Coordenação locomotora de indivíduos pós acidente vascular encefálico

Detalhes bibliográficos
Autor(a) principal: Celestino, Melissa Leandro
Data de Publicação: 2019
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório do Centro Universitário Braz Cubas
Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/301
Resumo: Stroke survivors commonly present modified locomotor coordination, and protocols for gait training with partial body weight support (BWS) are usually employed. Diminished knee flexion on the paretic limb is one of gait alterations in those individuals and as such it influences the locomotor coordination. Quantify gait impairment would favor the understanding and development of training protocols for this population. The goal of this thesis was to investigate inter-limb locomotor coordination of individuals with stroke. Based upon that, three mainly concerns are raised: (1) the alterations in locomotor coordination in individuals with stroke are predominant during stance or swing balance? (2) The BWS training in different surfaces could provide alterations in locomotor coordination in individuals with stroke? (3) Non-disable individuals could present locomotor coordination similarly to individuals with stroke, if was manipulate their speed walk and the movement of knee flexion? In this way, three different studies were performed with individuals with stroke and individuals with no gait. For all experiments, the vector coding technique was employed and the frequency of coordination modes, such as in-phase, anti-phase, proximalsegment- phase, distal-segment-phase were analyzed. Overall, the results revealed that individuals with stroke present different intra-limb locomotor coordination for both thing-shank and shank-foot from their peers, and the differences are more pronounced in the distal limbs and during the swing period; gait training with BWS had not changed locomotor coordination in individuals with stroke in neither surface (i.e. treadmill and over the ground); slower speed and knee flexion constraint influenced locomotor coordination of individuals with no gait impairment, and the motor pattern was similar to individuals with stroke in some aspects and mainly between lower limbs. We conclude that the alteration of locomotor coordination in individuals with stroke, could be related mainly with the distal segments; the surface (overground or treadmill) do not change in the locomotor coordination training with BWS; finally, that slow velocity and knee movement restricted as manipulations caused similarities in non-disable walk and the hemiparetic walk, been a helpful information to futures protocols clinicians in rehabilitation.
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spelling Coordenação locomotora de indivíduos pós acidente vascular encefálicoLocomotor coordination of individuals with strokeHemiparesia crônicaSuporte parcial de peso corporalCoordenação intra-membroCodificação vetorialCNPQ::CIENCIAS DA SAUDEStroke survivors commonly present modified locomotor coordination, and protocols for gait training with partial body weight support (BWS) are usually employed. Diminished knee flexion on the paretic limb is one of gait alterations in those individuals and as such it influences the locomotor coordination. Quantify gait impairment would favor the understanding and development of training protocols for this population. The goal of this thesis was to investigate inter-limb locomotor coordination of individuals with stroke. Based upon that, three mainly concerns are raised: (1) the alterations in locomotor coordination in individuals with stroke are predominant during stance or swing balance? (2) The BWS training in different surfaces could provide alterations in locomotor coordination in individuals with stroke? (3) Non-disable individuals could present locomotor coordination similarly to individuals with stroke, if was manipulate their speed walk and the movement of knee flexion? In this way, three different studies were performed with individuals with stroke and individuals with no gait. For all experiments, the vector coding technique was employed and the frequency of coordination modes, such as in-phase, anti-phase, proximalsegment- phase, distal-segment-phase were analyzed. Overall, the results revealed that individuals with stroke present different intra-limb locomotor coordination for both thing-shank and shank-foot from their peers, and the differences are more pronounced in the distal limbs and during the swing period; gait training with BWS had not changed locomotor coordination in individuals with stroke in neither surface (i.e. treadmill and over the ground); slower