Musculação e condicionamento aeróbio na performance funcional de hemiplégicos crônicos
DOI:
https://doi.org/10.5935/0104-7795.20030001Palavras-chave:
Acidente Cerebrovascular, Hemiplegia, Fortalecimento Muscular, Condicionamento Aeróbio, Performance FuncionalResumo
O objetivo do presente estudo foi investigar a performance funcional em indivíduos hemiplégicos crônicos, quando submetidos a um programa de fortalecimento muscular, utilizando a musculação e condicionamento aeróbio. Trinta pacientes foram recrutados na comunidade obedecendo aos critérios de inclusão, e submetidos ao programa de treinamento pré-estabelecido, três vezes por semana, durante 10 semanas. Os pacientes foram avaliados antes e após o treinamento nos seguintes parâmetros funcionais: velocidade de marcha, habilidade para subir escadas, endurance (velocidade máxima e índice de custo fisiológico) e simetria no sentar e levantar. Estatísticas descritivas e testes de normalidade (Shapiro-Wilk) foram utilizadas para todas as variáveis. Testes-t de Student para dados emparelhados foram utilizados para investigar o impacto do treinamento. Melhoras significativas (p<0,001) foram observadas na velocidade de marcha, habilidade para subir escadas e velocidade máxima. Não foram observadas diferenças significativas nas medidas de simetria e índice de custo fisiológico. Os achados demonstraram melhoras significativas nas medidas de performance funcional, após 10 semanas de treinamento, associando musculação e condicionamento aeróbio.
Downloads
Referências
Teixeira-Salmela LF, Olney SJ, Nadeau S, Brower B. Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil. 1999;80:1211-18.
Teixeira-Salmela LF, Oliveira ESG, Santana EGS, Resende GP. Fortalecimento muscular e condicionamento físico em hemiplégicos. Acta Fisiátr. 2000;7(3):108-118. Doi: https://doi.org/10.5935/0104-7795.20000001
Nadeau S, Teixeira-Salmela LF, Gravel D, Onley SJ. Relationships between spasticity, strength of the lower limb and functional performance of stroke victims. Synap Neurosci. 2001;21:13-18.
Teixeira-Salmela LF, Nadeau S, McBride I, Onley SJ. Effects of muscle strengthening and physical conditioning training on temporal, kinematic and kinetic variables during gait in chronic stroke survivors. J Rehabil Med. 2001;33:53-60.
Sharp SA, Brower BJ. Isokinetic strength training of hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil. 1997;78:1231-1236.
Macko RF, Desouza CA, Tretter LD, Silver KH, Smith GV, Anderson PA, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients. Stroke. 1997;28:326-330.
Potempa K, Braun LT, Tinknell T, Popovich J. Benefits of aerobic exercise after stroke. Sports Med. 1996;21:337-346.
Teixeira LF. The impact of a program of muscle strenthening and physical conditioning on impairment and disability in subjects with chronic stroke [Dissertation]. Kingston: Canadá, Queen's University, 1998.
Weiss A, Suzuki T, Fielding RA. High intensity strength training improves strength and functional performance after stroke. Am J Phys Med Rehabil. 2000;79:369-376.
Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67:206-07.
Holden MK, Gill KM, Magliozzi MR, Nathan J, Piehlbacker L. Clinical gait assessment in the neurologically impaired - reliability and meaningfulness. Phys Ther. 1984;64:35-45.
Olney S, Elkin N, Lowe P. An ambulation profile for clinical gait evaluation. Physiother Can. 1979;31 85-90.
Teele B. Timed walking tests of exercise capacity in chronic cardiopulmonary illness. J Cardiopulm Rehabil. 1996;16:25-33.
Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14:377-81.
Butler P, Engelbrecht M, Major R, Tait JH, Stallard J, Patrich JH. Physiological cost index of walking for normal children and its use as an indicator of physical handicap. Develop Med Child Neurol. 1984;26:607-12.
Balance Masterâ and Neurocomâ. Manual de teste, Versao 7.0, Neurocomâ International, Inc. Rev. 1999.
Astrand P. Exercise physiology and its role in disease prevention and in rehabilitation.Arch Phys Med Rehabil. 1987;68:305-09.
Sauvage LR, Myklebust BM, Crow-Pan J, Novak S, Millington P, Hoffman MD, Hartz AJ, Rudman D. A clinical trial of strengthening and aerobic exercises to improve gait and balance in elderly male home residents. Am J Phys Med Rehabil. 1992;71:333-42.
Kligman EW, Pepin E. Prescribing physical activity for older patients. Geriatrics. 1992;47:33-47.
Bohannon RW. Strength of lower limb related to gait velocity and cadence in stroke patients. Physiother Can. 1986;38:204-206.
Blanke D, Hageman P. Comparisons of gait of young men and elderly men. Phys Ther. 1989;69:144-48,
Murray M, Kory R, Clarkson B. Walking patterns in healthy old men. J Gerontol 1969;24:169-78.
Bohannon RW, Andrews AW, Thomas MW. Walking speed: reference values and correlates for older adults. J Orthop Sports Phys Ther. 1996;24(2):86-90.
Suzuki K, Imada G, Iwaya T, Handa T, Kurogo H. Determinants and predictors of the maximum walking speed during computer-assisted gait training in hemiparetic stroke patients. Arch Phys Med Rehabil. 1999;80:179-182.
Wolman R, Cornall C. Aerobic training in brain-injured patients. Clin Rehabil. 1994;8:253-57.
Tyson S. Hemiplegic gait symmetry and walking aids. Physiother Theory Practice. 1994;10:153-59.
Griffin M, lney S, McBride I. Role of asymmetry in gait performance of stroke subjects with hemiplegia. Gait Posture. 1995;3:132-42.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2003 Acta Fisiátrica
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
