Responsividade de dois instrumentos de avaliação do equilíbrio em pacientes pós-AVE trombolisado na fase aguda

Autores

  • Lemuel Victor da Silva Bernardes Hospital Geral Roberto Santos - HGRS
  • Iara Maso Hospital Geral Roberto Santos - HGRS
  • Marilucia Reis dos Santos Hospital Geral Roberto Santos - HGRS https://orcid.org/0000-0002-3220-883X
  • Alana das Mercês Silva Hospital Geral Roberto Santos - HGRS
  • Francisco Robson Oliveira Hospital Geral Roberto Santos - HGRS
  • Jorge Luís Motta dos Anjos Hospital Geral Roberto Santos - HGRS

DOI:

https://doi.org/10.11606/issn.2317-0190.v28i2a183160

Palavras-chave:

Acidente Vascular Cerebral, Equilíbrio Postural, Reabilitação

Resumo

A Escala de Equilíbrio de Berg (EEB) e a Escala de Avaliação Postural para Pacientes com Sequelas de AVE (EAPA) são ferramentas de medida úteis e válidas na prática clínica. Objetivo: Comparar a responsividade da EEB e EAPA na avaliação do equilíbrio de indivíduos pós-AVE trombolisado na fase aguda. Métodos: Trata-se de um estudo longitudinal analítico, realizado em uma Unidade de AVC, no qual foram aplicados a EEB e a EAPA nas primeiras 24 horas e no sétimo dia de internamento ou no dia da alta. Para determinação da responsividade adotou-se o Índice de Tamanho de Efeito (TE) e a Média de Resposta Padronizada (MRP), sendo calculados efeito solo e teto de ambas as escalas. Resultados: 44 pacientes, predominantemente do sexo masculino, média de idade 60 (±13) anos e mediana NIHSS 3,5 [1-6]. Ambos os instrumentos de avaliação detectaram melhora do equilíbrio. As escalas apresentaram TE pequeno, sendo o TE da EEB igual a 0,2 e o da EAPA igual a 0,3. A MRP foi moderada para as duas escalas, sendo a MRP da EEB igual a 0,7 e da EAPA igual a 0,6. A EAPA apresentou efeito solo menor do que a EEB nas primeiras 24 horas, enquanto no sétimo dia, a EEB apresentou efeito teto menor. Conclusão: A EAPA pode ser uma melhor opção para avaliação do equilíbrio em pacientes pós-AVE nas primeiras 24 horas, à medida em que a EEB pode ser uma melhor escolha para avaliação a partir do sétimo dia nessa população específica.

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Publicado

2021-07-23

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