Resistance Exercise in Woman With Primary Sjörgen Syndrome.
Resistance Exercise in Woman With Primary Sjörgen Syndrome.
To analyze the effectiveness of 16-week resistance exercise in daily motor behavior and
 functional fitness in women with Primary Sjögren's Syndrome. The present study presents as
 hypothesis that a supervised resistance exercise program is effective and safe in improving
 the functional fitness and quality of life of patients with Primary Sjögren's Syndrome,
 making them more physically active, contributing positively to the capacity to perform daily
 life activities as household and / or professional tasks.
Sjögren's syndrome (SS) is a systemic autoimmune inflammatory disease that affects the
 exocrine glands and less frequently the internal organs, presenting intense lymphoplasmacytic
 infiltration mainly in the epithelium of the involved tissues, leading to the destruction and
 loss of the secretory function. SS can manifest itself in isolation, without association with
 other diseases, in this situation it is called Primary Sjögren's Syndrome (PSS), being
 considered the second most common autoimmune rheumatic disease, prevalent in women (9: 1).
 The inflammatory process can affect any organ, resulting in a generally severe clinical
 condition, and may involve the musculoskeletal, pulmonary, gastrointestinal, hepatic,
 hematological, vascular, dermatological, renal and neurological systems, leading to an
 evident decline of the physical functions with decrease in aerobic capacity, muscular
 strength, joint mobility and static balance, as well as psychological and social deficit.
 Patients with PSS also present a marked physiological characteristic with a high level of
 fatigue. Thus, resistance exercise becomes a non-drug strategy, aiming to improve
 musculoskeletal fitness, allowing the execution of daily activities with more independence,
 autonomy and safety, while influencing the patient's functional fitness. The aim of the
 present study is to analyze the effectiveness of resistance exercise in daily motor behavior
 and functional fitness in women with Primary Sjögren's Syndrome. After the use of actigraphy
 for 15 days, equipment that measures the level of daily physical activity, and evaluation of
 functional fitness, volunteers underwent a supervised resistance exercise program for 16
 weeks. The following muscular clusters were exerted: latissimus dorsi, deltoid, pectoralis
 major , triceps brachialis, biceps brachialis, quadriceps, hamstring, thigh adductor muscles,
 thigh abductor muscles and gastrocnemius. The subjects performed in each exercise 3 sets of
 10 maximum repetitions. The training sessions were held twice a week.
Inclusion Criteria:

 -  Patients with a diagnosis of PSS - according to the criteria of the American-European
 Society for the classification of Primary Sjögren's Syndrome (Vitali et al., 2002);

 -  Female gender

 -  Aged above 18 years

 Exclusion Criteria:

 -  Patients who had cognitive difficulties, with diagnosis of Secondary Sjögren's
 Syndrome,

 -  A regular physical exercise practitioner or who were practicing physical exercise
 regularly up to 2 months before the interview.

 -  Patients in clinical conditions that prevented the practice of physical exercise
 according to previous medical evaluation, such as decompensated diabetes mellitus,
 decompensated thyroid disease, severe cardiorespiratory diseases, etc. - Use of
 medications that interfere with physical aspects, especially in response to the
 sensation of fatigue.