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The cerebral vascular illness results of the restriction of the sanguine irrigation to the brain, generating cellular injuries and neurological lack of function, they are referring to the motor function, sensorial, cognitive, of the perception or the language. The motor disfunction is one of the problems frequently found in the stroke, this will reflect in a gait, whose measurable parameters, such as: speed, cadence, symmetries, time and length of step and passing, they will suffer deficit alterations. This study was considered to verify it the effect of the Functional Electrical Stimulation (FES) quantifying muscular force and vigor, amplitude of movement, secular parameters space of the headway and the plantar pressure before and after intervention in a hemiparetic patient using the chain of the type FES in the previous tibial muscle for 30 min, with width of pulse of 250 μs, frequency of 50 Hz, Ton 06s and Toff 12s in a period of 45 days, three times per week, totalizing 20 sessions. The eletroestimulation was considered insurance and effective in the treatment of the atrophy of disuse, beyond being useful in the maintenance of the amplitude of movement, in the muscular re-education evidenced by the improvement of the parameters of gait and the muscular force.
The cerebral vascular illness results of the restriction of the sanguine irrigation to the brain, generating cellular injuries and neurological lack of function, they are referring to the motor function, sensorial, cognitive, of the perception or the language. The motor disfunction is one of the problems frequently found in the stroke, this will reflect in a gait, whose measurable parameters, such as: speed, cadence, symmetries, time and length of step and passing, they will suffer deficit alterations. This study was considered to verify it the effect of the Functional Electrical Stimulation (FES) quantifying muscular force and vigor, amplitude of movement, secular parameters space of the headway and the plantar pressure before and after intervention in a hemiparetic patient using the chain of the type FES in the previous tibial muscle for 30 min, with width of pulse of 250 μs, frequency of 50 Hz, Ton 06s and Toff 12s in a period of 45 days, three times per week, totalizing 20 sessions. The eletroestimulation was considered insurance and effective in the treatment of the atrophy of disuse, beyond being useful in the maintenance of the amplitude of movement, in the muscular re-education evidenced by the improvement of the parameters of gait and the muscular force.
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.
Introdução: São necessários treino e parâmetros específicos a fim de evitar a fadiga no treinamento com estimulação elétrica funcional. Objetivo: Verificou-se o aparecimento da fadiga muscular em pacientes, pós AVE, para melhor compreender um parâmetro de estimulação elétrica, a frequência. Métodos: Analisou-se o comportamento da fadiga muscular usando-se a frequência mediana e avaliou-se a contração voluntária máxima isométrica do músculo bíceps braquial hemiparético de 18 indivíduos, em sete momentos. Utilizou-se uma corrente quadrada e bifásica, com t"on" de 10 s., e t"off" de 30 s., e frequência variável de 50 Hz (protocolo 1) e 2.000Hz (protocolo 2). Resultados: Foi observado que não houve diferença estatisticamente significante (p<0,05) entre os protocolos 1 e 2; não sendo registrada diferença no período imediatamente pós-terapia. Conclusões: Pelas ferramentas de mensuração utilizadas, eletromiografia e força muscular, não foi possível detectar o aparecimento da fadiga muscular com os dois protocolos de estimulação elétrica funcional utilizados.
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