A lesão medular é uma alteração incapacitante, caracterizada por interrupção parcial ou total dos estímulos neurológicos através da medula. No processo de reabilitação, o fisioterapeuta pode se utilizar de vários recursos para melhora funcional do paciente, como as técnicas conhecidas de eletroestimulação funcional e a facilitação neuromuscular proprioceptiva (FNP). O objetivo deste trabalho foi verificar a eficácia da eletroestimulação funcional (FES) associada à FNP na melhora funcional dos membros superiores de um paciente tetraplégico. Para tal, um paciente com lesão medular foi submetido a 20 sessões de tratamento com FES, associado à FNP nos membros superiores, duas vezes por semana, com duração de 40 minutos. Para a obtenção dos resultados, o paciente foi avaliado, inicialmente, pela escala da Ásia para determinar o nível neurológico da lesão, e pela escala Wolf Motor Function Test (WMFT). Como resultado, observou-se uma melhora bilateral da capacidade de realizar atividades funcionais, destacando assim as tarefas que exigiram movimentos mais precisos, como dobrar toalhas e levantar cesta. Conclui-se que, no caso do paciente estudado, a FES associada à FNP proporcionou melhora funcional dos membros superiores de um paciente com lesão medular.Palavras-chave: Lesão Medular. FES. FNP. Fisioterapia.AbstractSpinal cord injury is a disabling alteration, characterized by partial or total disruption of neurological stimuli through the medulla. In the rehabilitation process the physiotherapist may use several resources for the patient’s functional improvement, such as the so-called techniques of electrostimulation functional and proprioceptive neuromuscular facilitation (PNF). The objective of this work was to verify the influence of the association of functional electrostimulation (FES) with the PNF in the functional improvement of the upper members of a tetraplegic patient. For such, a patient with spinal cord injury was submitted to 20 sessions of treatment with FES associated to the PNF in the upper limbs, twice a week, with duration of 40 minutes. For obtaining the results, the patient was assessed initially by the scale of Asia to determine the neurological level of the lesion, and by scale Wolf Motor Function Test (WMFT). As results a bilaterally improvement in the ability to perform functional activities was observed, thus highlighting the tasks that demanded more precise movements, such as to fold towels and raise basket, where the patient obtained 2 in pre treatment and 4 evaluation in the post-treatment bilaterally. It is concluded that, in the case of the studied patient, FES associated with PNF gave functional improvements of the patient’s upper members with spinal cord injuries.Keywords: Spinal Cord Injury. FES. PNF. Physical Therapy.
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