O planejamento da reabilitação na fase aguda após o acidente vascular encefálico

Autores

  • Rebeca Boltes Cecatto Hospital Israelita Brasileiro Albert Einstein
  • Cristiane Isabela de Almeida Hospital Israelita Brasileiro Albert Einstein

DOI:

https://doi.org/10.11606/issn.2317-0190.v17i1a103309

Palavras-chave:

Centros de Reabilitação, Acidente Cerebral Vascular/reabilitação, Qualidade de Vida

Resumo

A reabilitação de pacientes portadores de lesões encefálicas é um processo que visa a recuperação precoce dos déficits e a preparação para uma reintegração na vida em comunidade, com o melhor resultado funcional possível, independência e qualidade de vida. Este estudo tem por objetivo levar ao conhecimento do corpo assistencial brasileiro os pontoschave referentes aos programas de reabilitação especializados na fase aguda do Acidente Vascular Encefálico desde o evento inicial até a transição para a comunidade. Para isso, baseandose em sua expertise, os autores realizaram uma discussão de 58 artigos selecionados nas bases de dados MEDLINE e COCHRANE LIBRARY, usando como descritores “Stroke” and Rehabilitation”, referentes a pacientes maiores de 18 anos, de ambos os sexos, no período de 1990 a 2008, nas línguas inglesa, portuguesa, francesa e espanhola. Mais estudos serão necessários no futuro para a discussão de questões como: medidas de qualidade de vida, prognóstico das deficiências, estratificação dos pacientes quanto à resposta à reabilitação, intensidade e duração da reabilitação à médio e longo prazo e medidas de qualidade dos serviços de reabilitação.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

DeLisa JA, Gans BM, editors. Rehabilitation medicine: principles and practice. 2nd. Philadelphia: Lippincott; 1993.

Thomas LH, Cross S, Barrett J, French B, Leathley M, Sutton CJ, et al. Treatment of urinary incontinence after stroke in adults. Cochrane Database Syst Rev. 2008;(1):CD004462.

Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 2007;(4):CD000197.

Grotta JC, Jacobs TP, Koroshetz WJ, Moskowitz MA. Stroke program review group: an interim report. Stroke. 2008;39(4):1364-70.

Cecatto RB, Jucá SSH, Nacarato MN, Maeda FRG, Prieto FF. Alterações de comunicação dos pacientes portadores de lesão encefálica adquirida (DMR/unidade JD. Umarizal/ HCFMUSP) Acta Fisiátr. 2006;13(3):136-46.

Kalra L, Ratan R. Recent advances in stroke rehabilitation 2006. Stroke. 2007;38(2):235-7.

Kalra L, Langhorne P. Facilitating recovery: evidence for organized stroke care. J Rehabil Med. 2007;39(2):97-102.

Early Supported Discharge Trialists. Services for reducing duration of hospital care for acute stroke patients. Cochrane Database Syst Rev. 2005;(2):CD000443.

Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, et al. Management of Adult Stroke Rehabilitation Care: a clinical practice guideline. Stroke. 2005;36(9):e100-43.

U.S. Department of Veteran Affairs, Veterans Health Administration, Veterans Health Administration. DoD/VA clinical practice guideline for the management of uncomplicated pregnancy. Washington (DC): Department of Veteran Affairs; 2003.

Sulch D, Melbourn A, Perez I, Kalra L. Integrated care pathways and quality of life on a stroke rehabilitation unit. Stroke. 2002;33(6):1600-4.

Post-stroke rehabilitation: assessment, referral, and patient management. U.S. Department of Health and Human Services Public Health Service. Agency for Health Care Policy and Research. Clin Pract Guidel Quick Ref Guide Clin. 1995;(16):i-iii,1-32.

Cifu DX, Stewart DG. Factors affecting functional outcome after stroke: a critical review of rehabilitation interventions. Arch Phys Med Rehabil. 1999;80(5 Suppl 1):S35-9.

Gresham GE, Duncan PW, Adams Jr HP, Adelman AM, Alexander DN, Bisshop DS, et al. Post-Stroke Rehabilitation: Clinical Practice Guideline, No. Rockville, Md: US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; 1995.

Cifu DX, Lorish TR. Stroke rehabilitation. 5. Stroke outcome. Arch Phys Med Rehabil. 1994;75(5 Spec No):S56-60.

