Evaluation of Corporal Perception In Post Stroke Patients Ana Paula Chaves Dalpian1, Magali Teresinha Quevedo
DOI:
https://doi.org/10.4181/RNC.2013.21.856.6pKeywords:
Stroke, Hemiplegia, PostureAbstract
The Cerebral Vascular Accident (CVA) is a pathological condition whose main consequence hemiplegia abnormality characterized by paralysis and/or paresis of the contralateral brain injury. Hemiplegia affects body awareness and alignment, changing the whole chain muscle and body posture against gravity. In Pusher syndrome (SP), a set of characteristics leads patients to make a strong body tilt toward the paralyzed side. The purpose of the research, characterized as exploratory, descriptive, quantitative character, was to assess the degree of impairment of body awareness in post-stroke patients, treated at the Clinical School of Physiotherapy Univates / Paved / RS during the semester B 2012 whose instrument of data collection was the Clinical Scale for Contraversive Pushing (CSCP), the protocol provided three stages: sitting position, standing position and during active movement of the upper limb (UL) unaffected. Of the thirteen patients evaluated (8 men and 5 women), the results show that five have changes of body awareness. Seven have impaired left body half and eight strokes were ischemic. Conclusion. SP is a disorder present in these subjects, the CSPS is a protocol for easy application, which favors the identification and severity of this change.
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References
Cappelari MM, Grave MTQ. Avaliação do comprometimento sensório- -motor de pacientes com diagnóstico de acidente vascular encefálico (AVE) atendidos na clínica-escola de Fisioterapia da Univates. Rev. Destaques Acadêmicos 2012;4:61-72.
O’Sullivan SB. Acidente Vascular Encefálico. In: O’Sullivan SB, Schmitz TJ. Fisioterapia: Avaliação e Tratamento. 2nd ed. Barueri: Manole; 2004, p.519-64.
Correia ACS, Silva JDS, Silva LVC, Oliveira DA, Cabral ED. Crioterapia e cinesioterapia no membro superior espástico no acidente vascular cerebral. Fisio Mov 2010; 23:555-63.
Brito ES, Rabinovich EP. Desarrumou tudo! O impacto do acidente vascular encefálico na família. Sau e Soc 2008;17:153-69. http://dx.doi.org/10.1590/S0104-12902008000200015
Felice TD, Santana LR. Recursos fisioterapêuticos (crioterapia e termoterapia) na espasticidade: revisão de literatura. Rev Neurocienc 2009;17:57-62.
Davies PM. Steps to follow: a guide to the treatment of adult hemiplegia. New York: Springer 1985. http://dx.doi.org/10.1007/978-3-642-96833-4
Silveira LCL. Os Sentidos e a Percepção. In: Lent R. Neurociência da mente e do Comportamento. Rio de Janeiro: Guanabara Koogan; 2008. p. 134-81.
Karnath HO, Broetz D. Understanding and Treating “Pusher Syndrome”. Physical Therapy 2003;12:1119-25.
Baccini M, Paci M, Nannetti L, Biricolti C, Rinaldi LA. Scale for Contraversive Pushing: Cutoff Scores for Diagnosing “Pusher Behavior” and Construct Validity. Physical Therapy 2008;88:947-55. http://dx.doi.org/10.2522/ptj.20070179
Johannsen L, Broetz D, Naegele T, Karnath HO. “Pusher syndrome” following cortical lesions that spare the thalamus. J Neurol 2006;253:455-63. http://dx.doi.org/10.1007/s00415-005-0025-7
Voo MC, Oliveira TP, Piemonte MEP. Diretrizes para avaliação e tratamento fisioterapêutico da Síndrome de Pusher: estudo de caso. Fisioter Pesq 2011;18:323-28.
Góis CMS, Araújo MCNV, Silva KC, Araújo ATC. Avaliação do Conhecimento dos Fisioterapeutas Neurofuncionais acerca da Síndrome de Pusher. RevNeurocienc 2011;19:595-601.
Meneghetti CHZ, Basqueira C, Fioramonte C, Ferracini JLC. Influência da fisioterapia aquática no controle de tronco na síndrome de Pusher: estudo de caso. Fisioter. Pesqui. [online] 2009;16:269-73.
Santos-Pontelli TEG, Pontes-Neto OM, Colafêmina JF, Araújo DB, Santos AC, Leite JP. Controle postural na síndrome de Pusher: influência dos canais semicirculares laterais. Rev Bras Otorrinolaringol 2005;71:448-52. http://dx.doi.org/10.1590/S0034-72992005000400008
Palmini S, Costa J, Grave M. Síndrome de Pusher em pacientes com AVC e sua associação com gravidade clínica e dependência funcional. Rev Neurocienc 2013;21:69-76. http://dx.doi.org/10.4181/RNC.2013.21.789.8p
Santos-Ponteli TEG, Leite JP, Pontes-Neto OM. Avaliação e análise da frequência da Síndrome de Pusher (Síndrome do Empurrador) em pacientes com AVC. Rev Neurocienc 2013;21:12-3. http://dx.doi.org/10.4181/RNC.2013.21.789ed.2p
Pereira LC, Botelho AC, Martins EF. Correlação entre simetria corporal na descarga de peso e alcance funcional em hemiparéticos crônicos. Rev Bras Fisiot 2012;10:218-225.
Trindade APNT, Barboza MA, Oliveira FB, Borges APO. Influência da simetria e transferência de peso nos aspectos motores após Acidente Vascular Cerebral. Rev Neurocienc 2011;19:61-7.
Lavor IG, Agra G, Nepomuceno CM. Perfil dos casos de Acidente Vascular Cerebral registrados em uma instituição pública em Campina Grande-PB. Campina Grande 2011;12:s/p.
Mazzola D, Polese JC, Schuster RC, Oliveira SG. Perfil dos pacientes acometidos por Acidente Vascular Encefálico assistidos na Clínica de Fisioterapia Neurológica da Universidade de Passo Fundo. RBPS 2007;20:22-7. http://dx.doi.org/10.5020/18061230.2007.p22
Van Peppen RPS, Kortsmit M, Lindeman E, Kwakkel G. Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review. J Rehabil Med 2006;38:3-9. http://dx.doi.org/10.1080/16501970500344902
Teixeira-Salmela LF, Lima RCM, Lima LAO, Morais SG, Goulart F. Assimetria e desempenho funcional em hemiplégicos crônicos antes e após programa de treinamento em academia. Rev Bras Fisioter 2005;9:227-33.
Genthon N, Rougier P, Gissot AS, Froger J, Pélissier J, Pérennou D. Contribution of each lower limb to upright standing in stroke patients. Stroke 2008;39:1793-9. http://dx.doi.org/10.1161/STROKEAHA.107.497701
Davies PM. Steps to folow: a guide to the treatment of adult hemiplegia. New York: Springer; 1985,300p.
de Haart M, Geurts AC, Huidekoper SC, Fasotti L, van Limbeek J. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil 2004;85:886-95. http://dx.doi.org/10.1016/j.apmr.2003.05.012
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Copyright (c) 2013 Ana Paula Chaves Dalpian, Magali Teresinha Quevedo Grave, Eduardo Périco
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