Estudo do tempo gasto com exercícios ativos realizados por hemiparéticos crônicos submetidos a Fisioterapia em Grupo no formato de Circuito de Treinamento
DOI:
https://doi.org/10.33233/fb.v19i1.2120Abstract
Introdução: Hemiparéticos passam pouco tempo em atividades físicas funcionais em sessões de fisioterapia convencionais. Há evidências que a Fisioterapia de Grupo em Circuito de Treinamento (FGCT) é capaz de melhorar a capacidade funcional e aumentar a quantidade de tempo gasto durante a terapia. Objetivo: O objetivo deste trabalho foi avaliar o tempo gasto com exercícios ativos realizados por hemiparéticos crônicos submetidos a FGCT e correlacionar o tempo ativo com testes funcionais. Métodologia: Para verificar a normalidade dos dados, utilizou-se o teste Shapiro-Wilk; o teste t-student foi usado para amostras pareadas, para comparar o tempo ativo e inativo, considerando significante o valor de p < 0,05. O teste de Pearson foi para avaliar as correlações do Timed-Up-and-Go (TUG) e Escala de Equilíbrio de Berg (EEB) com o tempo ativo. Resultados: O valor médio obtido no TUG foi 19,43 ± 8,65 segundos e na EEB foi 43,83 ± 11,07 pontos. O Teste de Pearson mostrou correlação entre o EEB com as Atividades de Prática Ativas (APA) (r = 0,631, p ≤ 0,01) e entre TUG e APA (r = -0,495, p ≤ 0,01). Conclusão: Os resultados demonstraram que o tempo gasto com exercícios ativos durante uma sessão de FGCT foi maior que o tempo inativo, e houve correlação moderada entre os valores de APA com os testes EEB e TUG.
Palavras-chave: acidente vascular cerebral, paresia, terapia por exercício, fisioterapia, exercícios em circuitos.
References
English C, Hillier SL. Circuit class therapy for improving mobility after stroke. Cochrane Database of Systematic Reviews 2010;(7). doi: 10.1002/14651858.CD007513.pub2.
Almeida SRM. Análise epidemiológica do Acidente Vascular Cerebral no Brasil. Rev Neurocienc 2012;20(4): 481-2. doi: 10.4181/RNC.2012.20.483ed.2p.
Kauranen T, Laari S, Turunen K, Melkas M, Mustanoja S, Baumann P, et al. Use of stroke-related income supplements and predictors of use in a working-aged Finnish Ischemic Stroke Cohort 2015;24(8):1715-23. doi: 10.1016/j.jstrokecerebrovasdis.2015.03.049.
Brogardh C, Lexell J. Effects of cardiorespiratory fitness and muscle-resistance training after stroke. PM R. 2012;4(11):901-7; quiz 907. doi: 10.1016/j.pmrj.2012.09.1157.
Jeon BJ, Kim WH, Park EY. Effect of task-oriented training for people with stroke: a meta-analysis focused on repetitive or circuit training. Topics in Stroke Rehabilitation 2015;22(1):34-43. doi: 10.1179/1074935714Z.0000000035.
Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth EJ, et al. Physical Activity and Exercise Recommendations for Stroke Survivors. AHA Scientific Statement 2004;109(16):2031-41.
English C, Hillier S, Kaur G, Hundertmark L. People with stroke spend more time in active task practice, but similar time in walking practice, when physiotherapy rehabilitation is provided in circuit classes compared to individual therapy sessions: an observational study. Journal of Physiotherapy 2000;60(1):50-4. doi: 10.1016/j.jphys.2013.12.006. Epub 2014 Apr 24.
Kwakkel G, van Peppen R, Wagenaar RC, Wood Dauphinee S, Richards C, Ashburn A et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke 2004;35(11):2529-39.
English C, Bernhardt J, Hillier S. Circuit class therapy and 7-day-week therapy increase physiotherapy time, but not patient activity early results from the CIRCUIT Trial. Clinical Sciences 2014;45(10):3002-7. doi: 10.1161/STROKEAHA.114.006038. Epub 2014 Aug 14.
English CK, Hillier SL, Stiller KR, Warden-Flood A. Circuit class therapy versus individual physiotherapy sessions during inpatient stroke rehabilitation: A controlled trial. Arch Phys Med Rehab 2007;88(8):955-63.
Lawal IU, Hillier SL, Hamzat TK, Rhoda A. Effectiveness of a structured circuit class therapy model in stroke rehabilitation: a protocol for a randomised controlled trial. BMC Neurology 2015;15:88. doi:10.1186/s12883-015-0348-7.
Van de Port IGL, Wevers LEG, Lindeman E, Kwakkel G. Effects of circuit training as alternative to usual physiotherapy after stroke: randomised controlled trial. BMJ 2012;344:e2672. Doi: 10.1136 / bmj.e2672.
Gregson JM, Leathley M, Moore AP, Sharma AK, Smith TL, Watkins CL. Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical tools for assessing poststroke spasticity. Arch Phys Med Rehabil. 1999;80(9):1013-16. doi: 10.1016/S0003-9993(99)90053-9.
Carneiro DN, Vilela ABA, Meira SS. Avaliação do déficit cognitivo, mobilidade e atividades da vida diária entre idosos. Rev APS 2016;19(2):203-9.
Podsiadlo D, Richardson S. The Timed up and Go - a Test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39(2):142-8.
Karuka AH, Silva JAMG, Navega MT. Análise da concordância entre instrumentos de avaliação do equilÃbrio corporal em idosos. Rev Bras Fisioter 2011;15(6):460-6. doi:10.1590/S1413-35552011000600006.
Kaur G, English C, Hillier S. How physically active are people with stroke in physiotherapy sessions aimed at improving motor function? A Systematic Review. Stroke Res Treat 2012;9. doi: 10.1155/2012/820673
Luker J, Lynch E, Bernhardsson S, Bennett L, Bernhardt J. Stroke survivors’ experiences of physical rehabilitation: a systematic review of qualitative studies. Arch Phys Med Rehab 2015;96(9):1698-708.e10. doi: 10.1016/j.apmr.2015.03.017.
Elson T, English C, Hillier S. How much physical activity do people recovering from stroke do during physiotherapy sessions? International Journal of Therapy and Rehabilitation 2013;16(2):78-84. doi: 10.12968/ijtr.2009.16.2.38893.
Boyd LA, Vidoni ED, Wessel BD. Motor learning after stroke: is skill acquisition a prerequisite for contralesional neuroplastic change? Rev Neuro Let 2010;482(1):21-5. doi: 10.1016/j.neulet.2010.06.082.
Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. Journal of Speech, Language, and Hearing Research 2008; 51(1): 225-39.
Cha J, Heng C, Reinkensmeyer DJ, Roy RR, Edgerton VR, De Leon RD. Locomotor ability in spinal rats is dependent on the amount of activity imposed on the hindlimbs during treadmill training. Journal of Neurotrauma 2007;24(6):1000-12.
Veerbeek JM, van Wegen E, van Peppen R, van der Wees PJ, Hendriks E, Rietberg M, et al. What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. Plos One 2014;4(2):1-32.
Park KT, Kim HJ. Effect of a circuit training program using obstacles on the walking and balance abilities of stroke patients. J Phys Ther Sci 2016;28(4):1194-8. doi: http://dx.doi.org/10.1589/jpts.28.1194.
Published
Issue
Section
License
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
