Rehabilitation of functionality and gait in hemiparetic

Abstract

original RESUMOObjetivo. Comparar os efeitos do método Kabat com a estimulação elétrica funcional (FES), bem como a associação dos métodos na capacidade funcional de pacientes hemiparéticos. Método. Trata-se de uma série de casos com três pacientes hemiparéticos. Os participantes foram avaliados ao início e término do tratamento quanto à amplitude de movimento articular de tornozelo, constituintes da marcha e funcionalidade. Os pacientes foram divididos aleatoriamente em: (A) tratado com Kabat; (B) tratado com FES e Kabat; (C) tratado com FES. Todos os participantes realizaram o treino de marcha, totalizando 25 sessões de 50 minutos cada. Resultados. Observou-se uma melhora na ADM de dorsiflexão dos pacientes (A) e (B), melhora da funcionalidade em (B) e (C), aumento do passo e passada nos pacientes (B) e (C), aumento do tamanho da base em todos os pacientes e uma melhora da cadência e velocidade em (A) e (C). Conclusões. O paciente (B) foi o participante que apresentou resultados positivos para todos os quesitos, o que indica que a associação do método Kabat e o FES, pode ser mais eficiente para os pacientes com sequelas de AVC.Unitermos. Acidente Vascular Cerebral, Hemiparesia, Marcha, Movimento Citação. Rodrigues VRMC, Quemelo PRV, Nascimento LCG, Pereira MCS, Lopes MC, Ferreira CMR. Reabilitação da funcionalidade e da marcha em hemiparéticos. ABSTRACTObjective. To compare the effects of Kabat method with functional electrical stimulation (FES) and the association of the methods in functional capacity of hemiparetic patients. Method. This is a case series with three hemiparetic patients. The participants were evaluated at the beginning and end of treatment for range of motion of the ankle, gait constituents and functionality. Patients were randomly divided into: (A) treated with Kabat; (B) treated with FES and Kabat; (C) treated with FES. All participants did gait training, totaling 25 sessions of 50 minutes each. Results. There was an improvement in the ROM of dorsiflexion of the patient (A) and (B) improves the functionality in (B) and (C), and last step increase in patients (B) and (C), increased size based on all patients and improvement in the speed and cadence (A) and (C). Conclusions. The patient (B) was the participant who tested positive for all variables, indicating that the association of Kabat and the FES method may be more efficient for patients with stroke sequelae.

Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy

“… 11 Some authors suggest a period within three to 30 days post-stroke. 22 , 26 , 27 while others 28 reported that even chronic patients had improvements. 29 These last studies describing “late plasticity” may be the reason why we observed changed electromyographic activation patterns in our patients.…”

“…Patients have been reported to exhibit abnormalities in the temporal characteristics of muscle activity compared to normal gait 19 and these changes in IS group maybe an strategy in an attempt to deal with the non-functional gait. 10 , 20 , 21 , 22 As BF muscle helps the hip extension, and ST — RF co-contraction keeps the knee extension during the gait cycle, 4 the anticipation of these three muscles increases the stiffness theses joints in order to help supporting full body weight. Moreover, the weakness of the calf muscles contributes to this.…”

Positive Balance Recovery in Ischemic Post-Stroke Patients with Delayed Access to Physical Therapy

“…Some studies have suggested that stroke rehabilitation is most effective and improves functional outcomes if initiated even early (within three to 30 days post stroke) [21,22]. Paolucci et al [23] assessed the specific influence of the onset-admission interval on rehabilitation results in 145 patients and found that beginning treatment within the first parameters using stabilometric platforms (SPs).…”