Physical exercise as a non-pharmacological therapeutic strategy in hospital care: a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.33383

Keywords:

Physical Exercise; Elderly; Hospital; Pilates.

Abstract

Aging is a human condition understood as a sequential, individual, cumulative, irreversible, universal, non-pathogenic and organism-modifying process. In this process, there may be injuries that induce progressive molecular and cellular damage, so that over time the organism becomes less capable of dealing with the stress of the environment; contributing to the onset of illness and hospitalization. An important consequence of prolonged hospital bed rest in the elderly is the significant loss of muscle mass and strength underlying the accelerated deficits in physical performance. The aim of this study was to review the scientific literature on the effectiveness of physical exercise as a non-pharmacological intervention strategy in hospital care. Searches were carried out in the following databases used in health research: PUBMED, LILACS, ScienceDirect, SCOPUS, SCIELO and CAPES. The articles selected for the research should involve research on the intervention with physical exercises in hospital care for elderly patients. The analysis method followed PRISMA guidelines. After applying the inclusion and exclusion criteria and detailed analysis of the articles, the final sample consisted of 12 articles. The present systematic literature review reveals that all identified articles have a quantitative approach. In general, the articles reveal benefits for the intervention with physical exercises in hospital care with improvements in the following aspects: physical fitness, submaximal aerobic capacity, functional mobility, time to hospital discharge, muscle strength and cognitive function, movement pattern, cardiac rehabilitation, gait speed and pain.

References

Åhlund, K., Bäck, M., Öberg, B., & Ekerstad, N. (2017). Effects of comprehensive geriatric assessment on physical fitness in an acute medical setting for frail elderly patients. Clinical Interventions in Aging, 12:1929–1939.

Asteasu, M. L. S., Martínez-Velilla, N., Zambom-Ferraresi, F., Casas-Herrero, A., Lucía, A., & Galbete, A., Izquierdo, M. (2019c). Physical Exercise Improves Function in Acutely Hospitalized Older Patients: Secondary Analysis of a Randomized Clinical Trial. Journal of the American Medical Directors Association - JAMDA, 20:866-873.

Asteasu, M. L. S., Martínez-Velilla, N., Zambom-Ferraresi, F., Casas-Herrero, A., Caldore, E. L., Ramírez-Vélez, R., & Izquierdo, M. (2019b). Inter-individual variability in response to exercise intervention or usual care in hospitalized older adults. Journal of Cachexia, Sarcopenia and Muscle, 10:1266–1275.

Asteasu, M. L. S., Martínez-Velilla, N., Zambom-Ferraresi, F., Ramírez-Vélez, R, García-Hermoso, A., & Izquierdo, M. (2021). Cognitive Function Improvements Mediate Exercise Intervention Effects on Physical Performance in Acutely Hospitalized Older Adults. Journal of the American Medical Directors Association - JAMDA, 22(4),787-791.

Asteasu, M. L. S., Martínez-Velilla, N., Zambom-Ferraresi, F., Ramírez-Vélez, R., García-Hermoso, A., Caldore, E. L., Casas-Herrero, A., Galbete, A., & Izquierdo, M. (2020a). Changes in muscle power after usual care or early structured exercise intervention in acutely hospitalized older adults. Journal of Cachexia, Sarcopenia and Muscle, 1-10.

Asteasu, M. L. S., Martínez-Velilla, N., Zambom-Ferraresi, F., Casas-Herrero, A., Caldore, E. L., Galbete, A., & Izquierdo, M. (2019a). Assessing the impact of physical exercise on cognitive function in older medical patients during acute hospitalization: Secon dary analysis of a randomized Trial. PLOS: Medicine, 16(7):e1002852.

Asteasu, M. L. S., Martínez-Velilla, N., Zambom-Ferraresi, F., Casas-Herrero, A., Ramírez-Vélez, R., & Izquierdo, M. (2019d). Role of muscle power output as a mediator between gait variability and gait velocity in hospitalized older adults. Experimental Gerontology, 124: 1-7.

Bitencourt, S. M. (2021). Gênero, cuidado e envelhecimento: um estudo sobre um grupo de mulheres idosas praticantes de pilates em Buenos Aires (AR). Interseções, 23(1): 39-63.

