Program of combined physical exercise reduces the perception of pain in a patient with sickle cell anemia. Case report

Renata Botelho, R. Guerra, V. D’Almeida, A. Medeiros
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Abstract

BACKGROUND AND OBJECTIVES: Sickle cell anemia is one of the most common hereditary hematological disease in the world. Among many clinical manifestations, the main characteristic of this disease is the painful crises. Considering the increasing number of individuals with sickle cell anemia in Brazil, the increase in life expectancy of these individuals, who are advised to restrict physical activity, it is important to investigate this subject since exercises have been listed as relevant in health promotion. The objective of this study was to analyze the perception of pain, some physiological responses and the quality of life of a patient with sickle cell anemia undergoing a program of physical exercises (aerobic and resistance). CASE REPORT: Female patient, 56 years old, diagnosed with sickle cell anemia as a child, and in the course of this research did not make routine use of drugs in the control of the disease. On physical and ergo-spirometric examination, and during fourmonth of combined exercise, she did not present critic clinical condition, only some characteristic difficulties such as musculoskeletal pain, low cardiorespiratory resistance, and early fatigue. CONCLUSION: The results suggested that a program of combined and regular exercises produced important changes in the patient, in several aspects related to her health, including the reduction of musculoskeletal pain and increased general physical fitness, contributing to the improvement of the perception of quality of life.
联合体育锻炼方案可减少镰状细胞性贫血患者的疼痛感。病例报告
背景与目的:镰状细胞性贫血是世界上最常见的遗传性血液病之一。在许多临床表现中,这种疾病的主要特征是痛苦的危机。考虑到巴西镰状细胞性贫血患者的数量不断增加,这些患者的预期寿命也在增加,建议他们限制体力活动,因此调查这一主题很重要,因为运动已被列为与健康促进有关。本研究的目的是分析镰状细胞性贫血患者在进行体育锻炼(有氧运动和抵抗运动)时的疼痛感、一些生理反应和生活质量。病例报告:女性患者,56岁,小时候被诊断为镰状细胞性贫血,在本研究过程中,没有常规使用药物控制疾病。在身体和麦角肺活量检查以及四个月的联合运动中,她没有出现严重的临床状况,只有一些特征性的困难,如肌肉骨骼疼痛、心肺阻力低和早期疲劳。结论:研究结果表明,在与患者健康相关的几个方面,联合和定期锻炼的计划对患者产生了重要的变化,包括减轻肌肉骨骼疼痛和提高整体身体素质,有助于改善对生活质量的感知。
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