Treinamento orientado à tarefa e fisioterapia convencional na recuperação motora no pós-AVC
DOI:
https://doi.org/10.34024/rnc.2020.v28.10571Palavras-chave:
Acidente vascular cerebral, reabilitação, fisioterapia, hospitalização, atividade de vida diária, treinamento orientado à tarefa.Resumo
Introdução. O treinamento orientado à tarefa (TOT) é fundamentado pela neuroplasticidade e tem sido estudado em indivíduos com acidente vascular cerebral (AVC), devido sua influência na recuperação da função motora. Objetivo. Avaliar a influência desse treinamento na recuperação motora em indivíduos com AVC na fase aguda. Método. Estudo observacional, longitudinal, retrospectivo e analítico, composto por 23 indivíduos divididos em dois grupos: grupo que realizou fisioterapia convencional (n=12) e grupo intervenção que realizou TOT (n=11). Foram incluídos indivíduos com evento único de AVC, após 24 a 72 horas de evento, ambos os sexos, idade acima de 18 anos e lesão isquêmica da artéria cerebral média. A mobilidade foi avaliada pela escala ICU Mobility Scale (IMS) e a força muscular pela Medical Research Council (MRC) na admissão e na alta hospitalar. Resultados. A mobilidade foi significante no grupo que realizou treinamento orientado à tarefa (p=0,011) comparado ao grupo que realizou fisioterapia convencional (p=0,136), já a análise da força muscular apresentou diferença em ambos os grupos. Conclusão. O treinamento orientado à tarefa foi superior em relação a mobilidade quando comparada à fisioterapia convencional, provavelmente pelo fato de estar relacionado às atividades de seu cotidiano.
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Aceito: 2020-12-02
Publicado: 2020-12-23