ocupacional no tratamento das fraturas do terço distal do rádio. Folha méd. O' Sullivan SB, Schmitz TJ. Fisioterapia: avaliação e tratamento. 5ª ed. Manole. 4 Mestre em Ciências da Saúde - UNIFESP; Fisioterapeuta do Hospital e posicionamento, podendo minimizar a subjetividade da avaliação. .. Sullivan SBO, Thomas J, Nascimento FG. Fisioterapia: avaliação e tratamento. 2 ed. São Paulo: Manole; 4. Teive HAG, Zonta M, Kumagai Y. Tratamento da espasticidade. Avaliação das alterações funcionais nos estágios evolutivos da doença de Parkinson: nos diversos estágios evolutivos da doença em tratamento fisioterapêutico na Associação de Parkinson de Fisioterapia. .. O'Sullivan SB, Schmitz TJ.
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Livros Grátis atenção primária, medidas de case-mix e a avaliação da condição de saúde . crônicos como resultado de tratamentos médicos aprimorados, e. professor do curso de Fisioterapia da Universidade de Passo Fundo – UPF A eletroestimulação foi considerada segura e efetiva no tratamento da atrofia de desuso, além de útil na manutenção da .. In: O'Sullivan SB, Schmitz TJ. Fisiote- na avaliação da marcha de portadores de hemiparesia após acidente vascular . Board index Free Unlimited PDF Downloads Free Downloads. Forum 3. Search Please, help me to find this livro sullivan em pdf. Thanks!.
Evaluation of venous flow volume of the calf muscle pump by Doppler ultrasound during active and passive kinesiotherapy: I Physical therapist. III MSc. In-hospital physical therapists work on the effects of hypoactivity or inactivity of bedridden patients. In daily practice, contraction of the calf muscle is commonly performed by health professionals in hospitals, especially in pre- and post-operative periods as a form of reducing venous stasis and risk of deep venous thrombosis in the lower limbs.
The present study aimed to compare the FES associated with functional kinesiotherapy FK and functional kinesiotherapy alone in patients with sequelae of ICVA with hemiparesis in the subacute phase. The sample consisted of 11 female and 9 male patients, with a mean age in Group I GI of Inclusion criteria Adult literate patients of both genders, aged 18 years and older, who were treated between July and January with ischemic CVA in the middle cerebral artery territory, with clinical and imaging diagnosis and within 90 days since the onset of the condition, with no structural deformities were included in the study.
Exclusion criteria Patients with pacemakers, vascular alterations and sensitivity impairment in hemiparetic lower limb were excluded. Evaluations Muscle strength MS assessed by Daniels numerical grading system Barthel index BI is a scale that assesses functional capacity in activities of daily living and the degree of dependence from the perspective of the examiner.
Quality of Life Questionnaire-SF Joint range of motion ROM : joint range of motion ROM assessment was performed using a goniometer for the assessment of posterior and anterior ROM of the hemiparetic lower limb in knee extension and flexion. The patient remained supine and the lower limp LL was unclothed.
Intervention The physical therapy intervention program for the groups GI and GII consisted of 20 physical therapy sessions twice a week in consecutive weeks, with minute sessions for groups GI and GII, administered by the first author only. Each FES session lasted 30 minutes.
The summary of the exercises and their therapeutic goals are showed in Table 1 Table 1. Functional kinesiotherapy. Physical exercises for lower limbs with therapeutic objective for orthostatic position.
Rev Cubana Enferm. Increased rates of muscle protein turnover and amino acid transport following resistance exercise in humans. Am J Physiol.
Roca; Free mobilization and low-to-high-intensity exercise in immobilization-induced muscle atrophy. The effect of different exercise intensities on the fibrinolytic system. Manole; J Vasc Bras. Trombose venosa profunda em artroplastia total de quadril. Rev Bras Ortop.
Trombose venosa profunda: Francis CW. Clinical practice. Prophylaxis for thromboembolism in hospitalized medical patients. N Engl J Med. Marques LJ.
Tromboembolismo pulmonar. Rev Assoc Med Bras. Thrombosis and coagulation: The summary of the exercises and their therapeutic goals are showed in Table 1 Table 1.
Functional kinesiotherapy. Physical exercises for lower limbs with therapeutic objective for orthostatic position.
If a difference was detected, Tukey's multiple comparisons test was used. The variables were displayed as figures. These were distributed in order to demonstrate the evolution of patients from GI and GII, in the pretreatment period, after 10 sessions and at the end of 20 physical therapy sessions, verifying whether there was a difference between the evaluation periods, between the groups and for the interaction.
Table 2. Age and time of lesion. General distribution of patients in Groups I and II, according to age and time of lesion.
Table 3 shows gender, affected hemisphere and comorbidities. There were no significant differences between the groups regarding the parameters of the table.
The SF scale is subdivided into eight domains, namely: The mean score in the study group ranged from We have the following hierarchy as a result: Fig 1. Confidence intervals for each combination of group and moment of assessment of the functional capacity sub-item for both groups. Table 4.
Means and standard deviations: Fig 1 shows the confidence intervals for each combination of group and time of assessment of the functional capacity sub-item for both groups. The mean in the study group ranged from We have the following hierarchy as result: Fig 2. Confidence intervals for each combination of group and moment of assessment of the social aspects sub-item for both groups.
Table 5. Fig 2 shows the confidence intervals for each combination of group and time of assessment of the sub-item social aspects for both groups. Regarding other domains of the SF, and other items assessed, there was no significant difference from a statistical viewpoint. The functional electrical stimulation was well tolerated by all study patients, respecting their tolerance threshold.
Although some hemiparetic patients with ischemic CVA may show spontaneous improvement, best results occur when patients are treated with physical therapy 21 , The element that made up the study intervention and promoted satisfactory results was the fact that the beginning of the program did not exceed 40 days since the CVA onset.
It has been suggested that treatment started as soon as possible is a factor to achieve more satisfactory results Some authors have inferred that the early start of therapy seems to be more important for patient evolution than the duration of the program Regarding muscle strength, the study showed a significant increase in strength after the treatment period, in flexion and knee extension for both groups, with no difference between them. Traditionally, epidemiological studies with a population of CVA patients are focused on mortality and its occurrence, but not on quality of life of these patients 25 , considering that the dysfunctions and disadvantages in this regard are significant for CVA patients Although the quality of life for CVA patients is clearly influenced by multiple factors, functional independence is one of the most important factors Several studies differ regarding the training protocol with FES associated with several techniques according to the aforementioned studies.
These variables are significantly impaired in many aspects, especially when the patient is affected by an ischemic CVA in the acute and subacute phases.
In conclusion, functional electrical stimulation associated with functional kinesiotherapy was more effective than functional kinesiotherapy alone, regarding quality of life in the domains functional capacity and social aspects. Both muscle strength and passive and active range of motion as well as activities of daily living showed no difference between the groups. Primeiro consenso brasileiro do tratamento da fase aguda do acidente vascular cerebral. Arq Neuropsiquiatr ; Gagliardi RJ.
Subtyping in ischemic stroke genetic research. Schaechter JD. Motor rehabilitation and brain plasticity after hemiparetic stroke. Prog Neurobiol ; Stabilization of human standing posture using functional neuromuscular stimulation.