Impacto da reabilitação multidisciplinar na qualidade de vida das pessoas com disfunção tiroideia: uma revisão sistemática

Autores

  • Munseef Sadaqa Assistant professor of physical therapy, Rehabilitation sciences Department, Faculty of Applied Medical Sciences, Al al-BAYT University, El Mafraq, Jordon https://orcid.org/0000-0001-5203-8914
  • Amira Ezzat Assistant professor of physical therapy, Rehabilitation sciences Department, Faculty of Applied Medical Sciences, Al al-BAYT University, El Mafraq, Jordon https://orcid.org/0009-0001-5000-5729
  • Mohamed Tharwat Assistant Professor, Physiotherapy Department, Faculty of allied medical sciences, Middle East University, Amman, Jordan https://orcid.org/0009-0002-1412-5640
  • Emad Ghattas Assistant professor of physical therapy for surgery and burn and integumentary disorders, Department of physical therapy for surgery and burn and integumentary disorders, faculty of physical therapy, Suez canal university, ismailia governorate, Egypt https://orcid.org/0009-0009-2001-5246
  • Alshaimaa Ali Lecturer of physical therapy for cardiovascular/ respiratory disorders and geriatrics, Faculty of Physical therapy German international university https://orcid.org/0000-0003-4790-6945
  • Mai Rewisha Lecturer of physical therapy , Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, University of Hertfordshire, Cairo, Egypt https://orcid.org/0000-0001-8185-2755
  • Yasmin Assim Lecturer of Physical Therapy for woman health, Department of Physical Therapy for woman health, Al-Ahram Canadian University, Egypt. https://orcid.org/0009-0004-8318-5721
  • Doaa Mohammed Mahmoud Allam Lecturer of Physical Therapy for Internal Medicine, Kafrelshiekh University https://orcid.org/0009-0008-0510-4657

DOI:

https://doi.org/10.47197/retos.v76.118520

Palavras-chave:

Disfunção da tiroide, reabilitação multidisciplinar, fisioterapia, Baduanjin, qualidade de vida

Resumo

Contexto: As disfunções da glândula tiroideia, como o hipotiroidismo, o hipertiroidismo, a tiroidite autoimune e as sequelas da tiroidectomia, geram alterações multissistémicas que afetam a saúde física, mental e social. Sintomas persistentes, como fadiga, comprometimento cognitivo, fraqueza musculoesquelética, alterações metabólicas e distúrbios da voz, reduzem significativamente a qualidade de vida (QV). Embora tenham sido propostas diversas terapias de reabilitação como adjuvantes ao tratamento médico, é ainda necessária uma síntese abrangente do seu impacto na QV.

Objectivo: Comparar a qualidade de vida dos indivíduos com disfunção tiroideia antes e depois da participação em programas de reabilitação multimodal.

Métodos: Foi realizada uma pesquisa sistemática até dezembro de 2025 nas bases de dados PubMed, Scopus, Web of Science, CINAHL e Cochrane Library. Foram incluídos ensaios clínicos randomizados, estudos de coorte e estudos quase experimentais que avaliaram intervenções de reabilitação e reportaram desfechos de QV. O risco de viés foi avaliado através do RoB 2 para ensaios clínicos randomizados e do ROBINS-I para estudos não randomizados. A qualidade metodológica foi analisada através das escalas PEDro e Downs & Black.

Resultados: Quinze estudos (n = 1728) cumpriram os critérios de inclusão. As intervenções incluíram exercícios terapêuticos, fisioterapia, eletroterapia, terapia vocal, Baduanjin, terapia ocupacional, abordagens psicológicas e programas interdisciplinares. Os maiores benefícios gerais na qualidade de vida foram observados com os programas interdisciplinares. Os exercícios melhoraram a função física e reduziram a fadiga; a terapia vocal otimizou os resultados vocais pós-tiroidectomia; as intervenções com Baduanjin e psicológicas aumentaram o bem-estar emocional.

Conclusão: A reabilitação interdisciplinar melhora significativamente a qualidade de vida, a capacidade física, a voz e o funcionamento emocional em adultos com disfunção tiroideia. São necessários estudos padronizados e de alta qualidade para otimizar os protocolos e avaliar os efeitos a longo prazo.

