O efeito do treinamento de vibração do corpo inteiro nos sinais eletromiográficos em pacientes acometido por AVC

Autores

  • Miqueline Pivoto Farias Dias UNIFAL
  • Vanessa de Queiroz dos Santos UNIFAL
  • Ruanito Calixto Junior UNIFAL
  • Beatriz Bertolaccini Martinez UNIVAS
  • Sidney Benedito da Silva UNIVAS
  • Carolina Kosour UNIFAL
  • Luciana Maria dos Reis UNIFAL
  • Andréia Maria Silva Vilela Terra UNIFAL
  • Adriana Teresa Silva Santos 3537011921

DOI:

https://doi.org/10.34024/rnc.2022.v30.13891

Palavras-chave:

plataforma vibratória, reabilitação, acidente vascular cerebral

Resumo

Objetivo. Foi verificar a influência do treinamento vibratório no sinal eletromiográfico dos músculos retofemoral (RF) e tibial anterior (TA) em pacientes com acidente vascular cerebral (AVC). Método. Trata-se de ensaio clínico, com amostra composta por 43 pacientes hemiparéticos com AVC, que foram randomizados em dois grupos: controle (GC, n=19) e intervenção (GI, n=24). Os instrumentos utilizados para avaliação foram o Mini Exame do Estado Mental, a Escala de Avaliação de Fugl-Meyer e a eletromiografia de superfície (EMG) em contração isométrica voluntária máxima (CIVM) dos músculos RF e TA bilateral e simultaneamente. A terapia vibratória de corpo inteiro (TVCI) (plataforma vibratória triplana, frequência de 50 Hz e amplitude de 2 mm) foi utilizada para o tratamento. A aplicação da TVCI foi realizada três vezes por semana durante 8 semanas consecutivas. A análise estatística utilizada foi o teste t independente para comparar as características basais do GC e GI. Foi aplicado o teste de Shapiro-Wilk para verificar a normalidade dos dados e posteriormente o teste de Wilcoxon para comparar os tempos e o teste de Mann-Whitney para comparar os grupos. Resultados: Os resultados mostram que a atividade EMG RMSn não se alterou intragrupo nem intergrupo. Conclusão: O treinamento vibratório não influenciou o sinal EMG dos músculos RF e TA em pacientes com AVC.

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Referências

Alam MM, Khan AA, Farooq M. Effect of whole-body vibration on neuromuscular performance: A literature review. Work 2018;59:571-83. https://doi.org/10.3233/WOR-182699

Yang F, Butler AJ. Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis. Neurorehab Neural Repair 2020;34:275-88. https://doi.org/10.1177/1545968320907073

Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol 2010;108:877-904. https://doi.org/10.1007/s00421-009-1303-3

Huang M, Miller T, Ying M, Pang MC. Whole-body vibration modulates leg muscle refex and blood perfusion among people with chronic stroke: a randomized controlled crossover trial. Sci Rep 2020;10:1473. https://doi.org/10.1038/s41598-020-58479-5

Huang M, Pang MYC. Muscle activity and vibration transmissibility during whole-body vibration in chronic stroke. Scand J Med Sci Sports 2019;29:816-25. https://doi.org/10.1111/sms.13408

Park YJ, Park SW, Lee HS. Comparison of the Effectiveness of Whole Body Vibration in Stroke Patients: A Meta-Analysis. Biomed Res Int 2018;2:5083634. https://doi.org/10.1155/2018/5083634

Wuestefeld A, Fuermaier ABM, BernardoFilho M, Cunha de Sa Caputo D, Rittweger J, Schoenau E, et al. Towards reporting guidelinesof research using whole-bodyvibration as training or treatment regimen in human subjects —A Delphi consensusstudy. PLoS ONE 2020;15:e0235905. https://doi.org/10.1371/journal.pone.0235905

Wesselhoff S, Hankeb TA, Evans CC. Community mobility after stroke: a systematic review. Top Stroke Rehab 2018;1-15. https://doi.org/10.1080/10749357.2017.1419617

De Luca C. The use of surface electromyography in biomechanics. J Appl Biomech 1997;13:135-63. https://doi.org/10.1123/jab.13.2.135

Campanini I, Disselhorst-Klug C, Rymer WZ, Merletti R. Surface EMG in Clinical Assessment and Neurorehabilitation: Barriers Limiting Its Use. Front Neurol 2020;11:934. https://doi.org/10.3389/fneur.2020.00934

Pollock RD, Woledge RC, Mills KR, Martin FC, Newham DJ. Muscle activity and acceleration during whole body vibration: Effect of frequency and amplitude. Clin Biomech 2010;2:840-6. https://doi.org/10.1016/j.clinbiomech.2010.05.004

Liao LR, Ng GYF, Jones AYM, Chung RCK, Pang MYC. Effects of vibration intensity, exercise, and motor impairment on leg muscle activityinduced by whole-body vibration in people with stroke. Phys Ther 2015;95:1617-27. https://doi.org/10.2522/ptj.20140507

