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Efeitos da electroestimulaĆ§Ć£o na pessoa submetida a artroplastia total do joelho: uma scoping review
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Advisor(s)
Abstract(s)
O presente trabalho alĆ©m da descriĆ§Ć£o e reflexĆ£o sobre o percurso de aquisiĆ§Ć£o de competĆŖncias de Enfermeiro Especialista em Enfermagem de ReabilitaĆ§Ć£o, contempla uma componente investigativa sobre uma estratĆ©gia complementar na reabilitaĆ§Ć£o das pessoas submetidas a artroplastia total do joelho. A artroplastia total do joelho Ć© uma cirurgia comum em ortopedia, que ocorre maioritariamente devido a processos de osteoartrose. O pĆ³s-operatĆ³rio pode ser desafiador, tendo o enfermeiro especialista em Enfermagem de ReabilitaĆ§Ć£o um papel valioso, de forma a colmatar a espectĆ”vel dor, diminuiĆ§Ć£o da forƧa muscular e dificuldade na execuĆ§Ć£o das atividades de vida diĆ”rias no pĆ³s-operatĆ³rio.
Objetivo: Mapear as evidĆŖncias cientĆficas sobre os efeitos da electroestimulaĆ§Ć£o na pessoa submetida a artroplastia total do joelho. MĆ©todos: RealizaĆ§Ć£o de uma scoping review tendo em conta a metodologia de Joanna Briggs Institute. Pesquisa nas bases de dados PubMed, Scielo, EBSCOhost e PEDro, tendo em conta os critĆ©rios de inclusĆ£o.
Resultados: Foram identificadas sessenta e trĆŖs publicaƧƵes sendo incluĆdas nesta anĆ”lise sete. Demostrou-se que a electroestimulaĆ§Ć£o apresenta benefĆcios principalmente a nĆvel
da ativaĆ§Ć£o do quadricĆpite. Existe tambĆ©m evidĆŖncia em benefĆcios a nĆvel circulatĆ³rio. A maioria dos protocolos utilizam frequĆŖncias de 50 Hz, sessƵes 2-3 vezes por semana
com duraĆ§Ć£o media de 30 minutos. ConclusĆ£o: Conclui-se que a electroestimulaĆ§Ć£o pode ser uma terapia importante para potenciar a recuperaĆ§Ć£o pĆ³s-operatĆ³ria apĆ³s artroplastia total do joelho, mas existe ainda pouca evidĆŖncia e padronizaĆ§Ć£o dos protocolos.
The present work, in addition to describing and reflecting on the journey of acquiring competencies as a Specialist Nurse in Rehabilitation Nursing, includes an investigative component on a complementary strategy for the rehabilitation of individuals undergoing total knee arthroplasty. Total knee arthroplasty is a common orthopedic surgery, primarily performed due to osteoarthritis processes. The postoperative period can be challenging, with the Specialist Nurse in Rehabilitation Nursing playing a valuable role in addressing expected pain, reduced muscle strength, and difficulties in performing daily living activities during the postoperative phase. Objective: To map the scientific evidence on the effects of electrical stimulation in individuals undergoing total knee arthroplasty. Methods: A scoping review was conducted following the Joanna Briggs Institute methodology. Searches were performed in PubMed, Scielo, EBSCOhost, and PEDro databases, considering inclusion criteria. Results: A total of 63 publications were identified, with 9 included in the analysis. NMES (Neuromuscular Electrical Stimulation) was found to have benefits, primarily in activating the quadriceps and reducing pain. Evidence also suggests benefits in circulation. Most protocols used frequencies of 50 Hz, with sessions 2-3 times a week, lasting an average of 30 minutes. Conclusion: Electrical stimulation may be an important therapy for enhancing postoperative recovery after total knee arthroplasty; however, there is still limited evidence and little standardization of protocols. No studies were found on the use of this complementary therapy by specialist rehabilitation nurses.
The present work, in addition to describing and reflecting on the journey of acquiring competencies as a Specialist Nurse in Rehabilitation Nursing, includes an investigative component on a complementary strategy for the rehabilitation of individuals undergoing total knee arthroplasty. Total knee arthroplasty is a common orthopedic surgery, primarily performed due to osteoarthritis processes. The postoperative period can be challenging, with the Specialist Nurse in Rehabilitation Nursing playing a valuable role in addressing expected pain, reduced muscle strength, and difficulties in performing daily living activities during the postoperative phase. Objective: To map the scientific evidence on the effects of electrical stimulation in individuals undergoing total knee arthroplasty. Methods: A scoping review was conducted following the Joanna Briggs Institute methodology. Searches were performed in PubMed, Scielo, EBSCOhost, and PEDro databases, considering inclusion criteria. Results: A total of 63 publications were identified, with 9 included in the analysis. NMES (Neuromuscular Electrical Stimulation) was found to have benefits, primarily in activating the quadriceps and reducing pain. Evidence also suggests benefits in circulation. Most protocols used frequencies of 50 Hz, with sessions 2-3 times a week, lasting an average of 30 minutes. Conclusion: Electrical stimulation may be an important therapy for enhancing postoperative recovery after total knee arthroplasty; however, there is still limited evidence and little standardization of protocols. No studies were found on the use of this complementary therapy by specialist rehabilitation nurses.
Description
Keywords
EstimulaĆ§Ć£o elĆ©trica nervosa transcutĆ¢nea ElectroestimulaĆ§Ć£o Artroplastia do joelho