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Efeitos da crioterapia na modulação do tónus e no aumento da atividade funcional do membro superior em indivíduos com espasticidade após acidente vascular encefálico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto_de_graduação_41062 | 1.46 MB | Adobe PDF |
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Abstract(s)
Objetivo: Perceber se a crioterapia tem eficácia na normalização do tónus muscular dos flexores do punho e no aumento da funcionalidade do punho do membro espástico, em indivíduos após Acidente Vascular Encefálico (AVE). Metodologia: Foram incluídos 9 utentes do Hospital-Escola Fernando Pessoa, entre 53 e 81 anos, de ambos os sexos, que sofreram AVE há mais de 6 meses, divididos aleatoriamente em dois grupos: Grupo Experimental (n=5) que realizou crioterapia, durante 20 minutos, após fisioterapia convencional e Grupo Controlo (n=4) com fisioterapia convencional. Ambos os grupos foram submetidos a 4 sessões. Foi avaliado o grau de espasticidade dos flexores do punho através da Escala Modificada de Ashworth, e a amplitude de movimento de flexão e extensão passiva do punho. Resultados: Após a aplicação do protocolo verificou-se que a crioterapia teve efeitos positivos no aumento da amplitude de movimento da flexão e extensão passiva do punho, no entanto não foi diferente entre grupos. Não houve alterações na espasticidade. Conclusão: os resultados sugerem que a crioterapia pode ser uma boa modalidade terapêutica para a atividade funcional do punho, mas sem interferência na modulação do tónus.
Objective: To find out whether cryotherapy is effective in normalizing muscle tonus in wrist flexors and increasing the functionality of the wrist of the spastic limb in individuals after a stroke. Methodology: Nine patients from the Fernando Pessoa Teaching Hospital, aged between 53 and 81, of both sexes, who had a stroke more than 6 months ago were randomly assigned into two groups: the Experimental Group (n=5) who underwent cryotherapy for 20 minutes after conventional physiotherapy and the Control Group (n=4) who underwent conventional physiotherapy. Both groups underwent 4 sessions. The degree of spasticity of wrist flexors was assessed using the Ashworth modified scale, as well as the range of motion of passive wrist flexion and extension. Results: After applying the protocol, it was found that cryotherapy had positive effects on increasing the range of motion of passive wrist flexion and extension, however this was not different between groups. There were no changes in spasticity. Conclusion: The results suggest that cryotherapy may be a good therapeutic modality for functional wrist activity, but without interfering with tonus modulation.
Objective: To find out whether cryotherapy is effective in normalizing muscle tonus in wrist flexors and increasing the functionality of the wrist of the spastic limb in individuals after a stroke. Methodology: Nine patients from the Fernando Pessoa Teaching Hospital, aged between 53 and 81, of both sexes, who had a stroke more than 6 months ago were randomly assigned into two groups: the Experimental Group (n=5) who underwent cryotherapy for 20 minutes after conventional physiotherapy and the Control Group (n=4) who underwent conventional physiotherapy. Both groups underwent 4 sessions. The degree of spasticity of wrist flexors was assessed using the Ashworth modified scale, as well as the range of motion of passive wrist flexion and extension. Results: After applying the protocol, it was found that cryotherapy had positive effects on increasing the range of motion of passive wrist flexion and extension, however this was not different between groups. There were no changes in spasticity. Conclusion: The results suggest that cryotherapy may be a good therapeutic modality for functional wrist activity, but without interfering with tonus modulation.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Crioterapia Espasticidade Mobilidade funcional Punho AVE Cryotherapy Spasticity Functional mobility Wrist Stroke