Universidade Federal de Mato Grosso, Programa de Pós-Graduação em Educação Física - Cuiabá (MT), Brazil.
Chinese Academy of Sciences, Kunming Institute of Botany, Key Laboratory of Economic Plants and Biotechnology, Yunnan Key Laboratory for Wild Plant Resources - Kunming, China.
Rev Assoc Med Bras (1992). 2022 May;68(5):559-567. doi: 10.1590/1806-9282.20210896.
Few studies on physical medicine and rehabilitation analyze the benefit of wheelchair basketball in people with motor disabilities. Given these, this study aimed to investigate the effect of the intervention of wheelchair basketball on urinary tract infection in people with motor disabilities.
A 12-month experimental follow-up was conducted in a single-center study. A total of 48 male individuals aged 18-55 years were allocated to the control group and experimental group. The experimental group practiced wheelchair basketball for 2 h, twice a week. Intra- and intergroup comparisons were made pre- and post-interventions over urinary tract infection.
There was a significant improvement in urinary tract infection and urine culture in pre- and post-intervention antibiograms, respectively. Moreover, the intergroup comparison presented a decrease in infection caused by Klebsiella pneumoniae, as well as an increase in the time variability of partially activated thromboplastin, average corpuscular hemoglobin, and hemoglobin and platelets. In the experimental group, there was an increase in hemoglobin and hematocrit and a decrease in glycated hemoglobin (%HbA1C). On the intragroup comparison, there was a reduction of triiodothyronine (T3), %HbA1C, interleukin-6 pre-intervention, and C-reactive protein post-intervention.
There was a decrease in urinary tract infection and improvement in biochemical, immunological, and microbiological biomarkers evaluated with physical exercise practice by wheelchair basketball, as well as by multiprofessional follow-up and health guidance.
很少有物理医学与康复方面的研究分析轮椅篮球对运动障碍者的益处。有鉴于此，本研究旨在探讨轮椅篮球干预对运动障碍者尿路感染的影响。
在一项单中心研究中进行了为期 12 个月的实验随访。共有 48 名 18-55 岁的男性被分配到对照组和实验组。实验组每周进行 2 次、每次 2 小时的轮椅篮球练习。在干预前后对尿路感染进行了组内和组间比较。
干预前后的尿路感染和尿培养药敏分析均显示出显著改善。此外，组间比较显示出肺炎克雷伯菌感染减少，部分激活凝血酶时间、平均红细胞血红蛋白、血红蛋白和血小板的时间变异性增加。在实验组中，血红蛋白和红细胞压积增加，糖化血红蛋白（%HbA1C）降低。在组内比较中，三碘甲状腺原氨酸（T3）、%HbA1C、白细胞介素-6 预处理和 C-反应蛋白在干预后降低。
通过轮椅篮球进行身体运动练习，以及多专业随访和健康指导，可降低尿路感染，并改善生化、免疫和微生物生物标志物。
