Efeitos da vibração do tendão muscular no equilíbrio após o Acidente Vascular Cerebral: revisão sistemática
DOI:
https://doi.org/10.1590/1809-2950/220076090822PTPalavras-chave:
Controle Postural, Equilíbrio, Vibração do Tendão MuscularResumo
Após o Acidente Vascular Cerebral (AVC), as pessoas apresentam combinações complexas de déficits sensoriais, motores, cognitivos e emocionais, que podem afetar o equilíbrio estático e dinâmico. Objetivo do estudo foi compilar e resumir as principais características e achados de protocolos utilizados em pesquisas que investigaram os efeitos da vibração no tendão muscular no equilíbrio estático e dinâmico em adultos com AVC. Trata-se de uma revisão sistemática, registrada na PROSPERO CRD42022303874, em que foram realizadas buscas nas bases de dados: PubMed, Cochrane, Lilacs, SciELO, Medline, Science Direct e PEDro, durante o mês de janeiro de 2022, com o uso da combinação de palavras-chave relacionadas a “stroke”, “balance”, “muscle tendon vibration”, “randomized controlled trial”. Qualidade metodológica foi avaliada através da Escala PEDro. Foram identificados 1.560 estudos, 11 dos quais foram incluídos, entre os anos de 1994 à 2020, envolvendo 242 adultos pós-AVC. Apenas 5 estudos utilizaram a vibração como intervenção e verificaram que há melhora no equilíbrio estático e dinâmico. E 6 estudos analisaram interferência da vibração no controle postural, mostraram que o equilíbrio foi afetado durante a aplicação da vibração e que os indivíduos precisaram de mais tempo para se recuperar ou não sofreram diferenças significativas. Verificou-se que os efeitos da vibração do tendão muscular podem ser capazes de gerar melhora no equilíbrio em pessoas com AVC, e podem influenciar através de mecanismos proprioceptivos da vibração o controle postural, porém são necessários mais estudos de alta qualidade metodológica para consenso em relação à protocolos e para recomendação na prática clínica.
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Copyright (c) 2022 Angélica Yumi Sambe, Joyce Karla Machado da Silva, Camila Costa de Araujo Pellizzari, Paola Janeiro Valenciano
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