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Authors
Advisor(s)
Abstract(s)
Introdução - Mundialmente, o acidente vascular cerebral (AVC) é a segunda principal causa de morte e a terceira principal causa de incapacidade. Os déficits motores e do equilíbrio são comuns em pacientes com AVC, levando ao risco elevado de cair, que por sua vez leva à redução da independência na realização de atividades da vida diária e à restrição da participação social. Devido às propriedades da água, a fisioterapia aquática pode fornecer uma opção de exercício adequado para o equilíbrio. Objetivo - Analisar e sistematizar a literatura existente que avalia o efeito do exercício no meio aquático no equilíbrio em indivíduos que sofreram AVC. Metodologia – Uma pesquisa dos estudos controlados randomizados foi feita por meio de banco de dados (PubMed, PEDro, Scopus, Web of Science) até 7 de fevereiro de 2021. A qualidade metodológica foi avaliada com escala PEDro. Resultados – Treze estudos clínicos controlados randomizados foram incluídos. Os resultados mostraram diferenças significativas no equilíbrio no grupo de fisioterapia aquática em pessoas com AVC crónico. Conclusão/Considerações Finais - A revisão mostrou que o exercício no meio aquático pode melhorar o equilíbrio em indivíduos na fase de AVC crónico, em comparação com intervenção em terra, no entanto esses resultados devem ser interpretados com cautela devido à metodologia mista e diversidade das características dos estudos incluídos. Serão necessários mais estudos, com maior número de participantes de qualidade metodológica alta, sobretudo na fase de AVC subagudo.
ABSTRACT - Introduction – Worldwide, stroke is the second leading cause of death and the third leading cause of chronic disability. Motor and balance dysfunctions are common in stroke survivors, leading to a high risk of falling, which in turn leads to reduced Independence and restriction of social participation. Due to the properties of water, water-based exercises can be promising therapeutic interventions when targeting balance improvement for stroke survivors. Objective – To examine the effects of water-based exercises on balance in stroke survivors. Methodology – A literature search until February 2021 was conducted on PubMed, PEDro, Scopus, Web of Science. The quality of the included randomized clinical trials was assessed by the PEDro scores. Results – Thirteen randomized clinical trials were included. In comparison with land-based interventions, aquatic therapy showed superior effectiveness on balance for chronic stroke patients. Conclusion/Final Considerations – Water-based exercises can improve balance for stroke survivors in the chronic phase, however, these results should be interpreted with caution due to the mixed methodology and diversity of characteristics of the included studies. More studies with a larger number of participants and high methodological quality are necessary, especially with patients in the subacute stroke phase.
ABSTRACT - Introduction – Worldwide, stroke is the second leading cause of death and the third leading cause of chronic disability. Motor and balance dysfunctions are common in stroke survivors, leading to a high risk of falling, which in turn leads to reduced Independence and restriction of social participation. Due to the properties of water, water-based exercises can be promising therapeutic interventions when targeting balance improvement for stroke survivors. Objective – To examine the effects of water-based exercises on balance in stroke survivors. Methodology – A literature search until February 2021 was conducted on PubMed, PEDro, Scopus, Web of Science. The quality of the included randomized clinical trials was assessed by the PEDro scores. Results – Thirteen randomized clinical trials were included. In comparison with land-based interventions, aquatic therapy showed superior effectiveness on balance for chronic stroke patients. Conclusion/Final Considerations – Water-based exercises can improve balance for stroke survivors in the chronic phase, however, these results should be interpreted with caution due to the mixed methodology and diversity of characteristics of the included studies. More studies with a larger number of participants and high methodological quality are necessary, especially with patients in the subacute stroke phase.
Description
Mestrado em Fisioterapia Neurológica
Keywords
Fisioterapia Medicina de reabilitação Hidroterapia Terapia aquática Acidente vascular cerebral Equilíbrio postural Controlo postural Physiotherapy Rehabilitation Hydrotherapy Aquatic therapy Stroke Postural balance Postural control
Citation
Brito OM. Efeito do exercício em meio aquático no equilíbrio em indivíduos que sofreram AVC: revisão sistemática [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2021.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa