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Publication
Reeducação da marcha em pacientes com lesão medular espinal incompleta de origem traumática: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_34833 | 609.46 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: o comprometimento da capacidade locomotora é uma das sequelas da lesão
medular espinal (LME) com maior impacto para os pacientes. Objetivo: analisar a reeducação
da marcha em pacientes com LME incompleta de origem traumática. Metodologia: foi
realizada uma pesquisa na base de dados Pubmed e PEDro. Após a seleção dos estudos foi
efetuada uma análise de qualidade metodológica através da escala de PEDro. Resultados:
foram selecionados 7 estudos randomizados, incluindo 235 pacientes com LME, apresentando
a classificação de C e D segundo a American Spinal Injury Association (ASIA) entre C1 e L1.
Apesar da diversidade dos tipos de treino locomotor, houve melhorias em múltiplos parâmetros
da marcha como velocidade, resistência, coordenação, equilíbrio, e amplitude e força muscular
dos flexores dorsais e plantares do tornozelo. Conclusão: diversos tipos de treino locomotor
são benéficos na reeducação da marcha em pacientes com LME incompleta de origem
traumática, tais como o treino assistido por robôs, por estimulação elétrica funcional, por
assistência manual, tratamento convencional (exercícios aeróbios e musculação ou intervenções
de mobilidade no chão) e treino de resistência ou de precisão.
Introduction: locomotor capacity impairment is one of the sequels of the spinal cord lesion (SCI) with greater impact for patients. Aim: to analyze the re-education of walking in patients with incomplete SCI of traumatic origin. Methodology: a survey was carried out in the Pubmed and PEDro database. After the selection of the studies, a methodological quality analysis was performed through the PEDro scale. Results: 7 randomized studies were selected, including 235 patients with SCI, with classification of C and D according to the American Spinal injury Association (ASIA) from C1 to L1. Despite the diversity of types of locomotor training, there have been improvements in multiple parameters of walk such as speed, endurance, coordination, balance, and muscle strength of dorsal and plantar ankle flexors. Conclusion: several types of locomotor training are beneficial in the re-education of walk in patients with incomplete and traumatic SCI, such as training assisted by robots, by functional electrical stimulation, by manual assistance, conventional treatment (aerobic exercises and weight training or mobility interventions on the ground) and resistance or precision training.
Introduction: locomotor capacity impairment is one of the sequels of the spinal cord lesion (SCI) with greater impact for patients. Aim: to analyze the re-education of walking in patients with incomplete SCI of traumatic origin. Methodology: a survey was carried out in the Pubmed and PEDro database. After the selection of the studies, a methodological quality analysis was performed through the PEDro scale. Results: 7 randomized studies were selected, including 235 patients with SCI, with classification of C and D according to the American Spinal injury Association (ASIA) from C1 to L1. Despite the diversity of types of locomotor training, there have been improvements in multiple parameters of walk such as speed, endurance, coordination, balance, and muscle strength of dorsal and plantar ankle flexors. Conclusion: several types of locomotor training are beneficial in the re-education of walk in patients with incomplete and traumatic SCI, such as training assisted by robots, by functional electrical stimulation, by manual assistance, conventional treatment (aerobic exercises and weight training or mobility interventions on the ground) and resistance or precision training.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Lesão medular espinal Marcha Chronic spinal cord injury Walking