Influência da crioterapia na espasticidade, força e funcionalidade da mão plégica de pacientes pós acidente vascular cerebral
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Data
2021-12
Autores
Orientador
Grave, Magali Teresinha Quevedo
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Resumo
O Acidente Vascular Cerebral (AVC) é uma doença crônica não transmissível; pode ocorrer através da obstrução de um vaso sanguíneo (AVC isquêmico) que é o mais comum, ou pelo rompimento de um vaso com extravasamento de sangue (AVC hemorrágico), podendo causar sequelas cognitivas, sensoriais e motoras, dentre as quais, destaca-se a perda de força e destreza da mão acometida (plégica). Objetivo: Verificar a influência da crioterapia em relação à espasticidade, força de preensão palmar e uso funcional da mão plégica de pacientes que sofreram AVC. Metodologia: A presente pesquisa configura-se como estudo de casos múltiplos, exploratória, descritiva, de intervenção e análise quantitativa dos resultados. Foi realizada da Clínica Escola de Fisioterapia da Univates - CEF. Para coleta dos dados utilizou-se a escala modificada de Ashworth para identificar o grau de espasticidade, dinamômetro digital para verificar o grau de força de preensão palmar e o teste de Jebsen Taylor para avaliar a funcionalidade da mão plégica, antes e após o uso da crioterapia. Participaram 3 pacientes selecionados por conveniência, sendo 01 homem e 02 mulheres com idades entre 38 e 71 anos (média 51 anos). Foram realizadas 10 sessões para a aplicação da técnica de crioterapia com imersão de um membro. Resultados: Os participantes apresentaram redução do grau de espasticidade a longo prazo e imediatamente após a aplicação da crioterapia. A redução da espasticidade colaborou também para o aumento da força muscular de preensão palmar e para a melhora da funcionalidade da mão plégica. Conclusão: Conclui-se com este estudo que a técnica de crioterapia com imersão de mão e punho plégicos é eficaz na redução da espasticidade, aumento da força muscular de preensão palmar e funcionalidade da mão plégica.
Stroke is a chronic non-communicable disease; it can occur through the obstruction of a blood vessel (ischemic stroke), which is the most common, or through the rupture of a vessel with blood leakage (hemorrhagic stroke), which can cause cognitive, sensory and motor sequelae, among which, it stands out the loss of strength and dexterity of the affected hand (plegic). Objective: To verify the influence of cryotherapy in relation to spasticity, grip strength and functional use of the plegic hand in stroke patients. Methodology: This research is configured as a multiple case study, exploratory, descriptive, intervention and quantitative analysis of the results. It was performed at the Univates School of Physiotherapy Clinic - CEF. For data collection, the modified Ashworth scale was used to identify the degree of spasticity, a digital dynamometer to verify the degree of handgrip strength and the Jebsen Taylor test to assess the functionality of the plegic hand, before and after using the cryotherapy. Three patients selected for convenience participated, being 01 men and 02 women aged between 38 and 71 years (mean 51 years). Ten sessions were held to apply the cryotherapy technique with one-limb immersion. Results: Participants showed a reduction in the degree of spasticity in the long term and immediately after the application of cryotherapy. The reduction in spasticity also contributed to the increase in handgrip muscle strength and to the improvement in the functionality of the plegic hand. Conclusion: It is concluded with this study that the cryotherapy technique with immersion of the plegic hand and wrist is effective in reducing spasticity, increasing the muscle strength of handgrip and functionality of the plegic hand.
Stroke is a chronic non-communicable disease; it can occur through the obstruction of a blood vessel (ischemic stroke), which is the most common, or through the rupture of a vessel with blood leakage (hemorrhagic stroke), which can cause cognitive, sensory and motor sequelae, among which, it stands out the loss of strength and dexterity of the affected hand (plegic). Objective: To verify the influence of cryotherapy in relation to spasticity, grip strength and functional use of the plegic hand in stroke patients. Methodology: This research is configured as a multiple case study, exploratory, descriptive, intervention and quantitative analysis of the results. It was performed at the Univates School of Physiotherapy Clinic - CEF. For data collection, the modified Ashworth scale was used to identify the degree of spasticity, a digital dynamometer to verify the degree of handgrip strength and the Jebsen Taylor test to assess the functionality of the plegic hand, before and after using the cryotherapy. Three patients selected for convenience participated, being 01 men and 02 women aged between 38 and 71 years (mean 51 years). Ten sessions were held to apply the cryotherapy technique with one-limb immersion. Results: Participants showed a reduction in the degree of spasticity in the long term and immediately after the application of cryotherapy. The reduction in spasticity also contributed to the increase in handgrip muscle strength and to the improvement in the functionality of the plegic hand. Conclusion: It is concluded with this study that the cryotherapy technique with immersion of the plegic hand and wrist is effective in reducing spasticity, increasing the muscle strength of handgrip and functionality of the plegic hand.
Descrição
Palavras-chave
Hemiplegia; Crioterapia; Funcionalidade; Hemiplegia; Cryotherapy; Functionality
Citação
PITANA, Henrique Krüger. Influência da crioterapia na espasticidade, força e funcionalidade da mão plégica de pacientes pós acidente vascular cerebral. 2021. Monografia (Graduação em Fisioterapia) – Universidade do Vale do Taquari - Univates, Lajeado, 02 dez. 2021. Disponível em: http://hdl.handle.net/10737/3344.