Investigação da função de tronco em hemiplégicos

Abstract

The cerebrovascular accident (CVA) is an interruption of the vascular cerebral flow, either by the ischemic or hemorrhagic type and its consequences cause physical sequelae such as plegias and paresis, emotional, which compromise the functional capacity, independence and autonomy and, also, they may have social and economic effects that pervade all aspects of life. Trunk function is of paramount importance in maintaining balance and in the ability to carry out activities of daily living in hemiplegic patients. Objective: to investigate the trunk function in hemiplegic patients. Materials and Methods: The sample consisted of 12 people with clinical diagnoses of stroke and hemiplegia. A structured questionnaire was used to characterize the epidemiological and clinical profile. Then, sitting balance and motor coordination were evaluated through the Trunk Deficiencies Scale (EDT), symmetry and weight transfer in different functional activities, through the Assessment of Symmetry and Weight Transfer (ASTP), and changes in lying and sitting postures, through the Test of Trunk Control (TCT). Data analysis was performed using descriptive statistics, using mean, standard deviation, frequency. To establish correlations between variables Pearson's correlation test was used (p<0.05). Results: The mean age was 51.75±16.74 years, with 66.33% males. As for clinical data: 50% of hemiplegic patients had ischemic stroke. The sample contained 83.33% were people with chronic stroke. There was a strong and positive correlation, p<0.05, between the three scales: Trunk Control Test (TCT), Trunk Deficiencies Scale (EDT), and the Scale of Assessment of Symmetry and Weight Transfer (ASTP) . Also, there was a strong and positive correlation between the domains of the Trunk Control Test and the Trunk Deficiency Scale, p<0.05. Conclusion: Participants had good trunk control, assessed by the Trunk Deficiency Scale and the Trunk Control Test, and a moderate capacity for symmetry and weight transfer.