Bjarnason-Wehrens, B., Bott, B., Benesch, L., BIschoff, K. O., Buran-Kilian, B., Gysan, D., Hollenstein, U., Mayer-Berger, W., Wilkniss, R., & Sauer, G. (2007). Clinical Research in Cardiology, 96(2):77-85.

Boix-Vilella, S., & Léon-Zarceño, E. L. (2018). Niveles de salud psicológica y laboral em practicantes de Pilates. Revista Costarricense de Psicología, 37(2):145-162.

Brasil. Portaria no 399/GM, de 22 de fevereiro de 2006: Pacto pela Saúde 2006. (2006). Brasilia: Ministério da Saúde, 2006. <http://bvsms.saude.gov.br/bvs/publicacoes/prtGM399_20060222.pdf>.

Cano-Mañas, M. J., Collado-Vázquez, S., Hernández, J. R., Villena, A. J. M., & Cano-de-la-cuerda, R. (2020). Effects of Video-Game Based Therapy on Balance, Postural Control, Functionality, and Quality of Life of Patients with Subacute Stroke: A Randomized Controlled Trial. Journal of Healthcare Engineering, 1-11.

Espíndula, R. C. (2017). Pilates para mulheres com câncer de mama: revisão sistemática e metanálise. Revista da Associação Medica Brasileira, 63(11): São Paulo, Nov.

Flores-Gomes, G., Gomes, F. R. H., Gasparotto, G. S., Oliveira, V., & Vagetti, G. C. (2020). Qualidade de vida de idosos: efeitos de um protocolo de inclusão digital no sul do Brasil. Research, Society and Development, [S. l.], 9(7): e779972756.

Mallery, L. H., Macdonald, E. A., Hubley-Kozey, C. L., Earl, M. E., Rockwood, K., & Macknight, C. (2003). The feasibility of performingresistance exercise with acutely ill hospitalized older adults. BMC Geriatrics, 3(1):18.19.

Minayo, M. C. S., Mendonça, J. M. B., Souza, G. S., Pereira, T. F. S., & Mangas, R. M. N. (2021). Support policies for dependent older adults: Europe and Brazil. Revista Ciência e Saúde Coletiva, 26(issue 1).

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097

Oliveira, M. M., Clementino, A. P. G., & Oliveira, E. A. (2020). Benefícios do método Pilates para mulheres na pós-menopausa: revisão sistemática. Research, Society and Development, [S. l.], 9(7): e245974086.

Pinto, J. S. S. T., Sarmento, L. A., Silva, A. P., Cabral, C. M. N., & Chiavegato, L. D. (2015).Effectiveness of conventional physical therapy and Pilates’ method in functionality, respiratory muscle strength and ability to exercise in hospitalized chronic renal patients: A study protocol of a randomized controlled Trial. Journal of Bodywork & Movement Therapies, 19: 604-615.

Ravichandran, H., Janakiraman, B., Sundaram, S., Fisseha, B., & Gelaw, A. Y. (2018). Impact of cognitive activity among bedridden elderly: a case study. Journal of Geriatric Mental Health, 5(Issue 1):58-61.

Ribeiro, et al. (2021). Efeitos do método Pilates sobre a capacidade funcional, fatores antropométricos, marcadores inflamatórios e qualidade de vida em idosas sedentárias. Brazilian Journal of Science and Movement, 29(2).

Silva, D. C. P., Martins, I. B., Menezes, R. A., Leão, A. D. G., & Valadares, Y. D. (2022). Os efeitos do método pilates na saúde mental de pacientes com depressão e transtorno de ansiedade: revisão de literatura. Research, Society and Development, [S. l.], 11(7): e5911729368.

World Health Organization. Envelhecimento ativo: uma política de saúde. (2005). World Health Organization; tradução Suzana Gontijo. Brasília: Organização Pan-Americana da Saúde, 60p.: il.

Published

11/08/2022

How to Cite

MELO, C. C. de; NOCE, F.; SANTOS, W. J. dos; UGRINOWITSCH, H. . Physical exercise as a non-pharmacological therapeutic strategy in hospital care: a systematic review . Research, Society and Development, [S. l.], v. 11, n. 10, p. e598111033383, 2022. DOI: 10.33448/rsd-v11i10.33383. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33383. Acesso em: 30 nov. 2022.

Issue

Section

Review Article