speed and knee flexion constraint influenced locomotor coordination of individuals with no gait impairment, and the motor pattern was similar to individuals with stroke in some aspects and mainly between lower limbs. We conclude that the alteration of locomotor coordination in individuals with stroke, could be related mainly with the distal segments; the surface (overground or treadmill) do not change in the locomotor coordination training with BWS; finally, that slow velocity and knee movement restricted as manipulations caused similarities in non-disable walk and the hemiparetic walk, been a helpful information to futures protocols clinicians in rehabilitation.Pessoas sobreviventes ao acidente vascular encefálico (AVE) podem apresentar coordenação locomotora alterada, e protocolos de treinamento para reabilitar o andar, com o uso de sistemas de suporte parcial de peso corporal (SPPC) durante sessões de treinamento podem ser utilizados. A diminuição de flexão da articulação do joelho é uma das características do andar desses indivíduos e pode influenciar as alterações referentes à coordenação locomotora. Quantificar essas alterações poderia favorecer o entendimento e subsidiar futuros protocolos de intervenção para essa população. O objetivo geral desta tese foi investigar a coordenação locomotora intra-membros de indivíduos pós AVE. Para tanto, três questões principais foram levantadas: (1) as possíveis alterações na coordenação locomotora de indivíduos pós AVE são mais evidenciadas no período de apoio ou de balanço em relação a indivíduos sem comprometimento no aparelho locomotor? (2) O treinamento do andar com o uso do SPPC em esteira e no chão pode modificar a coordenação locomotora desses indivíduos? (3) Indivíduos sem comprometimento no aparelho locomotor podem apresentar coordenação locomotora semelhante a de indivíduos pós AVE se manipularmos a velocidade de locomoção e a restrição de movimento de flexão do joelho? Para tanto, três estudos foram desenvolvidos com indivíduos pós AVE e com indivíduos sem comprometimento no aparelho locomotor. A técnica da codificação vetorial foi implementada e a frequência de ocorrência nos padrões em fase, fora de fase, fase do segmento proximal e fase do segmento distal dos segmentos coxaperna e perna-pé foram considerados como variáveis dependentes. De modo geral, os resultados revelaram que indivíduos pós AVE apresentam coordenação locomotora intra-membros de coxa-perna e perna-pé diferentes de seus pares sem comprometimento, sendo o período de balanço do andar o que mais evidencia as diferenças entre os grupos, e as alterações são mais evidentes nos segmentos distais; o treinamento com SPPC não modificou a coordenação locomotora de indivíduos pós AVE, independentemente do tipo de superfície que foi empregado; e a diminuição da velocidade e a restrição de movimento de flexão do joelho influenciaram a coordenação locomotora de indivíduos sem comprometimento no aparelho locomotor, tornando o padrão de movimento semelhante aos de indivíduos pós AVE em alguns aspectos, principalmente entre os hemicorpos. Podemos concluir que as alterações locomotoras de indivíduos pós AVE podem ser atribuídas principalmente aos segmentos distais; que o tipo de superfície não alterou a coordenação locomotora de indivíduos pós AVE após treinamento com SPPC; e por fim, que manipulações de velocidade reduzida e diminuição de movimento articular do joelho provocam alterações na coordenação do andar de indivíduos sadios, semelhantes aos de indivíduos pós AVE, sendo um auxílio para novos protocolos clínicos de intervenção.Universidade Cruzeiro do SulBrasilCampus LiberdadeDoutorado Interdisciplinar em Ciências da SaúdeCruzeiro do SulBarela, Ana Maria Forti13422691871http://lattes.cnpq.br/2481128022542270Barela, Ana Maria Forti13422691871http://lattes.cnpq.br/2481128022542270Celestino, Melissa Leandro2020-01-30T18:25:09Z20202020-01-30T18:25:09Z2019-02-22info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdfCELESTINO, M. L. 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dc.title.none.fl_str_mv Coordenação locomotora de indivíduos pós acidente vascular encefálico
Locomotor coordination of individuals with stroke
title Coordenação locomotora de indivíduos pós acidente vascular encefálico
spellingShingle Coordenação locomotora de indivíduos pós acidente vascular encefálico
Celestino, Melissa Leandro
Hemiparesia crônica
Suporte parcial de peso corporal
Coordenação intra-membro
Codificação vetorial
CNPQ::CIENCIAS DA SAUDE
title_short Coordenação locomotora de indivíduos pós acidente vascular encefálico
title_full Coordenação locomotora de indivíduos pós acidente vascular encefálico
