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Perspetiva da fisioterapia na relação entre a região suboccipital com o equilíbrio e a postura: revisão bibliográfica
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Abstract(s)
Contexto: Muitos estudos têm sido feitos sobre a ligação entre a região suboccipital e distúrbios dolorosos locais, mas poucos têm sido realizados sobre a ligação entre esta região e sua influência sobre o equilíbrio e a postura. O objetivo deste estudo é, portanto, determinar se e como esta área complexa esta relacionada com a postura e o equilíbrio, na perspectiva da fisioterapia. Metodologia: A revisão sistemática foi realizada seguindo as diretrizes do PRISMA. Pesquisas nas bases de dados PEDro, Medline/Pubmed, Science Direct e em Google Scholar foram realizadas até Abril de 2022, para artigos experimentais e observacionais posteriores a 2012. Resultados: Num total de 6 artigos, foram intervencionadas 99 pessoas e observadas 90. Relativamente à postura, foi encontrada uma relação entre o relaxamento suboccipital com o angulo crânio-vertebral, a amplitude de movimento cervical (ADMc), a flexibilidade dos isquiotibiais e o angulo poplíteo. Relativamente ao equilíbrio, foi encontrada uma relação entre os músculos da nuca com a estabilidade postural estática (EPe) e a velocidade de marcha. A relação entre a cabeça anteriorizada e a EPe e a estabilidade postural dinâmica foi observada apesar de existirem resultados divergentes. Observou-se correlações entre a ADMc, a acuidade de reposicionamento da cabeça e a EPe. Conclusão: A intervenção fisioterapêutica na região suboccipital parece uma pista interessante a seguir para melhorar o equilíbrio e a postura, como parte dum programa de reabilitação. No entanto estudos de melhor qualidade metodológica são necessários para aprofundar a relação entre a região suboccipital com o equilíbrio e a postura.
Background: Many studies have been conducted about the link between the suboccipital region and local painful disorders, but few have been done on the link between this region and its influence on balance and posture. The objective of this study is, to determine if and how this complex area is related to posture and balance, from the perspective of physiotherapy. Methodology: The systematic review was carried out following the PRISMA guidelines. Researches in the PEDro, Medline/Pubmed, Science Direct databases and in Google Scholar had been conducted until April 2022, for experimental and observational studies after 2012. Results: In a total of 6 articles, 99 people were intervened and 90 were observed. Regarding the posture, a relationship was found between the suboccipital relaxation with the craniovertebral angle, the cervical range of movement (ROMc), the hamstring flexibility and the popliteal angle. Regarding balance, a relationship between the muscles of the neck with static postural stability (PSs) and walking speed was found. The relationship between forward head posture with PSs and dynamic postural stability was observed, despite differing results. Correlations were found between ROMc, acuity of head repositioning and PSs. Conclusion: Physiotherapeutic intervention in the suboccipital region seems an interesting lead to follow to improve balance and posture, as part of a rehabilitation program. However, studies of better methodological quality are necessary to deepen the relationship between the suboccipital region with balance and posture.
Background: Many studies have been conducted about the link between the suboccipital region and local painful disorders, but few have been done on the link between this region and its influence on balance and posture. The objective of this study is, to determine if and how this complex area is related to posture and balance, from the perspective of physiotherapy. Methodology: The systematic review was carried out following the PRISMA guidelines. Researches in the PEDro, Medline/Pubmed, Science Direct databases and in Google Scholar had been conducted until April 2022, for experimental and observational studies after 2012. Results: In a total of 6 articles, 99 people were intervened and 90 were observed. Regarding the posture, a relationship was found between the suboccipital relaxation with the craniovertebral angle, the cervical range of movement (ROMc), the hamstring flexibility and the popliteal angle. Regarding balance, a relationship between the muscles of the neck with static postural stability (PSs) and walking speed was found. The relationship between forward head posture with PSs and dynamic postural stability was observed, despite differing results. Correlations were found between ROMc, acuity of head repositioning and PSs. Conclusion: Physiotherapeutic intervention in the suboccipital region seems an interesting lead to follow to improve balance and posture, as part of a rehabilitation program. However, studies of better methodological quality are necessary to deepen the relationship between the suboccipital region with balance and posture.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Suboccipital Equilíbrio Postura Fisioterapia Suboccipital Balance Posture Physiotherapy