Uso do teste de caminhada de seis minutos para avaliar a capacidade de deambulação em pacientes com acidente vascular cerebral
DOI:
https://doi.org/10.5935/0104-7795.20140038Palavras-chave:
Acidente Vascular Cerebral, Hemiplegia, Limitaçao da Mobilidade, CaminhadaResumo
O teste de caminhada de 6 minutos (TC6) mede a distância máxima que uma pessoa pode caminhar em 6 minutos. O teste está ganhando popularidade porque avalia a capacidade do estado funcional dos pacientes com diferentes patologias e é considerando simples, seguro, válido, barato e nao invasivo. Objetivo: O objetivo desta revisao foi investigar a aplicabilidade do teste de caminhada de seis minutos em sobreviventes de AVC. Método: A pesquisa bibliográfica foi realizada na base de dados MedLine (PubMed) de 1 de Janeiro de 2000 a Abril, 16 2013 Os termos de pesquisa utilizados foram AVC (acidente vascular cerebral e/ou hemiplegia) e caminhada (limitaçao da mobilidade). O primeiro autor revisou os títulos e/ou resumos de artigos encontrados e determinou relevância para a revisao. Cópias de texto completo de artigos relevantes foram obtidas. Após a leitura foram selecionados os artigos mais relevantes. Apenas artigos escritos em Inglês foram incluídos nesta revisao. Resultados: Os 31 estudos incluídos foram divididos em 9 estudos de ensaio clinico randomizado, 2 estudos caso-controle, 5 estudos prospectivos e 15 estudos transversais e envolveu 1.824 pacientes sobreviventes de AVC, 146 controles saudáveis e 38 pacientes com Esclerose Múltipla. Conclusao: O TC6 é útil para avaliar a capacidade de funcional em pacientes com acidente vascular cerebral, no entanto deve ser usado em conjunto outras ferramentas de avaliaçao para determinar o perfil geral desses pacientes. Mais estudos sao necessários para verificar os fatores que influenciam o resultado do teste e a forma de complementá-lo.
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