title_fullStr Coordenação locomotora de indivíduos pós acidente vascular encefálico
title_full_unstemmed Coordenação locomotora de indivíduos pós acidente vascular encefálico
title_sort Coordenação locomotora de indivíduos pós acidente vascular encefálico
author Celestino, Melissa Leandro
author_facet Celestino, Melissa Leandro
author_role author
dc.contributor.none.fl_str_mv Barela, Ana Maria Forti
13422691871
http://lattes.cnpq.br/2481128022542270
Barela, Ana Maria Forti
13422691871
http://lattes.cnpq.br/2481128022542270
dc.contributor.author.fl_str_mv Celestino, Melissa Leandro
dc.subject.por.fl_str_mv Hemiparesia crônica
Suporte parcial de peso corporal
Coordenação intra-membro
Codificação vetorial
CNPQ::CIENCIAS DA SAUDE
topic Hemiparesia crônica
Suporte parcial de peso corporal
Coordenação intra-membro
Codificação vetorial
CNPQ::CIENCIAS DA SAUDE
description Stroke survivors commonly present modified locomotor coordination, and protocols for gait training with partial body weight support (BWS) are usually employed. Diminished knee flexion on the paretic limb is one of gait alterations in those individuals and as such it influences the locomotor coordination. Quantify gait impairment would favor the understanding and development of training protocols for this population. The goal of this thesis was to investigate inter-limb locomotor coordination of individuals with stroke. Based upon that, three mainly concerns are raised: (1) the alterations in locomotor coordination in individuals with stroke are predominant during stance or swing balance? (2) The BWS training in different surfaces could provide alterations in locomotor coordination in individuals with stroke? (3) Non-disable individuals could present locomotor coordination similarly to individuals with stroke, if was manipulate their speed walk and the movement of knee flexion? In this way, three different studies were performed with individuals with stroke and individuals with no gait. For all experiments, the vector coding technique was employed and the frequency of coordination modes, such as in-phase, anti-phase, proximalsegment- phase, distal-segment-phase were analyzed. Overall, the results revealed that individuals with stroke present different intra-limb locomotor coordination for both thing-shank and shank-foot from their peers, and the differences are more pronounced in the distal limbs and during the swing period; gait training with BWS had not changed locomotor coordination in individuals with stroke in neither surface (i.e. treadmill and over the ground); slower speed and knee flexion constraint influenced locomotor coordination of individuals with no gait impairment, and the motor pattern was similar to individuals with stroke in some aspects and mainly between lower limbs. We conclude that the alteration of locomotor coordination in individuals with stroke, could be related mainly with the distal segments; the surface (overground or treadmill) do not change in the locomotor coordination training with BWS; finally, that slow velocity and knee movement restricted as manipulations caused similarities in non-disable walk and the hemiparetic walk, been a helpful information to futures protocols clinicians in rehabilitation.
publishDate 2019
dc.date.none.fl_str_mv 2019-02-22
2020-01-30T18:25:09Z
2020
2020-01-30T18:25:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv CELESTINO, M. L. Coordenação locomotora de indivíduos pós acidente vascular encefálico. 131 f. Tese (Doutorado Interdisciplinar em Ciências da Saúde) – Universidade Cruzeiro do Sul, São Paulo, 2019.
https://repositorio.cruzeirodosul.edu.br/handle/123456789/301
identifier_str_mv CELESTINO, M. L. Coordenação locomotora de indivíduos pós acidente vascular encefálico. 131 f. Tese (Doutorado Interdisciplinar em Ciências da Saúde) – Universidade Cruzeiro do Sul, São Paulo, 2019.
url https://repositorio.cruzeirodosul.edu.br/handle/123456789/301
dc.language.iso.fl_str_mv por
language por
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dc.publisher.none.fl_str_mv Universidade Cruzeiro do Sul
Brasil
Campus Liberdade
Doutorado Interdisciplinar em Ciências da Saúde
Cruzeiro do Sul
publisher.none.fl_str_mv Universidade Cruzeiro do Sul
Brasil
Campus Liberdade
Doutorado Interdisciplinar em Ciências da Saúde
Cruzeiro do Sul
dc.source.none.fl_str_mv reponame:Repositório do Centro Universitário Braz Cubas
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reponame_str Repositório do Centro Universitário Braz Cubas
collection Repositório do Centro Universitário Braz Cubas
repository.name.fl_str_mv Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)
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