Long-term clinical benefits and costs of an integrated rehabilitation programme compared with outpatient physiotherapy for chronic knee pain. Physiotherapy. 2009 Jun;95(2):94-102. <https://pubmed.ncbi.nlm.nih.gov/19627690/>. [07/10 PEDro, 67 participantes, 2 grupos]

 

DOR OMBRO

  • Hui SS et al. Yi Jin Bang exercise versus usual exercise therapy to treat subacromial pain syndrome: a pilot randomised controlled trial. Res Sports Med. 2022 Mar 15:1-13. <https://pubmed.ncbi.nlm.nih.gov/35287501/>. [08/10 PEDro, 54 participantes, 3 grupos]
  • Asensio-García MDR et al. Effectiveness of a Group Physiotherapy Intervention in Nontraumatic, Inoperable Painful Shoulder: A Randomized Clinical Trial. Am J Phys Med Rehabil. 2018 Feb;97(2):110-115. <https://pubmed.ncbi.nlm.nih.gov/28857770/>. [06/10 PEDro, 74 participantes, 2 grupos]

 

DOR GENERALIZADA

  • Wang C et al. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. BMJ. 2018 Mar 21; 360: k851. <https://www.ncbi.nlm.nih.gov/pubmed/29563100>. [07/10 PEDro, 226 participantes, 5 grupos]

 

ARTROPLASTIA

  • Aprile I et al. Group rehabilitation versus individual rehabilitation following knee and hip replacement: a pilot study with randomized, single-blind, cross-over design. Eur J Phys Rehabil Med. 2011 Dec;47(4):551-9. <https://pubmed.ncbi.nlm.nih.gov/21666574/>. [05/10 PEDro, 27 participantes, 2 grupos]
  • Coulter CL et al. Group physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 physiotherapy: a sequential cohort study. Arch Phys Med Rehabil. 2009 Oct;90(10):1727-33. <https://pubmed.ncbi.nlm.nih.gov/19801063/>. [?/10 PEDro, 51 participantes, 2 grupos]

 

QUEDAS

  • Li F et al. Effectiveness of Tai Ji Quan vs Multimodal and Stretching Exercise Interventions for Reducing Injurious Falls in Older Adults at High Risk of Falling: Follow-up Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2019 Feb 1; 2(2): e188280. <https://www.ncbi.nlm.nih.gov/pubmed/30768195>. [08/10 PEDro, 670 participantes, 3 grupos]
  • Li F et al. Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial. JAMA Intern Med. 2018 Oct 1; 178(10): 1301-1310. <https://www.ncbi.nlm.nih.gov/pubmed/30208396>. [07/10 PEDro, 670 participantes, 3 grupos]
  • Tousignant M et al. The effect of supervised Tai Chi intervention compared to a physiotherapy program on fall-related clinical outcomes: a randomized clinical trial. Disabil Rehabil. 2012;34(3):196-201. <https://pubmed.ncbi.nlm.nih.gov/21958377/>. [07/10 PEDro, 152 participantes, 2 grupos]
  • Taylor D et al. Effectiveness of tai chi as a community-based falls prevention intervention: a randomized controlled trial. J Am Geriatr Soc. 2012 May;60(5):841-8. <https://pubmed.ncbi.nlm.nih.gov/22587850/>. [06/10 PEDro, 684 participantes, 3 grupos]

 

SARCOPENIA

  • Tsekoura M et al. The Effects of Group and Home-Based Exercise Programs in Elderly with Sarcopenia: A Randomized Controlled Trial. J Clin Med. 2018 Nov 26;7(12):480. <https://pubmed.ncbi.nlm.nih.gov/30486262/>. [07/10 PEDro, 54 participantes, 3 grupos]

 

CÁRDIO

  • Christle JW et al. Individualized vs. group exercise in improving quality of life and physical activity in patients with cardiac disease and low exercise capacity: results from the DOPPELHERZ trial. Disabil Rehabil. 2017 Dec;39(25):2566-2571. <https://pubmed.ncbi.nlm.nih.gov/27793077/>. [06/10 PEDro, 60 participantes, 2 grupos]

 

