Efeitos do treinamento em esteira ergométrica sobre a funcionalidade na paralisia cerebral: uma revisão integrativa da literatura
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i3a222434Palavras-chave:
Paralisia Cerebral, Teste de Esforço, Desempenho Físico Funcional, Modalidades de FisioterapiaResumo
Objetivo: O objetivo dessa revisão integrativa da literatura foi analisar os principais benefícios do treinamento em esteira ergométrica (TEE) para funcionalidade de crianças e adolescentes deambuladoras com paralisia cerebral (PC). Método: Foram realizadas buscas nas bases de dados Pubmed, EMBASE e Physiotherapy Evidence Database (PEDro) de estudos publicados entre os anos de 2013 e 2023. Resultados: Dos 428 estudos encontrados, 17 foram selecionados para análise e síntese do conhecimento. Os estudos mostraram efeitos positivos na função deambulatória, com mudanças nos parâmetros espaço temporais e cinemáticos da marcha, bem como resultados positivos em medidas de capacidade e desempenho da marcha. Além disso, os estudos observaram significantes mudanças na função motora grossa, mobilidade e equilíbrio funcional. Os protocolos e métodos de TEE são heterogêneos entre os estudos, porém a maioria deles iniciou o treinamento em menor velocidade e duração da caminhada, incrementando no decorrer do tratamento, utilizando suspensão parcial do peso corporal (SPPC) e facilitações manuais a depender da gravidade da PC e limitação na função da marcha. Para maiores efeitos na funcionalidade, recomenda-se associação com outras modalidades terapêuticas como fortalecimento e treino de marcha no solo. No geral, os estudos realizaram TEE de duas a três vezes por semana, de seis a doze semanas de duração. Conclusão: O TEE mostrou-se uma modalidade terapêutica eficaz e viável para aplicação no tratamento de crianças e adolescentes deambuladoras com PC.
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