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Os efeitos da constraint-induced movement therapy em jovens adultos com assimetria de força dos membros inferiores
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto_de_graduação_41582 | 790.81 KB | Adobe PDF |
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Abstract(s)
Introdução: a Constraint-Induced Movement Therapy (CIMT) é uma intervenção amplamente usada na neurologia para promover uma reorganização cortical. Objetivo: analisar o efeito da CIMT nas assimetrias de força dos membros inferiores, em jovens adultos ativos. Metodologia: estudo quais-experimental, com 30 estudantes de sexo masculino, com uma idade mediana de 23 anos, divididos aleatoriamente em 3 grupos: Grupo de controlo (GC), o Grupo de controlo muscular (GM), e o Grupo experimental (GE) que associou a CIMT aos exercícios do GM. Houve dois momentos de avaliação, pré e pós intervenção, efetuados com 3 testes de salto e o Y Balance Test. Resultados: a implementação da CIMT proporcionou um incremento no limb symmetry índex (LSI) na performance no Triple hop test (p=0.015). Já no One Leg Hop test e no Side hop test também se verificou um incremento na simetria dos membros inferiores (p=0.018 e p=0.002), mas sem representar uma mais-valia em relação ao GM (p=0.744 e p=0.311). E, no LSI do Y Balance Test, não houve quaisquer alterações significativas com a CIMT (p=0.379). Conclusão: a CIMT aparenta ter alguns benefícios a nível do equilíbrio dinâmico e correção de assimetrias, mas sem ser uma mais-valia consistente, comparada com os outros grupos. Assim, não existem evidências claras na inclusão ou exclusão da CIMT no treino de jovens adultos ativos.
Introduction: Constraint-Induced Movement Therapy (CIMT) is a widely used intervention in neurology to promote cortical reorganization. Objective: To analyze the effect of CIMT on lower limb strength asymmetries in active young adults. Methodology: A quasi-experimental study with 30 male students, median age of 23 years, randomly divided into 3 groups: Control Group (CG), Muscle Control Group (MG), and Experimental Group (EG) that combined CIMT with the exercises of the MG. There were two evaluation moments, pre and post intervention, performed with 3 jump tests and the Y Balance Test. Results: The implementation of CIMT provided an increase in the limb symmetry index (LSI) in performance in the Triple hop test (p=0.015). Also, in the One Leg Hop test and the Side hop test, there was also an increase in lower limb symmetry (p=0.018 and p=0.002), but without representing added value compared to MG (p=0.744 and p=0.311). Furthermore, in the LSI of the Y Balance Test, there were no significant changes with CIMT (p=0.379). Conclusion: CIMT appears to have some benefits in terms of dynamic balance and correction of asymmetries, but not as a consistent added value compared to other groups. Therefore, there are no clear evidences for including or excluding CIMT in the training of active young adults.
Introduction: Constraint-Induced Movement Therapy (CIMT) is a widely used intervention in neurology to promote cortical reorganization. Objective: To analyze the effect of CIMT on lower limb strength asymmetries in active young adults. Methodology: A quasi-experimental study with 30 male students, median age of 23 years, randomly divided into 3 groups: Control Group (CG), Muscle Control Group (MG), and Experimental Group (EG) that combined CIMT with the exercises of the MG. There were two evaluation moments, pre and post intervention, performed with 3 jump tests and the Y Balance Test. Results: The implementation of CIMT provided an increase in the limb symmetry index (LSI) in performance in the Triple hop test (p=0.015). Also, in the One Leg Hop test and the Side hop test, there was also an increase in lower limb symmetry (p=0.018 and p=0.002), but without representing added value compared to MG (p=0.744 and p=0.311). Furthermore, in the LSI of the Y Balance Test, there were no significant changes with CIMT (p=0.379). Conclusion: CIMT appears to have some benefits in terms of dynamic balance and correction of asymmetries, but not as a consistent added value compared to other groups. Therefore, there are no clear evidences for including or excluding CIMT in the training of active young adults.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Constraint-induced movement therapy Assimetrias de força Membros inferiores Jovens adultos Strength asymmetries Lower limbs Young adults