O método da facilitação neuromuscular proprioceptiva em pacientes pós acidente vascular cerebral: uma revisão integrativa da literatura
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Data
2024-07
Tipo de documento
Artigo Científico
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ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
AMARAL, Carolina Vasconcellos do
Orientador
PASA, Jorge
Coorientador
Resumo
Introdução: Pacientes diagnosticados com AVC enfrentam limitações diárias, a fisioterapia tem como objetivo restaurar as funções do indivíduo. Existem 2 tipos de AVC’s sendo o hemorrágico e isquêmico, um de seus fatores de risco é o AIT. As sequelas pós AVC são déficits motoras e sensoriais podendo apresentar alteração no tônus. O método FNP é usado na fisioterapia para reabilitar pacientes neurológicos em prol da funcionalidade, incluindo padrões de movimentos diagonais e estímulos sensoriais. Tanto mobilização articular quanto alongamento ativo foram eficazes no ganho de ADM, FNP na intervenção resultou em melhorias motoras, funcionalidade e diminuição da espasticidade. Objetivo: Verificar a eficácia do uso de FNP em pacientes acometidos por AVC. Metodologia: Os processos de pesquisa deste estudo incluíram uma revisão integrativa de literatura, permitindo a síntese e análise sobre o tema, esse método abrange múltiplos estudos de diferentes abordagens. A revisão integrativa combina dados teóricos e empíricos, ajudando a definir conceitos, revisar teorias e evidências, e analisar problemas metodológicos. As seis etapas da revisão integrativa da literatura são: Definição da questão da pesquisa, estabelecer critérios de inclusão e exclusão, definir informações a serem extraídas, avaliação dos estudos, interpretação e síntese dos dados. Foram utilizados termos booleanos “AND” e “OR” na estratégia de busca, com critérios de inclusão e exclusão estabelecidos. Os termos de busca incluíram “stroke”, “muscle stretching exercises” e “PNF”. Foram criadas duas tabelas para analisar os artigos: informações sobre autor, ano, título e tipo de pesquisa, e outra detalhando os métodos.Resultados: Foram encontrados 183 artigos nas bases de dados. Após aplicar critérios de inclusão e exclusão e revisar os artigos na íntegra, foram selecionados 4 estudos: 1 ensaio clínico controlado randomizado com avaliador cego, 1 estudo preliminar, 1 estudo randomizado controlado e 1 estudo piloto. Os gêneros predominantes eram masculinos, com uma média de idade de 60 anos, realizados no Brasil, Coreia do Sul e Irã. Estudos desenvolvidos na: Universidade Federal do Rio Grande do Sul, Universidade Católica de Brasília, YongIn University, Shahid Beheshti University of Medical Sciences. Conclusão: Conclui-se que a técnica de FNP mostrou eficácia na reabilitação de pacientes com sequelas de AVC, resultando em aumento da força muscular, ADM melhorada, e melhoria no controle e estabilização de tronco e equilíbrio. No entanto, recomenda-se a realização de estudos adicionais com amostras maiores e avaliações mais abrangentes para potencializar e validar sua eficácia nessas condições.
Introduction: Patients diagnosed with stroke face daily limitations, physiotherapy aims to restore the individual's functions. There are 2 types of strokes, hemorrhagic and ischemic, one of their risk factors is AIT. Post-stroke sequelae are motor and sensory deficits that may present changes in tone. The FNP method is used in physiotherapy to rehabilitate neurological patients towards functionality, including diagonal movement patterns and sensory stimuli. Both joint mobilization and active stretching were effective in gaining ADM, PNF in the intervention resulted in motor improvements, functionality and decreased spasticity. Objective: To verify the effectiveness of using PNF in patients affected by AVC. Methodology: The research processes of this study included an integrative literature review, allowing synthesis and analysis on the topic. This method covers multiple studies from different approaches. The integrative review combines theoretical and empirical data, helping to define concepts, review theories and evidence, and analyze methodological problems. The six stages of the integrative literature review are: Definition of the research question, establishing inclusion and exclusion criteria, defining information to be extracted, evaluation of studies, interpretation and synthesis of data. Boolean terms “AND” and “OR” were used in the search strategy, with established inclusion and exclusion criteria. Search terms included “stroke”, “muscle stretching exercises” and “PNF”. Two tables were created to analyze the articles: information about author, year, title and type of research, and another detailing the methods. Results: 183 articles were found in the databases. After applying inclusion and exclusion criteria and reviewing the articles in full, 4 studies were selected: 1 randomized controlled clinical trial with a blinded evaluator, 1 preliminary study, 1 randomized controlled trial and 1 pilot study. The predominant genders were male, with an average age of 60 years, carried out in Brazil, South Korea and Iran. Studies developed at: Federal University of Rio Grande do Sul, Catholic University of Brasília, YongIn University, Shahid Beheshti University of Medical Sciences. Conclusion: It is concluded that the PNF technique showed effectiveness in the rehabilitation of patients with AVC sequelae, resulting in increased muscle strength, improved ADM, and improved control and stabilization of trunk and balance. However, it is recommended that additional studies be carried out with larger samples and more comprehensive evaluations to enhance and validate its effectiveness in these conditions.
Introduction: Patients diagnosed with stroke face daily limitations, physiotherapy aims to restore the individual's functions. There are 2 types of strokes, hemorrhagic and ischemic, one of their risk factors is AIT. Post-stroke sequelae are motor and sensory deficits that may present changes in tone. The FNP method is used in physiotherapy to rehabilitate neurological patients towards functionality, including diagonal movement patterns and sensory stimuli. Both joint mobilization and active stretching were effective in gaining ADM, PNF in the intervention resulted in motor improvements, functionality and decreased spasticity. Objective: To verify the effectiveness of using PNF in patients affected by AVC. Methodology: The research processes of this study included an integrative literature review, allowing synthesis and analysis on the topic. This method covers multiple studies from different approaches. The integrative review combines theoretical and empirical data, helping to define concepts, review theories and evidence, and analyze methodological problems. The six stages of the integrative literature review are: Definition of the research question, establishing inclusion and exclusion criteria, defining information to be extracted, evaluation of studies, interpretation and synthesis of data. Boolean terms “AND” and “OR” were used in the search strategy, with established inclusion and exclusion criteria. Search terms included “stroke”, “muscle stretching exercises” and “PNF”. Two tables were created to analyze the articles: information about author, year, title and type of research, and another detailing the methods. Results: 183 articles were found in the databases. After applying inclusion and exclusion criteria and reviewing the articles in full, 4 studies were selected: 1 randomized controlled clinical trial with a blinded evaluator, 1 preliminary study, 1 randomized controlled trial and 1 pilot study. The predominant genders were male, with an average age of 60 years, carried out in Brazil, South Korea and Iran. Studies developed at: Federal University of Rio Grande do Sul, Catholic University of Brasília, YongIn University, Shahid Beheshti University of Medical Sciences. Conclusion: It is concluded that the PNF technique showed effectiveness in the rehabilitation of patients with AVC sequelae, resulting in increased muscle strength, improved ADM, and improved control and stabilization of trunk and balance. However, it is recommended that additional studies be carried out with larger samples and more comprehensive evaluations to enhance and validate its effectiveness in these conditions.
Palavras-chave
acidente vascular cerebral, exercícios de alongamento muscular, PNF