Fortalecimento dos músculos estabilizadores da escápula e qualidade de vida de indivíduos com hemiparesia

Moraes, Geraldo Fabiano de Souza; Nascimento, Lucas Rodrigues; Glória, Adam Edwards; Paiva, Célia Maria; Lopes, Thiago de Arruda Teixeira; Pereira, Shelley Caroline; Souza, Aline Cristina de; Oliveira, Edênia Santos Garcia; Oliveira, Daniela Matos Garcia

doi:10.5585/conssaude.v10i2.2619

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Moraes and collaborators 19 demonstrated in a quasi-experimental study conducted with 7 individuals diagnosed with stroke with functional impairment of the affected MS according to the Fugl-Meyer Scale assessment and quality of life assessment using the SF-36. The subjects of this study underwent a specific bilateral resistance training intervention program for the scapular stabilizer muscles for 13 weeks, at a frequency of three times in a week.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2020

JNSK

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The stroke is the acute onset of neurological clinical manifestations, which may be ischemic or hemorrhagic, leading to several related signs and symptoms the affected areas. Aimed to evaluate the function of the paretic upper limb before and after a neuromuscular physical therapy rehabilitation program. It is a multiple case study, cross-sectional and quantitative. The sample consisted of three participants characterized as participants P1, P2 and P3. Steps have been taken before and after a neuromuscular based intervention program and used the following data collection instruments: a clinical, sociodemographic and inspection of member form; the Mini-Mental State Examination; the modified Ashworth scale; the Fugl-Meyer Scale and the Arm Motor Ability Test. The neuromuscular program was performed 2 times per week for fifty minutes totaling ten sessions and consisted of: 1) Guidelines and general care; 2) specific skills training for upper limb, and 3) application of Kinesio Taping®. It was observed cognitive preservation and tonus ranging between normal and slightly hypertonic. Two participants reported pain: P2 on the handle and P3 on the shoulder. All showed improvement of motor function. In the assessment of functional ability and movement quality all participants showed improvement. All showed gains for functionality, quality of movement and functional ability, as well as decreased pain, which showed that the program had effectively on the rehabilitation process.

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Section: Discussionmentioning

confidence: 99%

Untitled

2020

JNSK

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“…There was no increase in muscle tone in the quadriceps or hamstrings immediately after training of both forms of muscle strengthening, but we found tonus elevation 30 days after the end of treatment. Recent evidence suggests that adaptive mechanisms of the musculoskeletal system, including an increase in passive muscle stiffness impairing the generation of force, are more directly associated with the motor dysfunctions presented by hemiparetic ones (20) . However, Junqueira et al (21) did not observe a correlation between the increase in tonus and the gain of muscle strength.…”

Section: Discussionmentioning

confidence: 99%

Muscle strengthening of knee extensors in hemiparetics: prospective and longitudinal study

Gomes¹,

Scalha²,

Bovi³

et al. 2020

mtprehabjournal

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Background: Several attempts to reduce spasticity have been directed to stroke sufferers based on the historical view that spasticity is the major determinant of motor dysfunction and that its reduction results in improved function of the affected limb. Paresis is also recognized as a limiting factor in hemiparetic rehabilitation and has a negative impact on self-care, mobility, or up and down stairs due to slow activation of motor units and difficulty in producing adequate amount of muscle strength. In the treatment of spasticity, many therapeutic procedures have been used. Resisted exercises occur when there is load on the body segment distal to the muscle that develops muscle tension, occurs muscle shortening and an external force is overcome. Objective: The aim of this study was to analyze the results of isometric and isotonic strengthen program in the quadriceps muscles of the affected limb of patients with chronic hemiparesis secondary to stroke and to evaluate its effects on spasticity, motor function of the lower limb, balance and mobility. Methods: The participants were divided into three groups: isotonic strengthening, isometric strengthening and control group. It was applied the Ashworth scale, Fugl-Meyer Protocol, Time Up and Go test and Berg Balance Scale. Results: The isometric and isotonic strengthening program presented post-treatment variations, whereby only the isometry group showed improvement in balance. The control group did not show a significant improvement. There was no increase in the muscular tonus of the quadriceps or hamstrings immediately after the treatment. Conclusion: The selective muscle strengthening of the quadriceps resulted in an increase of the motor function, balance and mobility followed by a decrease or maintenance of the muscular tonus of the patients.

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