Análise da coordenação motora dos membros inferiores de indivíduos com acidente vascular cerebral e indivíduos saudáveis: estudo comparativo

• Autor(a) principal: Costa, Mayara Fabiana Pereira
• Data de Publicação: 2016
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFRN
• Texto Completo: https://repositorio.ufrn.br/handle/123456789/35837
• topic: Destreza motora; Extremidade inferior; Estudos de avaliação; Fisioterapia

Introduction: Subjects with stroke sequelae can have their activity and participation decreased, especially if the sequelae involve the mobility of these subjects. Although these patients present more noticeable impairment in the contralateral side to the brain lesion, the ipsilateral side is also injured, but in a lesser degree and has present deficits too. Thus, it suggests that the non-paretic side also presents impairment regarding motor coordination of lower limb, when compared to the performance of the lower limbs (LL) of healthy subjects. Objective: To evaluate the motor coordination of the non-paretic lower limb (NPLL) in patients who had stroke, comparing to the paretic lower limb (PLL) and the LL of health subjects. Method: 38 patients of both genders were evaluated, with mean age of 56.5 years old and mean sequelae time of 4.5 months, with gait velocity below 0.8 m/s. The patients were classified according to their cognitive (Mini Mental State Examination) and neurological status (National Institute of Health Stroke Scale), and then they were submitted to the Lower Extremity Motor Coordination Test (LEMOCOT), which was executed with PLL and NPLL of stroke subjects. These patients‟ data were matched with Brazilian reference values for LEMOCOT of 38 healthy subjects, considering age, gender and dominance of lower limb. Statistical analysis was done using measures of central tendency and dispersion, it was used the Shapiro-Wilk test and T tests for independent samples, considering a significance level of 5%. Results: Regarding the LEMOCOT scores, it was observed a significant difference when comparing NPLL to PLL (P <0.001), with a higher PLL impairment. When comparing the NPLL with the dominant and non dominant lower limbs of healthy subjects, there were lower scores to the NPLL in both comparisons (P <0.001).When comparing the NPLL to the matched lower limb by dominance, there were also NPLL lower scores (P <0.001). Conclusion: According to the results, it is possible to conclude that is necessary to evaluate the impairment of the motor coordination of patients with stroke even in the non-paretic side, because the coordination has shown impairment in this side of the body. In addition to the evaluation, it suggested that rehabilitation programs may include therapies that act on the non-paretic side.