Efeitos do exercício de tronco na recuperação funcional da marcha em pacientes pós acidente vascular cerebral: uma revisão sistemática

Autores

• Ana Carolina Dorigoni Bini UNIVERSIDADE ESTADUAL DO CENTRO OESTE http://orcid.org/0000-0003-1717-9249
• Thaisa Maria Rocha Bueno Universidade Estadual do Centro Oeste
• Vanessa Szczypior Universidade Estadual do Centro Oeste
• Viviane Eloisa Bini Universidade Estadual do Centro Oeste
• Vanessa Marcolin Universidade Estadual do Centro-Oeste

DOI:

https://doi.org/10.17058/rips.v1i3.12361

Resumo

Introdução: o acidente vascular cerebral (AVC), acarreta deficiências que variam em função da topografia, tipo e extensão da lesão, mas na maioria das vezes apresentam alterações cognitivas, motoras, sensoriais e autonômicas variadas. Entre essas alterações, a força de tronco reduzida após o AVC aumenta o trabalho mecânico para a marcha, repercutindo na capacidade funcional do paciente. Objetivo: investigar quais as técnicas mais utilizadas para o fortalecimento de tronco. Método: foram realizadas buscas nas bases de dados: Pubmed, Bireme, Scielo e PEDro. Foram incluídos estudos clínicos randomizados e controlados que compararam os efeitos do fortalecimento de tronco na marcha em pacientes acometidos pelo AVC. Resultados: dos 109 estudos encontrados, 10 foram selecionados e avaliados pela escala PEDro, e apresentaram boa qualidade metodológica. A intervenção mais encontrada foram os exercícios de estabilidade dos musculos mais profundas do tronco e da pelve. Conclusão: os exercícios de tronco influenciam de forma positiva aspectos importantes da marcha.

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