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O efeito do treino de equilíbrio em indivíduos com instabilidade crónica da tíbiotársica após entorse: revisão bibliográfica
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Abstract(s)
Objectivo: Averiguar o efeito do treino de equilíbrio (TE) em indivíduos com instabilidade crónica da tíbiotársica (ICT), por sequelas de entorse. Metodologia: As pesquisas foram feitas nas bases de dados PEDro, PubMed/MEDLINE e ScienceDirect para identificar os estudos randomizados controlados que avaliassem o efeito do TE na ICT. Resultados: Nesta revisão foram incluídos 8 artigos envolvendo 309 indivíduos, com uma média aritmética de 5,75 na escala de Physiotherapy Evidence Database (PEDro). Dos artigos incluídos nesta revisão, 1 compara o Single-limb balance program com o Progressive hop to-stabilization balance program; 1 compara um TE da tíbiotársica com wobble board (WB) e reforço dos músculos da tíbiotársica utilizando theraband®; 1 compara um protocolo de TE com um protocolo de treino de força versus um treino de bicicleta ligeiro a moderadamente extenuante; 1 compara um TE numa BOSU® com ou sem plataforma vibratória, versus um grupo sem intervenção; 2 comparam um programa de equilíbrio com um grupo sem intervenção; 1 compara uma reabilitação progressiva com ou sem dispositivos de desestabilização; 1 compara o Weight-bearing Exercise for Better Balance protocolo versus exercícios unilaterais de TE.
Conclusão: As evidências desta revisão demonstraram que independentemente do protocolo de TE realizado, verifica-se um efeito positivo do mesmo na redução da ICT.
Objective: To determine the effect of balance training (BT) in patients with chronic ankle instability (CAI) after sprain. Methodology: Research was conducted on PEDro, PubMed/MEDLINE and ScienceDirect databases to identify randomised controlled trials evaluating the effectiveness of BT on CAI. Results: This review included 8 articles involving 309 patients, with an average methodological quality rating of 5.75 on the Physiotherapy Evidence Database (PEDro) scale. Of the articles included in this review, 1 compares Single-limb balance program versus Progressive hop to-stabilization program; 1 compares BT with ankle wobble board (WB) and strengthening of ankle muscles using resistance theraband®; 1 compares BT protocol with a strength training protocol versus a light to moderately strenuous bike training; 1 compares BT in a BOSU® with or without vibration platform, versus a non-intervention group; 2 compare a balance program with a non-intervention group; 1 compares a progressive rehabilitation with or without destabilization devices; 1 compares the Weight-bearing Exercise for Better Balance protocol versus unilateral BT exercises. Conclusion: The evidence of this review demonstrated that regardless of the balance training protocol performed, there is an effect of it in reducing CAI.
Objective: To determine the effect of balance training (BT) in patients with chronic ankle instability (CAI) after sprain. Methodology: Research was conducted on PEDro, PubMed/MEDLINE and ScienceDirect databases to identify randomised controlled trials evaluating the effectiveness of BT on CAI. Results: This review included 8 articles involving 309 patients, with an average methodological quality rating of 5.75 on the Physiotherapy Evidence Database (PEDro) scale. Of the articles included in this review, 1 compares Single-limb balance program versus Progressive hop to-stabilization program; 1 compares BT with ankle wobble board (WB) and strengthening of ankle muscles using resistance theraband®; 1 compares BT protocol with a strength training protocol versus a light to moderately strenuous bike training; 1 compares BT in a BOSU® with or without vibration platform, versus a non-intervention group; 2 compare a balance program with a non-intervention group; 1 compares a progressive rehabilitation with or without destabilization devices; 1 compares the Weight-bearing Exercise for Better Balance protocol versus unilateral BT exercises. Conclusion: The evidence of this review demonstrated that regardless of the balance training protocol performed, there is an effect of it in reducing CAI.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Entorse do tornozelo Instabilidade do tornozelo Instabilidade crónica do tornozelo Equilíbrio Treino de equilíbrio Ankle sprain Ankle instability Chronic ankle instability Balance Balance training