| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 753.83 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: Após lesão do SNC o músculo pode perder a sua variabilidade e flexibilidade,
tal como se verifica em indivíduos após AVE. A caracterização do tónus muscular tem
sido um indicador a ter em atenção para o diagnóstico clínico. As alterações do tónus
podem resultar de uma combinação de alterações neurais, como consequência dos
processos inerentes à neuroplasticidade e alterações biomecânicas.
Objectivo: Verificar quais as modificações no tónus muscular, segundo a escala de
Tardieu, após a aplicação de um programa de reabilitação neuromotora baseado no
conceito de Bobath em dois indivíduos com sequelas de AVE. Pretendeu-se também
verificar as repercussões nas actividades funcionais.
Participantes e métodos: Foram seleccionados dois indivíduos e aplicado um programa
de reabilitação, durante onze semanas, e avaliados em dois momentos, antes da intervenção
(PRE) e após a intervenção (APÓS). Aplicaram-se vários instrumentos de avaliação,
nomeadamente a escala de Tardieu. O programa de reabilitação realizado baseou-se no
conceito de Bobath.
Resultados: Na escala de Tardieu, foi comum aos dois indivíduos melhorias a nível da
qualidade de reacção muscular. Ambos os indivíduos apresentaram melhorias no controlo
postural e equilíbrio, que se evidenciaram na CIF.
Conclusão: Foi possível observar modificações no tónus muscular após aplicação de um
programa de reabilitação e, consequentemente modificações na distribuição da carga na
base de suporte, no alinhamento das estruturas articulares e musculares e na marcha. Ao
longo da intervenção, observaram-se repercussões positivas em ambos os indivíduos,
permitindo a estes realizar as AVDs com menor dificuldade
Introduction: After CNS injury the muscle may lose its flexibility and variability, as seen in patients after stroke stroke. The characterization of muscle tone has been an indicator to pay attention to the clinical diagnosis. The changes in tone may result from a combination of neural changes as a result of the processes involved in neuroplasticity and biomechanical changes. Objective: Investigate which changes in muscle tone occur, according to the Tardieu scale, after the application of a neuromotor rehabilitation program based on Bobath concept in two subjects with sequelae of stroke. It was intended to also check the impact on functional activities. Participants and methods: Two individuals were selected and implemented a rehabilitation program for eleven weeks, and evaluated on two occasions before the intervention (PRE) and after intervention (POST). We applied various evaluation tools, including the Tardieu scale. The rehabilitation program carried out based on the Bobath concept. Results: On the scale of Tardieu was common to both individuals improvements in the quality of muscle reaction. Both subjects showed improvements in postural control and balance, which grounded the CIF. Conclusion: It was possible to observe changes in muscle tone after application of a rehabilitation program, and consequently changes in load distribution at the base of support, alignment of structures in joints and muscles and gait. Throughout the intervention, there were positive effects on both individuals, allowing them to perform ADLs with less difficulty.
Introduction: After CNS injury the muscle may lose its flexibility and variability, as seen in patients after stroke stroke. The characterization of muscle tone has been an indicator to pay attention to the clinical diagnosis. The changes in tone may result from a combination of neural changes as a result of the processes involved in neuroplasticity and biomechanical changes. Objective: Investigate which changes in muscle tone occur, according to the Tardieu scale, after the application of a neuromotor rehabilitation program based on Bobath concept in two subjects with sequelae of stroke. It was intended to also check the impact on functional activities. Participants and methods: Two individuals were selected and implemented a rehabilitation program for eleven weeks, and evaluated on two occasions before the intervention (PRE) and after intervention (POST). We applied various evaluation tools, including the Tardieu scale. The rehabilitation program carried out based on the Bobath concept. Results: On the scale of Tardieu was common to both individuals improvements in the quality of muscle reaction. Both subjects showed improvements in postural control and balance, which grounded the CIF. Conclusion: It was possible to observe changes in muscle tone after application of a rehabilitation program, and consequently changes in load distribution at the base of support, alignment of structures in joints and muscles and gait. Throughout the intervention, there were positive effects on both individuals, allowing them to perform ADLs with less difficulty.
Description
Keywords
AVE ACM Hipertonia Neuroplasticidade Escala de Tardieu Intervenção Componentes de movimento Stroke MCA Hypertonia Neuroplasticity Tardieu scale Intervention Components of motion
Pedagogical Context
Citation
Publisher
Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto