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Advisor(s)
Abstract(s)
Introdução: A ocorrência de acidente vascular cerebral (AVC) tem uma prevalência elevada na população mais velha, sendo que 30% a 60% destes indivíduos apresentam limitações ao nível do membro superior (MS). A diminuição da amplitude e alteração dos membros superiores podem potenciar alterações ao nível do padrão de marcha, risco de queda e equilíbrio. Estudos referem que fortalecimento dos MS pode melhorar o padrão de marcha e a capacidade funcional em utentes com sequelas de AVC. O nosso objetivo foi determinar o efeito do fortalecimento do MS, na marcha, quedas e equilíbrio em pé, em adultos com 65 ou mais anos, com diagnóstico de AVC. Métodos: Pesquisaram-se publicações nas bases de dados PubMed, Cochrane Library e ScienceDirect, com inclusão de ensaios clínicos randomizados, sem limitação de data, que avaliavam o efeito do fortalecimento do MS, na marcha, quedas e equilíbrio, em pessoas com 65 anos ou mais, pós-AVC. Dois revisores, de forma cega, seleccionaram os artigos para inclusão, havendo em caso de discordância um terceiro revisor. Excluíram-se protocolos, apresentações e artigos com pontuação inferior a 5 na escala PEDro.
Resultados: Foram incluídos 6 estudos, com um total de 468 participantes. O fortalecimento do MS interfere positivamente na capacidade de marcha, nomeadamente ao nível da velocidade, é eficaz na prevenção de quedas, promove melhorias no equilíbrio comparativamente ao início da intervenção. Conclusão: A inclusão do fortalecimento do MS interfere positivamente na melhoria da velocidade de marcha e equilíbrio, podendo condicionar a diminuição do risco de queda nesta população.
ABSTRACT - Introduction: The occurrence of stroke is higher in the elderly population, and 30% to 60% have upper limb (UL) limitations. The decrease in range of motion on the upper limb joints and pendular movement can lead to changes in gait pattern, risk of falling, and balance. Studies refer that UL strengthening benefits gait and functional capacity in patients with stroke sequels. Our aim was to determine the effect of strengthening the UL, in adults aged 65 years or over and post-stroke, on gait, falls, and standing balance. Methods: A search of the current literature was performed using PubMed, Cochrane Library, and ScienceDirect, including randomized clinical trials, with no date limitation, evaluating the effect of UL strengthening on gait, falls, and balance in post-stroke individuals aged 65 years or over. Two blinded reviewers, screened the articles for inclusion, with a third review in case of disagreement. Protocols, presentations, and articles with scores lower than 5 on the PEDro scale were excluded. Results: Six studies were included, with a total of 468 participants. Strengthening the MS positively interferes with walking ability, namely at the level of speed, it acts in the prevention of falls, and shows improvements in balance, compared to baseline. Conclusion: The inclusion of UL strengthening interferes positively with improving gait speed and balance, with the consequent reduction in the risk of falling in this population.
ABSTRACT - Introduction: The occurrence of stroke is higher in the elderly population, and 30% to 60% have upper limb (UL) limitations. The decrease in range of motion on the upper limb joints and pendular movement can lead to changes in gait pattern, risk of falling, and balance. Studies refer that UL strengthening benefits gait and functional capacity in patients with stroke sequels. Our aim was to determine the effect of strengthening the UL, in adults aged 65 years or over and post-stroke, on gait, falls, and standing balance. Methods: A search of the current literature was performed using PubMed, Cochrane Library, and ScienceDirect, including randomized clinical trials, with no date limitation, evaluating the effect of UL strengthening on gait, falls, and balance in post-stroke individuals aged 65 years or over. Two blinded reviewers, screened the articles for inclusion, with a third review in case of disagreement. Protocols, presentations, and articles with scores lower than 5 on the PEDro scale were excluded. Results: Six studies were included, with a total of 468 participants. Strengthening the MS positively interferes with walking ability, namely at the level of speed, it acts in the prevention of falls, and shows improvements in balance, compared to baseline. Conclusion: The inclusion of UL strengthening interferes positively with improving gait speed and balance, with the consequent reduction in the risk of falling in this population.
Description
Keywords
Fisioterapia Medicina de reabilitação Acidente vascular cerebral Equilíbrio postural Idoso Marcha Membro superior Recuperação de função Physiotherapy Rehabilitation Aged Gait Postural balance Recovery of function Stroke Upper limb
Citation
Figueiredo V, Carvalho A, Mota P. Efeitos do fortalecimento do membro superior, no equilíbrio e na marcha, em idosos pós-acidente vascular cerebral: revisão sistemática. Sinapse. 2023;23(1):21-8.
Publisher
Sociedade Portuguesa de Neurologia