Sintomas musculoesqueléticos, funcionalidade e qualidade de vida em trabalhadores com LER/DORT: validação de instrumento e intervenções coletivas

Abstract

Experimental, randomized study, which aimed to evaluate the results of collective interventions using the Pilates method and conventional kinesiotherapy in functionality, quality of life and presence of musculoskeletal symptoms in workers with RSI / WMSD, referred to physiotherapy. Sociodemographic aspects were assessed using the Household Sample Survey as a basis and occupational aspects, based on Normative Instruction No. 98 from the Ministry of Social Security. The report of the presence and intensity of musculoskeletal symptoms by the Nordic Musculoskeletal Questionnaire. The World Health Organization Disability Assessment Schedule (WHODAS 2.0) was used to assess functionality and Whoqol-bref for quality. Twenty workers participated, 13 in the Pilates Group (GP) and seven in the Kinesiotherapy Group (CG), who performed 12 exercise sessions in two weekly meetings, each lasting 60 minutes. For data analysis, comparing the results before and after the intervention, the Mc Nemar test was used; Wilcoxon test and paired t test, considering a 95% significance level (p≤0.05). There was a significant decrease in the number of symptoms in the shoulders (p = 0.016) and wrists / hands (p = 0.031) and in the intensity of symptoms for all regions (p <0.05) for the GP. The results were not significant for the CG. The GP showed significant improvement in the self-care domain (p = 0.046) and the CG in the mobility domain (p = 0.007) significant results in no domain and the CG showed improvement for the physical domain (p = 0.027) and worsening for the social domain (p = 0.038). Exercises aimed at trunk control that enable better work of the upper and lower limbs produce better results in the intensity of musculoskeletal symptoms in workers with RSI / WRMSD.