Efeitos de um programa de fisioterapia aquática no risco de queda em doentes com acidente vascular cerebral crónico na comunidade: série de casos
DOI:
https://doi.org/10.25758/set.782Palavras-chave:
Acidente vascular cerebral crónico, Risco de queda, Fisioterapia aquática, EquilíbrioResumo
Introdução e Objetivos – Aproximadamente 80% dos sobreviventes de acidente vascular cerebral (AVC) apresentam défices de equilíbrio e até 58% apresentam risco de queda no primeiro ano após AVC. Uma das intervenções que tem sido utilizada para o tratamento desta sequela é a fisioterapia aquática. O objetivo deste trabalho é identificar os efeitos de um plano de fisioterapia aquática em grupo no risco de queda, em doentes com AVC crónico. Métodos – Análise de série de casos de três sobreviventes de AVC crónico que apresentam risco de queda (tempo de instalação de 21 a 41 meses). Foram utilizados os instrumentos de avaliação: Escala de Equilíbrio de Berg (EEB), Timed Up and Go (TUG) e Escala de Confiança no Equilíbrio Específica para a Atividade (ECEEA). O programa teve a duração de oito semanas, frequência de duas vezes por
semana e a duração de 45 minutos por sessão. Resultados – Os participantes obtiveram diminuições
que variam entre 14 e 36 segundos no TUG. Contrariamente, observou-se um aumento na EEB (valores entre 10 a 16 pontos) e da ECEEA (3,13 e 6,88%). Discussão e Conclusão – Todos melhoraram o equilíbrio. Foram obtidos resultados clinicamente significativos no TUG e na EEB, revelando uma diminuição significativa deste risco. Os resultados obtidos pela ECEEA mostram--nos que os participantes mantêm o medo de cair. O pequeno tamanho da amostra não permite generalização dos resultados.
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