Análise dos parâmetros espaço-temporais da marcha em indivíduos com disfunção neurológica tratados com prática mental

uma revisão sistemática

  • Taís Arcanjo Maropo da Silva Centro Universitário Joaquim Nabuco – UNINABUCO
  • Liliane Pereira da Silva Centro Universitário UniFavip Wyden
  • Patrícia Fernanda Faccio Centro Universitário Joaquim Nabuco – UNINABUCO
  • Kássia Maria Clemente da Silva Universidade Federal de Pernambuco – UFPE https://orcid.org/0000-0002-4945-2943
  • Andryelle Rayane de Vasconcelos Arruda Universidade Federal de Pernambuco – UFPE
  • Letícia do Nascimento Silva Universidade Federal de Pernambuco – UFPE
  • Carla Cabral dos Santos Accioly Lins Universidade Federal de Pernambuco – UFPE https://orcid.org/0000-0002-1018-5331
  • Maria das Graças Wanderley de Sales Coriolano Universidade Federal de Pernambuco – UFPE https://orcid.org/0000-0002-7937-7761
Palavras-chave: Marcha, Manifestações Neurológicas, Fisioterapia

Resumo

A habilidade da marcha após uma patologia neurológica muitas vezes é prejudicada e limitada a curtas distâncias, sendo o tempo de caminhada, o comprimento do passo e a cadência inferiores às pessoas sem patologias ou deficiências conhecidas. Atualmente a prática mental vem sendo combinada ao contexto clínico, na reabilitação de pacientes com sequelas neurológicas, principalmente pós-Acidente Vascular Cerebral. Objetivo: Analisar os efeitos da prática mental, associada ou não a outras estratégias de intervenção, nos parâmetros espaço-temporais da marcha de pessoas com doenças neurológicas. Métodos: Trata-se de uma revisão sistemática da literatura sobre os parâmetros espaciais da marcha em pacientes com disfunção neurológica tratados com prática mental. As bases de dados pesquisadas foram Pubmed/Medline LILACS, Scopus, Web of Science e Cochrane. Resultados: A maioria dos estudos apresentou o Acidente Vascular cerebral como disfunção neurológica, seguidos de Doença de Parkinson, Lesão medular e Esclerose múltipla.  Os estudos selecionados apresentaram protocolos de prática mental associado à fisioterapia combinado ou não com outras estratégias de tratamento no grupo experimental dentre elas estimulação magnética transcraniana e estimulação auditiva rítmica. Dentre os parâmetros espaço-temporais da marcha a velocidade foi o parâmetro mais avaliado e o comprimento da passada o menos avaliado. Conclusão: A prática mental apresentou efeitos positivos nos parâmetros tempo, velocidade e cadência da marcha de pacientes com AVC. Poucos estudos limitam a interpretação dos resultados para doença de Parkinson, Esclerose múltipla e Lesão medular.

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Publicado
2018-06-30
Seção
Artigo de Revisão