Kalra L. The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke. 1994;25(4):821-5.

Royal College of Physicians. National clinical guidelines for stroke. 2nd. London: Royal College of Physicians; 2004.

Evans RL, Connis RT, Hendricks RD, Haselkorn JK. Multidisciplinary rehabilitation versus medical care: a meta-analysis. Soc Sci Med. 1995;40(12):1699-706.

Evans RL, Bishop DS, Ousley RT. Providing care to persons with physical disability. Effect on family caregivers. Am J Phys Med Rehabil. 1992;71(3):140-4.

Evans RL, Matlock AL, Bishop DS, Stranahan S, Pederson C. Family intervention after stroke: does counseling or education help? Stroke. 1988;19(10):1243-9.

Smith J, Forster A, House A, Knapp P, Wright J, Young J. Information provision for stroke patients and their caregivers. Cochrane Database Syst Rev. 2008;(2):CD001919.

Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR. Validation of the Brazilian version of Fucntional Independence Measure. Acta Fisiatr. 2004;11(2):72-6. Doi: https://doi.org/10.5935/0104-7795.20040003

Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med.1975;7(1):13-31.

Hall KM. The Functional Assessment Measure (FAM). J Rehabil Outcomes. 1997;1(3):63-5.

Cecatto RB, Almeida CI. Síndrome de Pusher após acidente vascular encefálico: relato de caso. Acta Fisiátr 2008;15(3):195-201.

Flick CL. Stroke rehabilitation. 4. Stroke outcome and psychosocial consequences. Arch Phys Med Rehabil. 1999;80(5 Suppl 1):S21-6.

Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R, et al. European guidelines on cardiovascular disease prevention in clinical practice: full text. Fourth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Eur J Cardiovasc Prev Rehabil. 2007;14 Suppl 2:S1-113.

Horn SD, DeJong G, Smout RJ, Gassaway J, James R, Conroy B. Stroke rehabilitation patients, practice, and outcomes: is earlier and more aggressive therapy better? Arch Phys Med Rehabil. 2005;86(12 Suppl 2):S101-S114.

Ivey FM, Hafer-Macko CE, Macko RF. Exercise training for cardiometabolic adaptation after stroke. J Cardiopulm Rehabil Prev. 2008;28(1):2-11.

van de Port IG, Wood-Dauphinee S, Lindeman E, Kwakkel G. Effects of exercise training programs on walking competency after stroke: a systematic review. Am J Phys Med Rehabil. 2007;86(11):935-51.

Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci. 2004;22(3-5):281-99.

Bütefisch CM. Plasticity in the human cerebral cortex: lessons from the normal brain and from stroke. Neuroscientist. 2004;10(2):163-73.

Elbert T, Rockstroh B. Reorganization of human cerebral cortex: the range of changes following use and injury. Neuroscientist. 2004;10(2):129-41.

Dobkin BH. Strategies for stroke rehabilitation. Lancet Neurol. 2004;3(9):528-36.

Nudo RJ. Recovery after damage to motor cortical areas. Curr Opin Neurobiol. 1999;9(6):740-7.

Taub E, Uswatte G, Pidikiti R. Constraint-Induced Movement Therapy: a new family of techniques with broad application to physical rehabilitation-a clinical review. J Rehabil Res Dev. 1999;36(3):237-51.

Nudo RJ, Plautz EJ, Frost SB. Role of adaptive plasticity in recovery of function after damage to motor cortex. Muscle Nerve. 2001;24(8):1000-19.

Riberto M, Monroy HM, Kaihami HN, Otsubo PPS, Battistella LR. A terapia de restrição como forma de aprimoramento da função do membro superior em pacientes com hemiplegia. Acta Fisiatr. 2005;12(1):15-9. Doi: https://doi.org/10.5935/0104-7795.20050001

Cecatto RB, Chadi G. The importance of neuronal stimulation in central nervous system plasticity and neurorehabilitation strategies. Funct Neurol. 2007;22(3):137-43.

Cecatto RB, Almeida CI. Modulação do córtex motor após um acidente vascular encefálico cortical por meio de estimulação de cerebelo: a estimulação cerebelar pode auxiliar o retorno funcional após o AVC de córtex motor? Einstein: Educ Contin Saúde. 2009; 7(2 Pt 2):65-7.