Lourenço RA, Veras RP. Mini-exame do estado mental: características psicométricas em idosos ambulatoriais. Rev Saúde Pública 2006;40:712-71. https://doi.org/10.1590/S0034-89102006000500023

Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient: 1. A method for evaluation of physical performance. Scand J Rehab Med 1975;7:13-31. https://pubmed.ncbi.nlm.nih.gov/1135616/

Maki T, Quagliato EMAB, Cacho EWA, Paz LPS, Nascimento NH, Inoue MMEA, et al. Estudo de confiabilidade da aplicação da escala de Fugl-Meyer no Brasil. Rev Bras Fisioter 2006;10:177-83. https://doi.org/10.1590/S1413-35552006000200007

Lourenço RA, Veras RP, Ribeiro PCC. Confiabilidade teste-reteste do Mini-Exame do Estado Mental em uma população idosa assistida em uma unidade ambulatorial de saúde. Rev Bras Geriatr Gerontol 2008;11:7-16. https://doi.org/10.1590/1809-9823.2008.11012

Baldisserotto SM, Trindade DCC, Loss JF, Shinkai RSA. Reliability of EMG activity in complete denture users during simulation of activities of daily living. Rev Odonto Cienc 2010;25:42-7. https://doi.org/10.1590/S1980-65232010000100009

Di Giminiani R, Masedu F, Tihanyi J, Scrimaglio R, Valenti M. The interaction between body position and vibration frequency on acute response to whole body vibration. J Electromyogr Kinesiol 2013;23:245-51. https://doi.org/10.1016/j.jelekin.2012.08.018

Fratini A, La Gatta A, Bifulco P, Romano M, Cesarelli M. Muscle motion and EMG activity in vibration treatment. Med Engin Phys 2009;31:1166-72. https://doi.org/10.1016/j.medengphy.2009.07.014

Dionisio VC, Almeida GL, Duarte M, Hirata RP. Kinematic, kinetic and EMG patterns during downward squatting. J Electromyogr Kinesiol 2008;18:134-43. https://doi.org/10.1016/j.jelekin.2006.07.010

Bevilaqua-Grossi D, Felicio LR, Simões R, Coqueiro KRR. Avaliacão eletromiográfica dos músculos estabilizadores da patela durante exercício isométrico de agachamento em indivíduos com síndrome da dor femoropatelar. Rev Bras Med Esporte 2005;11:159-63. https://doi.org/10.1590/S1517-86922005000300001

Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, et al. SENIAM 8: European Recommendations for surface electromyography. Roessingh Research and Development B.V; 1999. http://www.seniam.org/pdf/contents8.PDF

Silva AT, Dias MPF, Calixto R Jr, Carone AL, Martinez BB, Silva AM, et al. Acute effects of whole-body vibration on the motor function of patients with stroke: a randomized clinical trial. Am J Phys Med Rehabil 2014;93:310-9. https://doi.org/10.1097/PHM.0000000000000042

Marques AP. Manual de Goniometria digital. 3ª ed. São Paulo: Editora Manole; 2014.

Bosco C, Colli R, Introini E, Cardinale M, Tsarpela O, Madella A, et al. Adaptive responses of human skeletal muscle to vibration exposure. Clin Physiol 1999;19:183-7. https://doi.org/10.1046/j.1365-2281.1999.00155.x

Bosco C, Iacovelli M, Tsarpela O, Cardinale M, Bonifazi M, Tihanyi J, et al. Hormonal responses to whole-body vibration in men Eur J App Physiol 2000;81:449-54. https://doi.org/10.1007/s004210050067

Silva A, Silva A, Dias M, Calixtro R, Martinez B, Honorato D, et al. Whole body vibration training for lower limb motor function among stroke patients. Int J Ther Rehabil 2013;20:260-6. https://doi.org/10.12968/ijtr.2013.20.5.260

Komi PV, Viitasalo JT, Rauramaa R, Vihko V. Effect of isometric strength training on mechanical, electrical, and metabolic aspects of muscle function. Eur J Appl Physiol 1978;40:45-55. https://doi.org/10.1007/BF00420988

Carroll TJ, Riek S, Carson RG. Neural adaptations to resistance training: implications for movement control. Sports Med 2001;31:829-40. https://doi.org/10.2165/00007256-200131120-00001

Enoka RM. Neural adaptations with chronic physical activity. J Biomech 1997;30:447-55. https://doi.org/10.1016/s0021-9290(96)00170-4

Delecluse C, Roelants M, Verschueren S. Strength Increase after Whole-Body Vibration Compared with Resistance Training. Med Sci Sports Exe 2003;6:1033-41. https://doi.org/10.1249/01.MSS.0000069752.96438.B0

Aagaard P, Andersen JL, Dyhre-Poulsen P, Leffers AM, Wagner A, Magnusson SP, et al. A mechanism for increased contractile strength of human pennate muscle in response to strength training: changes in muscle architecture. J Physiol 2001;534:613-23. https://doi.org/10.1111/j.1469-7793.2001.t01-1-00613.x

Aagaard P, Simonsen EB, Andersen JL, Magnusson P, Dyhre-Poulsen P. Increased rate of force development and neural drive of human skeletal muscle following resistance training. J Appl Physiol 2002;93:1318-26. https://doi.org/10.1152/japplphysiol.00283.2002

Bourbonnais D, Noven SV. Weakness in patients with hemiparesis Am J Occup Ther 1989;43:313-9.

https://doi.org/10.5014/ajot.43.5.313

Hafer-Macko CE, Ryan AS, Ivey FM, Macko RF. Ivey Skeletal muscle changes after hemiparetic stroke and potential beneficial effects of exercise intervention strategies. J Rehabil Res Dev 2008;45:261-72. https://doi.org/10.1682/jrrd.2007.02.0040

Flansbjer UB, Miller M, Downham D, Lexell J. Progressive resistance training after stroke: effects on muscle strength, muscle tone, gait performance and perceived participation. J Rehabil Med 2008;40:42-8. https://doi.org/10.2340/16501977-0129

Di Giminiani R, Masedu F, Tihanyi J, Scrimaglio R, Valenti M. The interaction between body position and vibration frequency on acute response to whole body vibration. J Electromyogr Kinesiol 2013;23:245-51. https://doi.org/10.1016/j.jelekin.2012.08.018

Avelar NCP, Ribeiro VGC, Mezêncio B, Fonseca SF, Tossige-Gomes R, Costa SJ, et al. Influence of the knee flexion on muscle activation and transmissibility during whole body vibration. J Electromyogr Kinesiol 2013;23:844-50.

https://doi.org/10.1016/j.jelekin.2013.03.014

Matthews PB, Stein RB. The sensitivity of muscle spindle afferents to small sinusoidal changes of length. J Physiol 1969;200:723-43. https://doi.org/10.1113/jphysiol.1969.sp008719

Cordo P, Gandevia SC, Hales JP, Burke D, Laird G. Force and displacement-controlled tendon vibration in humans. Electroencephalogr Clin Neurophysiol 1993;89:45-53. https://doi.org/10.1016/0168-5597(93)90084-3

Roll JP, Vedel JP, Ribot E. Alteration of proprioceptive messages induced by tendon vibration in man: a microneurographic study. Exp Brain Res 1989;76:213-22. https://doi.org/10.1007/BF00253639

Ness LL, Field-Fote EC. Whole-body vibration improves walking function in individuals with spinal cord injury: A pilot study. Gait Posture 2009;30:436-4.

https://doi.org/10.1016/j.gaitpost.2009.06.016

Liao LR, Lam FMH, Pang MY, Jones AYM, Ng GYF. Leg Muscle Activity during Whole-Body Vibration in Individuals with Chronic Stroke. Med Sci Sports Exerc 2014;46:537-45.

https://doi.org/10.1249/MSS.0b013e3182a6a006

Cardinale M, Lim J. Electromyography Activity of Vastus Lateralis Muscle During Whole-Body Vibrations of Different Frequencies. J Strength Condition Res 2003;17:621-4.

https://doi.org/10.1519/1533-287(2003)017<0621:eaovlm>2.0.co;2

Randall JM, Matthews RT, Stiles MA. Resonant frequencies of standing humans. Ergonomics 1997;40:879-86. https://doi.org/10.1080/001401397187711

Mester J, Spitzenpfeil P, Yue ZY. Vibration loads: Potential for strength and power development. In: Komi PV (ed). Strength and Power in Sport. Oxford: Blackwell; 2002;488-501. https://doi.org/10.1519/JSC.0b013e318196b81f

Liao LR, Ng GY, Jones AY, Chung RC, Pang MY. Effects of Vibration Intensity, Exercise, and Motor Impairment on Leg Muscle Activity Induced by Whole-Body Vibration in People With Stroke. Phys Ther 2015;95:1617-27. https://doi.org/10.2522/ptj.20140507

Madou KH. Leg muscle activity level and rate of perceived exertion with diferente whole-body vibration frequencies in multiple sclerosis patients: An exploratory approach. Hong Kong Physiother J 2011;29:12-9. https://doi.org/10.1016/j.hkpj.2011.02.002

Tihanyi J, Di Giminiani R, Tihanyi T, Gyulai G, Trzaskoma L, Horva´th M. Low resonance frequency vibration affects strength of paretic and non-paretic leg differently in patients with stroke. Acta Physiol Hung 2010;97:172-82.

https://doi.org/10.1556/APhysiol.97.2010.2.3

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Publicado

2022-11-01

Como Citar

Dias, M. P. F. ., Santos, V. de Q. dos, Junior, R. C. ., Martinez, B. B. ., Silva, S. B. da, Kosour, C. ., Reis, L. M. dos ., Terra, A. M. S. V. ., & Santos, A. T. S. (2022). O efeito do treinamento de vibração do corpo inteiro nos sinais eletromiográficos em pacientes acometido por AVC. Revista Neurociências, 30, 1–23. https://doi.org/10.34024/rnc.2022.v30.13891

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Artigos Originais
Recebido: 2022-05-12
Aceito: 2022-09-21
Publicado: 2022-11-01

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