Relação entre nível de atividade física, equilíbrio e qualidade de vida em indivíduos com hemiparesia

Abstract

Introduction: Physical activity brings benefits to the neurological system, especially to motor and balance impairment, which are important deficits in individuals with sequels after a stroke. Objective: To assess the correlation between the level of physical activity and balance and with the quality of life of individuals with hemiparesis after a stroke. Method: 19 individuals (57.8 ± 14.1 years old) with chronic hemiparesis (44.1 ± 37.9 months) were involved in this study. The study evaluated the human activity profile (HAP), the balance confidence level (ABC), the functional balance (BERG) and quality of life (SSQOL). Data were submitted to analysis of Spearman's correlation coefficient. Results: HAP presented a positive strong correlation with the scores of functional balance (BERG; ρ = 0.73) and a moderated positive correlation with the scores of balance confidence (ABC; ρ = 0.64). Total HAP and the HAP set showed moderate positive correlation with the mobility (respectively ρ = 0.48 and ρ = 0.71), self-care (ρ = 0.48 and ρ = 0.65), upper limb function (ρ = 0.56 for both) and vision (ρ = 0.49 and ρ = 0.69) domains. Conclusion: The results of this study suggest that the more active the person is, the greater his/her balance and quality of life will be. Considering this, the development of physical activity programs for individuals with hemiparesis after strokes becomes extremely important.

Physical activity levels of a primary health care users: comparisons between healthy subjects and subjects with stroke

“…Other studies in which disability after stroke was evaluated, the motor impairment was similar. 28 Braun et al, 12 who studied 19 chronic stroke patients in the city of Florianópolis, Brazil, and evaluated the relationship between postural balance, level of physical activity and quality of life, found MAS of 71±12 and AAS of 48±16 with activity classification of 52.6% inactive, 42.1% moderately active, and 5.3% active patients. These results are similar to our findings.…”

“…[12][13][14][15] Therefore, it is essential to profile the level of physical activities of stroke patients of primary care of a public health system. A primary healthcare unit (UBS), the first contact of a patient with the Brazilian pubic healthcare system, also has the competence to monitor, to follow up, and to assist stroke patients regarding rehabilitation, prevention of disabilities and stroke recurrence, or prevention of other diseases, as well as the competence to promote functionality and general health.…”

The influence of attentional demands in postural control of hemiparetic

“…O Acidente Vascular Cerebral (AVC) é uma condição de rápido desenvolvimento, com sinais clínicos de perturbação focal ou global da função cerebral, com mais de 24 horas de duração 1,2 , que provoca sequelas motoras, sensitivas e cognitivas 2 , e variam de acordo a área afetada do cérebro 3,4 . O sinal mais evidente do AVC é a hemiparesia/hemiplegia 1,3 , que se caracteriza por fraqueza muscular do hemicorpo contralateral a lesão 2 .…”

“…O sinal mais evidente do AVC é a hemiparesia/hemiplegia 1,3 , que se caracteriza por fraqueza muscular do hemicorpo contralateral a lesão 2 . Com a diminuição da força e da informação sensorial do hemicorpo afetado, indivíduos hemiparéticos apresentam equilíbrio funcional deficiente e um, risco aumentado para ocorrência de quedas 3 .…”

“…O AVC é a principal causa de morte no Brasil 2 , e responsável por cerca de 5,5 milhões de mortes no mundo 5 . No Brasil a cada mil pessoas, onze são vitimas de AVC6, cerca de 50% a 70% dos indivíduos recuperam a independência funcional e, após seis meses cerca de 50% apresentam hemiparesia/hemiplegia 7,8 , que é a principal causa de incapacidades crônica em adultos 2,8 .…”