Fregni F, Boggio PS, Valle AC, Rocha RR, Duarte J, Ferreira MJ, et al. A sham-controlled trial of a 5-day course of repetitive transcranial magnetic stimulation of the unaffected hemisphere in stroke patients. Stroke. 2006;37(8):2115-22.

Mansur CG, Fregni F, Boggio PS, Riberto M, Gallucci-Neto J, Santos CM, et al. A sham stimulation-controlled trial of rTMS of the unaffected hemisphere in stroke patients. Neurology. 2005;64(10):1802-4.

Kido Thompson A, Stein RB. Short-term effects of functional electrical stimulation on motor-evoked potentials in ankle flexor and extensor muscles. Exp Brain Res. 2004;159(4):491-500.

Kimberley TJ, Lewis SM, Auerbach EJ, Dorsey LL, Lojovich JM, Carey JR. Electrical stimulation driving functional improvements and cortical changes in subjects with stroke. Exp Brain Res. 2004;154(4):450-60.

Han BS, Jang SH, Chang Y, Byun WM, Lim SK, Kang DS. Functional magnetic resonance image finding of cortical activation by neuromuscular electrical stimulation on wrist extensor muscles. Am J Phys Med Rehabil. 2003;82(1):17-20.

Charlton CS, Ridding MC, Thompson PD, Miles TS. Prolonged peripheral nerve stimulation induces persistent changes in excitability of human motor cortex. J Neurol Sci. 2003;208(1-2):79-85.

Hummel FC, Cohen LG. Drivers of brain plasticity. Curr Opin Neurol. 2005;18(6):667-74.

Dobkin BH. Do electrically stimulated sensory inputs and movements lead to long-term plasticity and rehabilitation gains? Curr Opin Neurol. 2003;16(6):685-91.

Musicco M, Emberti L, Nappi G, Caltagirone C; Italian Multicenter Study on Outcomes of Rehabilitation of Neurological Patients. Early and long-term outcome of rehabilitation in stroke patients: the role of patient characteristics, time of initiation, and duration of interventions. Arch Phys Med Rehabil. 2003;84(4):551-8.

Lin JH, Hsieh CL, Lo SK, Hsiao SF, Huang MH. Prediction of functional outcomes in stroke inpatients receiving rehabilitation. J Formos Med Assoc. 2003;102(10):695-700.

Pettersen R, Dahl T, Wyller TB. Prediction of long-term functional outcome after stroke rehabilitation. Clin Rehabil. 2002;16(2):149-59.

Mosqueda LA. Assessment of rehabilitation potential. Clin Geriatr Med. 1993;9(4):689-703.

Patel M, Coshall C, Lawrence E, Rudd AG, Wolfe CD. Recovery from poststroke urinary incontinence: associated factors and impact on outcome. J Am Geriatr Soc. 2001;49(9):1229-33.

de Groot-Driessen D, van de Sande P, van Heugten C. Speed of finger tapping as a predictor of functional outcome after unilateral stroke. Arch Phys Med Rehabil. 2006;87(1):40-4.

Kelly PJ, Furie KL, Shafqat S, Rallis N, Chang Y, Stein J. Functional recovery following rehabilitation after hemorrhagic and ischemic stroke. Arch Phys Med Rehabil. 2003;84(7):968-72.

Külzer AM, Scolari CC, Gus M. Relationship between usual physical, cognitive and social activities and functional recovery at hospital discharge after acute stroke. J Rehabil Med. 2008;40(3):195-9.

Morris PE, Herridge MS. Early intensive care unit mobility: future directions. Crit Care Clin. 2007;23(1):97-110.

Sommerfeld DK, von Arbin MH. Disability test 10 days after acute stroke to predict early discharge home in patients 65 years and older. Clin Rehabil. 2001;15(5):528-34.

Publicado

2010-03-09

Edição

Seção

Tendências e Reflexões

Como Citar

1.
Cecatto RB, Almeida CI de. O planejamento da reabilitação na fase aguda após o acidente vascular encefálico. Acta Fisiátr. [Internet]. 9º de março de 2010 [citado 27º de dezembro de 2024];17(1):37-43. Disponível em: https://revistas.usp.br/actafisiatrica/article/view/103309