Efectos de la vibración del tendón muscular en el equilibrio después del accidente cerebrovascular: una revisión sistemática
DOI:
https://doi.org/10.1590/1809-2950/220076090822PTPalabras clave:
Control Postural, Equilibrio, Vibración del Tendón MuscularResumen
Después del accidente cerebrovascular, las personas
tienen combinaciones complejas de déficits sensoriales, motores,
cognitivos y emocionales que pueden afectar el equilibrio estático
y dinámico. El objetivo de este estudio fue recopilar y resumir las
principales características y hallazgos de los protocolos utilizados
en los estudios que investigaron los efectos de la vibración del
tendón muscular sobre el equilibrio estático y dinámico en adultos
con accidente cerebrovascular. Se trata de una revisión sistemática,
registrada en PROSPERO (CRD420223874), en la que se realizaron
búsquedas en las Bases de Datos PubMed, Cochrane, LILACS,
SciELO, MEDLINE, Science Direct y PEDro, durante el mes de enero
de 2022, mediante la combinación de palabras clave relacionadas
con “stroke”, “balance”, “muscle tendon vibration” y “randomized
controlled trial”. La calidad metodológica se evaluó mediante la
escala PEDro. Se identificaron un total de 1.560 estudios, de los
cuales se incluyeron 11, publicados entre 1994 y 2020, con 242 adultos
después del accidente cerebrovascular. Solo cinco estudios utilizaron
la vibración como intervención y verificaron la mejoría en el equilibrio
estático y dinámico. Seis estudios analizaron la interferencia de la
vibración en el control postural, señalando que el equilibrio se vio
afectado durante la aplicación de la vibración y que los individuos
necesitaron más tiempo para recuperarse o no sufrieron diferencias
significativas. Se encontró que los efectos de la vibración del tendón
muscular pueden mejorar el equilibrio en personas con accidente
cerebrovascular e influir en el control postural a través de mecanismos
propioceptivos de vibración. Sin embargo, se necesitan más estudios
de alta calidad metodológica para llegar a un consenso con respecto
a los protocolos de tratamiento con vibración del tendón muscular
y su recomendación en la práctica clínica
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Referencias
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Derechos de autor 2022 Angélica Yumi Sambe, Joyce Karla Machado da Silva, Camila Costa de Araujo Pellizzari, Paola Janeiro Valenciano
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
