| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 175.4 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução – O acidente vascular cerebral (AVC) está intimamente relacionado com o aumento da ocorrência de quedas, assim como o medo de cair, também este um fator predisponente para quedas. As alterações ao nível do equilíbrio e da marcha, presentes até em fases mais crónicas, provocam o aumento do risco de quedas nesta população. Objetivo – Investigar os efeitos do treino orientado para a tarefa na marcha, equilíbrio e medo de cair num paciente com AVC em fase crónica. Métodos – O presente estudo seguiu uma metodologia de estudo de caso, tendo sido realizada uma avaliação inicial, seguida de uma intervenção durante sete semanas, baseada em treino orientado para a tarefa. Os testes utilizados foram a Escala Internacional de Eficácia de Quedas (FES-I), a Escala de Equilíbrio de Berg (EEB), o Índice de Barthel (IB), o Timed Up and Go Test (TUG) e o Teste de Velocidade de Marcha de quatro metros (TVM4). Resultados – Observaram-se melhorias clínicas na FES-1, EEB, Índice de Barthel, TUG e TVM4. Discussão/Conclusão – Em 14 sessões de programa baseado no treino orientado para a tarefa observaram-se ganhos com importância clínica a nível do equilíbrio, marcha e medo de cair num indivíduo em fase crónica após AVC. As melhorias no equilíbrio e funcionalidade da marcha foram acompanhadas do aumento da confiança na realização das atividades da vida diária.
ABSTRACT - Introduction – Stroke is closely related to the increase of falls occurrence as well as the fear of falling, also a predisposing factor for falls. Changes in balance and gait, present even in more chronic phases, increase the risk of falls in this population. Objective – The aim of the study is to investigate the effects of task-oriented training on gait, balance, and fear of falling in a patient in the chronic phase after stroke. Methods – This study followed a case study methodology with a first assessment followed by seven weeks of task-oriented training and a second assessment at the end of the intervention. The tests used were the Falls-Efficacy Scale (FES-I), the Berg Balance Scale (BBS), the Barthel Index (BI), the Timed Up and Go Test (TUG) and the 4-meter Gait Speed Test (4MGS). Results – Clinical improvements in FES-I, BBS, BI, TUG, and 4MGS were observed. Discussion/Conclusion – In 14 sessions of the task-oriented training program, improvements clinically significant on balance, gait, and fear of falling were observed in a patient in the chronic phase after stroke. Improvements in balance and gait functionality were accompanied by increased confidence in performing activities of daily living.
ABSTRACT - Introduction – Stroke is closely related to the increase of falls occurrence as well as the fear of falling, also a predisposing factor for falls. Changes in balance and gait, present even in more chronic phases, increase the risk of falls in this population. Objective – The aim of the study is to investigate the effects of task-oriented training on gait, balance, and fear of falling in a patient in the chronic phase after stroke. Methods – This study followed a case study methodology with a first assessment followed by seven weeks of task-oriented training and a second assessment at the end of the intervention. The tests used were the Falls-Efficacy Scale (FES-I), the Berg Balance Scale (BBS), the Barthel Index (BI), the Timed Up and Go Test (TUG) and the 4-meter Gait Speed Test (4MGS). Results – Clinical improvements in FES-I, BBS, BI, TUG, and 4MGS were observed. Discussion/Conclusion – In 14 sessions of the task-oriented training program, improvements clinically significant on balance, gait, and fear of falling were observed in a patient in the chronic phase after stroke. Improvements in balance and gait functionality were accompanied by increased confidence in performing activities of daily living.
Description
Keywords
Acidente vascular cerebral AVC Funcionalidade Controlo postural Queda Marcha Equilíbrio Stroke Functionality Postural control Fail Gait Balance
Citation
Refacho A, Santos J, Magalhães M, Lourenço T, Fernandes B. Efeitos do treino orientado para a tarefa na marcha, equilíbrio e medo de cair após acidente vascular cerebral: estudo de caso. Saúde & Tecnologia. 2019;(22):28-33.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa