Effects of Early Mobilization In Clinical Complications After Stroke:
Literature Review
DOI:
https://doi.org/10.34024/rnc.2013.v21.8146Keywords:
Stroke, Brain Vascular Disease, Physiotherapy, MobilizationAbstract
Objective. To systematize the effectiveness of early mobilization in clinical complications in patients hospitalized for treatment of Stroke. Method. This is a literature review accessed in electronic databases Medline, Bireme, Cochrane Library, and electronic library of the Federal University of Bahia (UFBA) using the key words: stroke, cerebrovascular disease, physical therapy; mobilization. Articles published between the years 2006 to 2012 that addressed early mobilization after stroke, clinical complications and functionality. Results. We identified 49 articles, after careful reading, 39 were excluded due to be literature review (20), by addressing aspects related not covered in this review (18), and tackle Chronic Stroke (01). Of the 10 articles included a descriptive study, one prospective study, a clinical double blind multicenter, cross-sectional quantitative one, a number of cases, a multicenter randomized trial, one randomized clinical trial, two double-blind randomized controlled clinical trial double-blind multicenter randomized. These were in English (03) and Portuguese (07). Variables were categorized to describe the association between the frequency of complications with early mobilization. Conclusions. Over the past decade there has been a growth related to use of early mobilization and physical therapy approach in the rehabilitation of patients with stroke, studying safety, feasibility, and promoting functional recovery.
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References
Barros JEF. Acidente Vascular Cerebral. In: Nitrini, R., Bacheschi, LA. A Neurologia que todo médico deve saber. São Paulo: Maltese, 1991, p.133-47.
Mazzola D, Polese JC, Schuster RC, Oliveira SG. Perfil dos pacientes acometidos por acidente vascular encefálico assistido na clínica de fisioterapia neurológica da Universidade de Passo Fundo. Rev Bras Prom Saúde 2007;20:22-7. http://dx.doi.org/10.5020/18061230.2007.p22
Sacco RL. Patogênese, classificação e epidemiologia das doenças cérebro vasculares. In: Rowland LP. Merrit - Tratado de Neurologia. 10ª edição.Rio de Janeiro: Editora Guanabara/Koogan 2002, p.185-94.
Durward B, Baer G, Wade J. Acidente Vascular Cerebral. In: Stokes M. Neurologia para Fisioterapeutas. São Paulo: Premier, 2000, p.83-99.
Minosso JSM, Amendola F, Alvarenga MRM, Oliveira MAC. Validação, noBrasil, do Índice de Barthel em idosos atendidos em ambulatórios. Acta Paul Enferm 2010;23:218-23. http://dx.doi.org/10.1590/S010321002010000200011
Lundy-Ekman L. Neurociências: Fundamentos para reabilitação. Rio de Janeiro: Elsevier Editora, 2008, p.400-11.
Cordova RAM, Cesarino CB, Tognola WA. Avaliação clínica evolutiva de pacientes pós-primeiro Acidente Vascular Cerebral. Arq Cienc Saúde 2007;14:71-5.
Falcão IV, Carvalho EMF, Barreto KML, Lessa FJD. Leite VMM. Acidente Vascular Cerebral precoce: Implicações para adultos em idade produtiva atendidos pelo Sistema Único de Saúde. Rev Bras Saúde Mater. Infant, 2004;4:95-102. http://dx.doi.org/10.1590/S1519-38292004000100009
Umphred DA, Carlson C. Pacientes que sofreram um acidente vascular cerebral. In: Carlson C. Reabilitação Neurológica prática. Rio de Janeiro: Guanabara/Koogan, 2007, p.189-215.
Motta E, Natálio MA, Waltrik PT. Intervenção fisioterapêutica e tempo de internação em pacientes com acidente vascular cerebral. Rev Neurocienc 2008;16:118-23.
Lotufo PA, Goulart AC, Bensenor IM. Race, Gender and Stroke Subtypes Mortality in São Paulo, Brazil. Arq Neuropsiquiatr 2007;65(3-B):752-7. http://dx.doi.org/10.1590/S0004-282X2007000500004
Cazeiro APM, Peres PT. A terapia ocupacional na prevenção e no tratamento de complicações decorrentes da imobilização no leito. Cad Ter Ocup UFSCar2010;18:149-67.
O’Sullivan SB. Acidente Vascular EncefálicoIn: O’Sullivan SB, Schmitz TJ. Fisioterapia – Avaliação e Tratamento. 5ª edição. São Paulo: Manole 2010, p.519-45.
Davies PM. Recomeçando Outra Vez. São Paulo: Manole 1997, p.77-223. 15.Davies PM. Hemiplegia - Tratamento para pacientes após AVC e outras lesões cerebrais 2ª ed. São Paulo: Manole 2008, p.61-81.
Langhorne P, Stoot DJ, Robertson L, MacDonald J, Jones L, McAlpine C, et al. Medical complications after stroke a multicenter study. Stroke 2000;31:1223-9. http://dx.doi.org/10.1161/01.STR.31.6.1223
Craig LE, Bernhardt J, Langhorne P, Wu O. Early mobilization after stroke an example of an individual patient data meta-analysis of a complex intervention. Stroke 2010;41:2632-6. http://dx.doi.org/10.1161/STROKEAHA.110.588244
Costa AGS, Oliveira ARS, Alves FEC, Chaves DBR, Moreira RP, Araújo TL. Diagnóstico de enfermagem: mobilidade física prejudicada em pacientes acometidos por acidente vascular encefálico. Rev Esc Enferm USP 2010;44:753-8. http://dx.doi.org/10.1590/S0080-62342010000300029
Valente SCF, Bertáglia de Paula E, Abranches M, Costa V, Borges H, Chamlian RR, et al. Resultados da fisioterapia hospitalar na função do membro superior comprometido após acidente vascular encefálico. Rev Neurocienc 2006;14:122-6.
Sorbello D, Dewey HM, Churilov L, Thrift AG, Collier JM, Donnan G, et al. Very early mobilisation and Complications in the first 3 months after stroke: further results from phase II of a very early rehabilitation trial (AVERT). Cerebrovasc Dis 2009;28:378-83. http://dx.doi.org/10.1159/000230712
Ingeman A, Andersen G, Hundbor HH, Svendsen ML, Johnsen SP - Processes of care and medical complications in patients with stroke. Stroke 2011;42:167-72. http://dx.doi.org/10.1161/STROKEAHA.110.599738
Tyedin K, Cumming TB, Bernhardt J. Quality of life: An important outcome measure in a trial of very early mobilisation after stroke. Disabil Rehab 2010;32:875-84. http://dx.doi.org/10.3109/09638280903349552
Langhorne P, Stoot D, Knight A, Bernhardt J, Barer D, Watikns C. Very early rehabilitation or intensive telemetry after stroke: a pilot randomised trial. Cerebrovasc Dis 2010;29:352-60. http://dx.doi.org/10.1159/000278931
Wijk RV, Cumming T, Churilov L, Donnan G, Bernhardt J. An early mobilization protocol successfully delivers more and earlier therapy to acute stroke patients: further results from phase II of AVERT. Neurorehabil Neural Repair 2012;26:20-6. http://dx.doi.org/10.1177/1545968311407779