Biografias do Autor

  • Munseef Sadaqa, Assistant professor of physical therapy, Rehabilitation sciences Department, Faculty of Applied Medical Sciences, Al al-BAYT University, El Mafraq, Jordon

    Munseef Sadaqa

    Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Al al-Bayt University, Mafraq, Jordan

    Email: m.sadaqa@aabu.edu.jo

    ORCID number:  0000-0001-5203-8914

  • Amira Ezzat, Assistant professor of physical therapy, Rehabilitation sciences Department, Faculty of Applied Medical Sciences, Al al-BAYT University, El Mafraq, Jordon

    Dr. Amira Ezzat is currently an Assistant Professor in the Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences at Al al-Bayt University, Jordan.
    Before joining Al al-Bayt University, she served as a Lecturer in the Department of Basic Sciences, Faculty of Physical Therapy at Heliopolis University in Cairo, and also worked as a Lecturer at New Salihiyah University in North East Cairo.
    Dr. Amira Ezzat has an extensive research background in musculoskeletal disorders, with particular focus on Forward Head Posture (FHP), core stability, and the use of extracorporeal shockwave therapy in the management of myofascial trigger points particularly in the upper trapezius muscle. She has authored and co-authored numerous scientific papers in these areas.
    She has participated in multiple physical therapy conferences, delivered numerous workshops and scientific seminars, and contributed to professional training activities related to musculoskeletal dysfunctions and shockwave applications in physical therapy.

  • Mohamed Tharwat, Assistant Professor, Physiotherapy Department, Faculty of allied medical sciences, Middle East University, Amman, Jordan

    Mohamed Mohamed Tharwat

    Assistant Professor, Physiotherapy Department, Faculty of allied medical sciences, Middle East University, Amman, Jordan

    M.salem@meu.edu.jo

    https://orcid.org/0009-0002-1412-5640

  • Emad Ghattas, Assistant professor of physical therapy for surgery and burn and integumentary disorders, Department of physical therapy for surgery and burn and integumentary disorders, faculty of physical therapy, Suez canal university, ismailia governorate, Egypt

    Emad makram ghattas

    Assistant professor of physical therapy for surgery and burn and integumentary disorders, Department of physical therapy for surgery and burn and integumentary disorders, faculty of physical therapy, Suez canal university, ismailia governorate, Egypt

    https://orcid.org/0009-0009-2001-5246

     emadmakram2030@gmail.com

  • Alshaimaa Ali, Lecturer of physical therapy for cardiovascular/ respiratory disorders and geriatrics, Faculty of Physical therapy German international university

    Alshaimaa Alsayed Ali

     Lecturer of physical therapy for cardiovascular/ respiratory disorders and geriatrics, Faculty of Physical therapy German international university

     Alshaimaa.alsayed@giu-uni.de

  • Mai Rewisha, Lecturer of physical therapy , Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, University of Hertfordshire, Cairo, Egypt

    M.M. Ahmed

    Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, University of Hertfordshire, Cairo, Egypt

     0000-0001-8185-2755

    Dr.mai.rewisha@gmail.com

  • Yasmin Assim, Lecturer of Physical Therapy for woman health, Department of Physical Therapy for woman health, Al-Ahram Canadian University, Egypt.

     Yasmin Mohamed Assim Mohamed

    Email: yasmin.mohamed@acu.edu.eg

    Lecturer of Physical Therapy for woman health, Department of Physical Therapy for woman health, Al-Ahram Canadian University, Egypt.

     0009-0004-8318-5721

     

  • Doaa Mohammed Mahmoud Allam, Lecturer of Physical Therapy for Internal Medicine, Kafrelshiekh University

    Doaa Mohammed Mahmoud Allam

    Lecturer of Physical Therapy for Internal Medicine, Department of Physical Therapy for Internal Medicine, Kafr Elsheikh University, Egypt.

    Doaa_Alam@pt.kfs.edu.eg

    https://orcid.org/0009-0008-0510-4657

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Publicado

02-03-2026

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Vol. 76 (2026)

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Revisões teóricas sistemáticas e/ou metanálises

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Direitos de Autor (c) 2025 Munseef Sadaqa, Amira Ezzat, Mohamed Tharwat, Emad Ghattas, Alshaimaa Ali, Mai Rewisha, Yasmin Assim, Doaa Mohammed Mahmoud Allam

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Como Citar

Sadaqa, M., Ezzat, A., Tharwat, M., Ghattas, E., Ali, A., Rewisha, M., Assim, Y., & Mahmoud Allam, D. M. (2026). Impacto da reabilitação multidisciplinar na qualidade de vida das pessoas com disfunção tiroideia: uma revisão sistemática. Retos, 76, 725-738. https://doi.org/10.47197/retos.v76.118520