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Publication
O efeito das ondas de choque na espasticidade em pacientes pós-acidente vascular encefálico: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_25567 | 1004.49 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Objetivo: Averiguar o efeito das ondas de choque (OC) na espasticidade, em pacientes pós-AVE. Metodologia: Pesquisa computorizada nas bases de dados PubMed, PEdro e Science Direct, para identificar estudos randomizados controlados que avaliam a eficácia das OC na espasticidade em pacientes pós-AVE. Resultados: Nesta revisão foram incluídos 7 artigos envolvendo 307 pacientes, com classificação metodológica média de 7.14 em 10 na escala de Physiotherapy Evidence Database (PEDro), dos quais 1 compara as OC com a toxina botulínica e electroestimulação, 1 compara as OC com a toxina botulínica em paralelo com a BTX-A e a electroestimulação, 1 compara o uso das OC de forma acessória com o uso de medicação anti-espástica e alongamentos e 4 comparam apenas o uso de OC e fisioterapia. Nos estudos efetuados com recurso as OC, foi descrito que tem impacto positivo na espasticidade, funcionalidade e mobilidade neste tipo de patologia. Conclusão: os estudos incluídos nesta revisão sugerem que as OC podem ser eficazes, mas não são muito aplicadas porque ainda não são bem conhecidas as suas características, relativamente à espasticidade. Sugere-se mais estudos sobre esta modalidade para provar a sua eficácia.
Objective: To analyze the effectiveness of shock waves at spasticity in post-stroke patients. Method: Computerized search in the PubMed, PEdro and Science Direct databases to identify randomized controlled trials evaluating the efficacy of OCs in spasticity in post-stroke patients. Results: 7 articles involving 307 patients were included, with an average methodological score of 7.14 in 10 on the Physiotherapy Evidence Database (PEDro) scale, of which 1 compare OC with botulinum toxin and electrical stimulation, 1 compare OC to assist botulinum toxin in parallel with BTX-A and electrostimulation, 1 compares the use of OC with the use of antispastic medication and stretching and 4 only compare the use of OC and physical therapy. In studies performe with resource that OC has been reported to have a positive impact on spasticity functionality and mobility in this type of pathology. Conclusion: This review suggest that OCs may be effective, but they are not very applied because their characteristics are still not well known with regard to spasticity. Further studies on this modality are suggested to prove their efficacy.
Objective: To analyze the effectiveness of shock waves at spasticity in post-stroke patients. Method: Computerized search in the PubMed, PEdro and Science Direct databases to identify randomized controlled trials evaluating the efficacy of OCs in spasticity in post-stroke patients. Results: 7 articles involving 307 patients were included, with an average methodological score of 7.14 in 10 on the Physiotherapy Evidence Database (PEDro) scale, of which 1 compare OC with botulinum toxin and electrical stimulation, 1 compare OC to assist botulinum toxin in parallel with BTX-A and electrostimulation, 1 compares the use of OC with the use of antispastic medication and stretching and 4 only compare the use of OC and physical therapy. In studies performe with resource that OC has been reported to have a positive impact on spasticity functionality and mobility in this type of pathology. Conclusion: This review suggest that OCs may be effective, but they are not very applied because their characteristics are still not well known with regard to spasticity. Further studies on this modality are suggested to prove their efficacy.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Shock wave therapy Spasticity Post stroke