Early Mobilization After Stroke in the Acute Phase: Integrative Review
DOI:
https://doi.org/10.34024/rnc.2021.v29.11225Keywords:
Stroke, Neurology, Early mobilization, Sequelae, ReviewAbstract
Introduction. An early rehabilitation program after a stroke, where strategies and interventions are used to promote the ability to perform tasks is of fundamental importance to speed recovery, in addition to preventing secondary complications and reducing hospitalization costs. Objective. To review publications on early mobilization and its effects when applied to patients diagnosed with stroke in the acute phase of the disease. Method. This is an integrative literature review, using the electronic databases Scientific Electronic Library Online (SciELO) and international literature in Health Sciences (MEDLINE). The coverage period was from January 2015 to January 2020. Results. Among the studies included in this review, 01 carried out a single group study, comparing findings before and after early mobilization, 01 was a literature review, 01 was a review systematic literature, 01 cohort study with patients diagnosed with ischemic stroke submitted to thrombolysis, 07 were clinical trials. Conclusions. Early mobilization can improve accelerate recovery, in addition to helping to prevent secondary complications, reducing hospitalization costs, being also safe and effective, but when compared to usual care, it has not shown superiority.
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References
Marzolini S, Robertson AD, Oh P, Goodman JM, Corbett D, Du X, et al. Aerobic Training and Mobilization Early Post-stroke: Cautions and Considerations. Front Neurol 2019;10:1187.
https://doi.org/10.3389/fneur.2019.01187
Teixeira AS, Menezes CES, Carvalho JJF, Lima FO. Depressão pós-AVC isquêmico e alterações nas funções executivas. Rev Bras Psicol 2017;3:77-88. https://periodicos.ufba.br/index.php/revbraspsicol/issue/viewIssue/1842/487
Serra ACM. Fisioterapia aplicada à paciente vítima de acidente vascular cerebral isquêmico: estudo de caso. Rev Interdis 2018;11:107-11. https://dialnet.unirioja.es/servlet/articulo?codigo=7019261
Lacerda ID, Brito JS, Souza DL, Costa-Junior WL, Faria TA. AVE isquêmico em paciente jovem sem fatores de risco: relato de caso. Rev Med 2018;97:361-7. https://doi.org/10.11606/issn.1679-9836.v97i3p361-367
Aquim EE, Bernardo WM, Buzzini RF, Azeredo NSG, Cunha LS, Damasceno MCP, et al. Brazilian Guidelines for Early Mobilization in Intensive Care Unit. Diretrizes Brasileiras de Mobilização Precoce em Unidade de Terapia Intensiva. Rev Bras Ter Intensiva 2019;31:434-43. https://doi.org/10.5935/0103-507X.20190084
Mateus AP, Ruivo EAB, Brito WA, Lamari NM, Cavenaghi S. Mobilização precoce intra-hospitalar em pacientes após acidente vascular cerebral: revisão sistemática. Arq Cienc Saúde 2017;24:8-13. https://doi.org/10.17696/2318-3691.24.3.2017.662 7.Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein 2010;8:102-6. http://dx.doi.org/10.1590/s1679-45082010rw1134
Alamri MS, Waked IS, Amin FM, Al-Quliti KW, Manzar MD. Effectiveness of an early mobility protocol for stroke patients in Intensive Care Unit. Neurosciences 2019;24:81-8. https://doi.org/10.17712/nsj.2019.2.20180004
Ferreira FS, França NM, Lima RA, Ferreira JR, Sales KNA. Physiotherapy in the acute hospital phase of strokes: A bibliographic review. Rev Hosp Univer Pedro Ernesto (HUPE) 2019;18:47-54. https://pdfs.semanticscholar.org/cc89/3ac414ef6cb780068ffb3faa2b4137820399.pdf
Momosaki R, Yasunaga H, Kakuda W, Matsui H, Fushimi K, Abo M. Very Early versus Delayed Rehabilitation for Acute Ischemic Stroke Patients with Intravenous Recombinant Tissue Plasminogen Activator: A Nationwide Retrospective Cohort Study. Cerebrovasc Dis 2016;42:41-8. https://doi.org/10.1159/000444720
Langhorne P, Wu O, Rodgers H, Ashburn A, Bernhardt J. A Very Early Rehabilitation Trial after stroke (AVERT): a Phase III, multicentre, randomised controlled trial. Health Technol Assess 2017;21:1-120. https://doi.org/10.3310/hta21540
Cumming TB, Bernhardt J, Lowe D, Collier J, Dewey H, Langhorne P, et al. Early Mobilization After Stroke Is Not Associated With Cognitive Outcome. Stroke 2018;49:2147-54.
https://doi.org/10.1161/STROKEAHA.118.022217
Gao L, Sheppard L, Wu O, Churilov L, Mohebbi M, Collier J, et al. Economic evaluation of a phase III international randomised controlled trial of very early mobilisation after stroke (AVERT). BMJ Open 2019;9:e026230. https://doi.org/10.1136/bmjopen-2018-026230
AVERT Trial Collaboration group. Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial [published correction appears in Lancet 2015;386:30] [published correction appears in Lancet 2017;389:1884]. Lancet 2015;386:46-55. https://doi.org/10.1016/S0140-6736(15)60690-0
Tong Y, Cheng Z, Rajah GB, Duan H, Cai L, Zhang N, et al. High Intensity Physical Rehabilitation Later Than 24 h Post Stroke Is Beneficial in Patients: A Pilot Randomized Controlled Trial (RCT) Study in Mild to Moderate Ischemic Stroke. Front Neurol 2019;10:113. https://doi.org/10.3389/fneur.2019.00113
Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind, randomized controlled trail. Clin Rehabil 2016;30:669-75. https://doi.org/10.1177/0269215515596054
Rahayu UB, Wibowo S, Setyopranoto I. The Effectiveness of Early Mobilization Time on Balance and Functional Ability after Ischemic Stroke. Open Access Maced J Med Sci 2019;7:1088-92. https://doi.org/10.3889/oamjms.2019.269
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Accepted 2021-02-08
Published 2021-03-08
