Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy.

Autor:	Callegari B; Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil.; Tropical Medicine Center, Federal University of Pará Av. Generalíssimo Deodoro 92, 66050-240, Belém, Pará, Brazil.; Master's Program in Human Movement Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil., Garcez DR; University Hospital Bettina Ferro de Souza, Federal University of Pará R. Augusto Correˆa, n1, 66075-110, Belém, Pará, Brazil., Júnior ATVDC; Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil.; Tropical Medicine Center, Federal University of Pará Av. Generalíssimo Deodoro 92, 66050-240, Belém, Pará, Brazil., Almeida ADSSC; Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil., Candeira SRA; Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil., do Nascimento NIC; Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil., de Castro KJS; Neuroscience and Cell Biology Graduate Program, Federal University of Pará R. Augusto Corrêa, n 1, 66075-110, Belém, Pará, Brazil., de Lima RC; Neuroscience and Cell Biology Graduate Program, Federal University of Pará R. Augusto Corrêa, n 1, 66075-110, Belém, Pará, Brazil., Barroso TGCP; Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil., Souza GDS; Tropical Medicine Center, Federal University of Pará Av. Generalíssimo Deodoro 92, 66050-240, Belém, Pará, Brazil.; Neuroscience and Cell Biology Graduate Program, Federal University of Pará R. Augusto Corrêa, n 1, 66075-110, Belém, Pará, Brazil., E Silva AAC; Master's Program in Human Movement Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, Brazil.
Jazyk:	angličtina
Zdroj:	Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao [Hong Kong Physiother J] 2021 Dec; Vol. 41 (2), pp. 77-87. Date of Electronic Publication: 2021 Mar 26.
DOI:	10.1142/S1013702521500074
Abstrakt:	Objectives: (1) To assess the effects of a conventional, delayed physiotherapy protocol used by Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) post-stroke patients, in their electromyographic activation patterns during hemiparetic gait; and (2) to study whether this protocol may improve the functional abilities in this population. Methods: This is an observational, descriptive, and analytical quasi-experimental trial. Forty patients with unilateral IS ( n = 25 ) and HS ( n = 15 ) stroke were recruited; the stroke involved the motor cortex or sub-cortical areas, and the patients were able to walk independently. Interventions with standard protocols of physiotherapy were carried out. Evaluations (clinical and gait assessment) were performed at the time of admission and at the end of the protocol. Outcome measures include Stroke Impact Scale, Timed Up and Go Test, and gait electromyographic evaluation. Results: Only IS patients (with an average of 124 . 4 ± 45 . 4 months delayed access to physiotherapy rehabilitation) had improvements in Timed Up and Go Test (change in speed =- 8 . 0 seg p < 0 . 05 ) and presented an anticipation of the onset in Upper leg muscles after the intervention. BF ( p = 0 . 05 ), ST ( p = 0 . 001 ), and RF ( p = 0 . 024 ), started their recruitment (onset) earlier at the swing phase of the gait cycle, which is more similar to the normal pattern (grey shadow). IS and HS ( 120 . 4 ± 28 . 4 months since last stroke) patients presented higher electromyographic activation, after physiotherapy, of the posterior leg muscles (gastrocnemius, semitendinosus and biceps femoris) during stance phase ( p < 0 . 05 ). Conclusion: IS patients had improvements after delayed conventional physiotherapy. For HS limited response to intervention was observed. Competing Interests: The authors declare that they have no competing interests. (© 2021, Hong Kong Physiotherapy Association.)
Databáze:	MEDLINE
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