O comprometimento da capacidade funcional de indivíduos pós-AVC e o acesso aos serviços de fisioterapia

• Autor(a) principal: Gadelha, Ingrid Davis da Silva
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/9025
• topic: Acidente Vascular Cerebral; Avaliação da deficiência; Serviço Hospitalar de Fisioterapia; Atividades cotidianas; Cerebrovascular Accident; Degree of disability; Hospital Physiotherapy Service; Daily activities; CIENCIAS DA SAUDE::SAUDE COLETIVA

The Cerebrovascular Accident (CVA) is a neurological deficit caused by blood interruption in a certain area of the encephalon. It follows with motor and functional loss in subjects affected, leading to difficulties in performing daily life activities. Therefore, the access to physiotherapy treatment can promote gains related to functionality, contribute to enhancement in disability and adaptation terms and, consequently, have a better quality of life. The aim of this study was to investigate the severity and the level of functional independence in patients post-CVA, and the access to physiotherapy services. It is a longitudinal observational study carried out across four investigation stages (T0, T1, T2, T3) with patients post CVA, from both genders, admitted to a public hospital in João Pessoa/PB. To perform the statistical tests it was taken into account the level of significance 5%. The study sample was composed by 42 subjects and it was possible to evidence a homogeneous distribution among genders in age-group over 60 years old. The majority of the individuals have had an ischemic CVA (61.9%) and the left side of the body was more affected (42.9%). From the hospitalized subjects, 38.1% have received physiotherapeutic treatment and it is important to highlight, related to functional commitment, a higher prevalence of subjects situated in moderate to severe degree of disability. The Binary Logistic Regression Modeling indicates the variable type of CVA with significant effect related to the execution of physiotherapeutic treatment at the hospital. A low access to physiotherapy services and the discontinuity of care throughout the study were observed. In what concerns the execution of basic and instrumental activities of daily life, differences in their performances were emphasized. Variations were reflected on the corresponding period to T0 – T1 and T2 – T3. The activities inherent to “bathing” and “travel” in T1 and the item related to “get dressed” in T3 presented noticeable association in relation to physiotherapy treatment, which can indicate the functional characteristics of those subjects when they first enter the assistance service. This study enables to contribute for strategies planning and improvement of physiotherapeutic actions focused on subjects’ needs post-CVA. The conducts carried out with the focus on individuals’ real conditions allow a more effective functional return, generating more autonomy, quality of life, and social reintegration to this population segment.