AVC

  • Harrington R et al. A community-based exercise and education scheme for stroke survivors: a randomized controlled trial and economic evaluation. Clin Rehabil. 2010 Jan;24(1):3-15. <https://pubmed.ncbi.nlm.nih.gov/20026571/>. [08/10 PEDro, 243 participantes, 2 grupos]
  • Zheng G et al. Baduanjin exercise intervention for community adults at risk of ischamic stroke: a randomized controlled trial. Sci Rep. 2019 Feb 4;9(1):1240. <https://pubmed.ncbi.nlm.nih.gov/30718622/>. [08/10 PEDro, 170 participantes, 2 grupos]
  • Renner CIe et al. Group therapy task training versus individual task training during inpatient stroke rehabilitation: a randomised controlled trial. Clin Rehabil. 2016 Jul;30(7):637-48. <https://pubmed.ncbi.nlm.nih.gov/26316552/>. [07/10 PEDro, 73 participantes, 2 grupos]
  • Pang MY et al. A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2006 Jan;87(1):1-9. <https://pubmed.ncbi.nlm.nih.gov/16401430/>. [07/10 PEDro, 63 participantes, 2 grupos]
  • Hesse S et al. Effect on arm function and cost of robot-assisted group therapy in subacute patients with stroke and a moderately to severely affected arm: a randomized controlled trial. Clin Rehabil. 2014 Jul;28(7):637-47. <https://pubmed.ncbi.nlm.nih.gov/24452706/>. [07/10 PEDro, 50 participantes, 2 grupos]

 

PARKINSON

  • Li F et al. Tai chi and postural stability in patients with Parkinson’s disease. N Engl J Med. 2012 Feb 9;366(6):511-9. <https://pubmed.ncbi.nlm.nih.gov/22316445/>. [07/10 PEDro, 195 participantes, 3 grupos]
  • Yang JH et al. The Effects of Group-Based versus Individual-Based Tai Chi Training on Nonmotor Symptoms in Patients with Mild to Moderate Parkinson’s Disease: A Randomized Controlled Pilot Trial. Parkinsons Dis. 2017;2017:8562867. <https://pubmed.ncbi.nlm.nih.gov/28811955/>. [07/10 PEDro, 39 participantes, 2 grupos]
  • Pohl P et al. Group-based music intervention in Parkinson’s disease – findings from a mixed-methods study. Clin Rehabil. 2020 Apr;34(4):533-544. <https://pubmed.ncbi.nlm.nih.gov/32070122/>. [06/10 PEDro, 51 participantes, 2 grupos]

 

PEDIATRIA

  • Hung WW, Pang MY. Effects of group-based versus individual-based exercise training on motor performance in children with developmental coordination disorder: a randomized controlled study. J Rehabil Med. 2010 Feb;42(2):122-8. <https://pubmed.ncbi.nlm.nih.gov/20140407/>. [08/10 PEDro, 23 participantes, 2 grupos]

 

SAÚDE MENTAL

  • Zeibig JM et al. Transdiagnostic efficacy of a group exercise intervention for outpatients with heterogenous psychiatric disorders: a randomized controlled trial. BMC Psychiatry. 2021 Jun 22;21(1):313. <https://pubmed.ncbi.nlm.nih.gov/34158000/>. [06/10 PEDro, 74 participantes, 2 grupos]

 

INCONTINÊNCIA URINÁRIA

  • Huang AJ et al. A group-based yoga program for urinary incontinence in ambulatory women: feasibility, tolerability, and change in incontinence frequency over 3 months in a single-center randomized trial. Am J Obstet Gynecol. 2019 Jan;220(1):87.e1-87.e13. <https://pubmed.ncbi.nlm.nih.gov/30595143/>.
  • [08/10 PEDro, 56 participantes, 2 grupos]
  • Lamb SE et al. Group treatments for sensitive health care problems: a randomised controlled trial of group versus individual physiotherapy sessions for female urinary incontinence. BMC Womens Health. 2009 Sep 14;9:26. <https://pubmed.ncbi.nlm.nih.gov/19751517/>. [08/10 PEDro, 174 participantes, 2 grupos]

 

Percepções e Adesão aos Grupos

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