The effect of global postural reeducation technique in a hemiparetic stroke patient
DOI:
https://doi.org/10.5935/0104-7795.20060001Keywords:
Stroke, Hemiplegia, Body Image, Posture, RehabilitationAbstract
The most evident motor dysfunction in the Cerebrovascular Accident (CVA) is hemiparesis. Hemiparetic patients have a tendency to maintain an asymmetric posture. The aim of this study was to evaluate the posture in a hemiparetic stroke patient using the Global Postural Reeducation (GPR) technique. The participant was a right hemiparetic patient due to a CVA that had taken place 5 years before; his cognitive state was good, according to the Mini-Mental State Examination test and he presented moderate motor impairment. The postural evaluation was performed by a computer program, called FisioLogic. The patient underwent a treatment plan comprising ten sessions of GPR technique during eight weeks. Although the treatment was carried out with emphasis on the pelvic inclination and the scapula positioning, the results also showed improvement regarding the support base and, according to the patient, it also improved his balance and gait. We conclude that the GPR technique yielded positive results regarding the posture pattern of the hemiparetic patient.
Downloads
References
O'Sullivan SB, Schmitz TJ. Acidente vascular encefálico. In: O'Sullivan SB, Schmitz TJ. Fisioterapia: avaliaçao e tratamento. 4 ed. Sao Paulo: Manole; 2004. p.531-49.
Umphred DA. Fisioterapia neurológica. 2 ed. Sao Paulo: Manole; 1994.
Davies PM. Exatamente no Centro. Sao Paulo: Manole; 1996.
Chagas EF, Tavares MA. A simetria e a transferência de peso do hemiplégico: relaçao dessa condiçao com o desempenho de suas atividades funcionais. Rev Fisioter Univ Sao Paulo. 2001;(8)1:0-50.
Ikai T, Kamikubo T, Takehara I, Nishi M, Miyano S. Dynamic postural control in patients with hemiparesis.Am J Phys Med Rehabil. 2003;82(6):463-9; quiz 470-2, 484.
Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas, 4 ed. Sao Paulo: Manole; 2005.
Lippert LS. Cinesiologia clínica para Fisioterapeutas. 3 ed. Rio de Janeiro: Guanabara Koogan; 2003.
de Seze M, Wiart L, Bon-Saint-Come A, Debelleix X, de Seze M, Joseph PA, et al. Rehabilitation of postural disturbances of hemiplegic patients by using trunk control retraining during exploratory exercises. Arch Phys Med Rehabil. 2001;82(6):793-800.
Rode G, Tiliket C, Boisson D.Predominance of postural imbalance in left hemiparetic patients. Scand J Rehabil Med. 1997;29(1):11-6.
Garland SJ, Willems DA, Ivanova TD, Miller KJ. Recovery of standing balance and functional mobility after stroke. Arch Phys Med Rehabil. 2003;84(12):1753-9.
sbrpg.com.br [homepage na internet]. Sao Paulo: Sociedade Brasileira de Reeducaçao Postural Global; c2005 [citado em 2005 abr 05]. Disponível em: http://www.sbrpg.com.br
Souchard PE. RPG: fundamentos da reeducaçao postural global. Sao Paulo: E Realizaçoes; 2003.
Beresford H, Habib ALCMC. Para uma interpretaçao da reeducaçao postural global: RPG no contexto da ciência da motricidade humana. Fisioter mov. 2003;16(1):17-24.
Folstein MF, Folstein SE, McHugh PR."Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
Pandyan AD, Johnson GR, Price CI, Curless RH, Barnes MP, Rodgers H. A review of the properties and limitations of the Ashworth and modified Ashworth Scales as measures of spasticity. Clin Rehabil. 1999;13(5):373-83.
Fisiologic. Software de analise postural [programa de computador]. Versao 1.7. 2002 [citado 2005 abr 05]. Disponível em: http://www.fisiologic.com.br
Castro PCG, Lopes JAF. Avaliaçao computadorizada por fotografia digital, como recurso de avaliaçao da reeducaçao postural global. Acta Fisiatr. 2003;10(2):83-88. Doi: https://doi.org/10.5935/0104-7795.20030002
Kavamoto CA, Vasconcelos JCP, Lopes JAF, Battistella LR. Avaliaçao computadorizada por fotografia digital do tratamento de crianças com alteraçoes posturais: resultados preliminares. Acta Fisiatr. 2002;9(1):27.
Souchard PE. Reeducaçao postural global: método do campo fechado. 4 ed. Sao Paulo: Icone; 2001.
Paillex R, So A. Changes in the standing posture of stroke patients during rehabilitation. Gait Posture. 2005;21(4):403-9.
Pai YC, Rogers MW, Hedman LD, Hanke TA. Alterations in weight-transfer capabilities in adults with hemiparesis. Phys Ther. 1994;74(7):647-57
Downloads
Published
Issue
Section
License
Copyright (c) 2006 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
