• Main Authors: Paulo Cesar Modesto, Fernando Campos Gomes Pinto
• Format: Article
• Language: English
• Published: Academia Brasileira de Neurologia (ABNEURO) 2013-04-01
• Series: Arquivos de Neuro-Psiquiatria
• Subjects: estimulação elétrica; acidente vascular cerebral; paresia; fisioterapia; electric stimulation; stroke; paresis; physiotherapy
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000400244

Objective:To compare the functional electrical stimulation associated with functional kinesiotherapy alone in patients after ischemic cerebrovascular accident.Methods:The study included 20 patients who were divided into two groups: Group I (GI): functional electrical stimulation plus functional kinesiotherapy and Group II (GII): functional kinesiotherapy. We evaluated active and passive range of motion, in knee flexion and extension muscle strength, activities of daily living and quality of life. The evaluations were conducted in the pretreatment period, after 10 sessions and after 20 physical therapy sessions.Results:There was a significant improvement in all variables studied for both groups. However, significant improvements for the sub-items functional capacity and social aspects were seen only in the patients treated with associated functional electrical stimulation and kinesiotherapy.Conclusion:Although both groups of patients improved with the treatment, the association of functional electrical stimulation and kinesiotherapy showed superiority in two quality of life items, in the sub-items functional capacity and social aspects.<br>Objetivo:Comparar a estimula&#231;&#227;o el&#233;trica funcional associada &#224; cinesioterapia com a cinesioterapia funcional isolada no membro inferior de pacientes em fase subaguda ap&#243;s acidente vascular cerebral isqu&#234;mico.M&#233;todo:Participaram do estudo 20 pacientes divididos em 2 grupos: Grupo I (GI): eletroestimula&#231;&#227;o funcional mais cinesioterapia funcional e Grupo II (GII): cinesioterapia funcional. Foram avaliadas as amplitudes de movimento ativo e de movimento passivo em flex&#227;o e extens&#227;o do joelho, a for&#231;a muscular, as atividades da vida di&#225;ria e a qualidade de vida. As avalia&#231;&#227;es foram realizadas nos per&#237;odos pr&#233;-tratamento, ap&#243;s 10 e ap&#243;s 20 sess&#245;es de fisioterapia.Resultados:Houve melhora significativa em todas as vari&#225;veis estudadas para ambos os grupos. Contudo, melhorias significativas para os subitens capacidade funcional e aspectos sociais foram vistos apenas nos pacientes tratados com a estimula&#231;&#227;o el&#233;trica funcional associada &#224; cinesioterapia. Conclus&#227;o:Os dois grupos de pacientes melhoraram com o tratamento, mas a associa&#231;&#227;o da estimula&#231;&#227;o el&#233;trica funcional &#224; cinesioterapia mostrou superioridade nos subitens capacidade funcional e aspectos sociais da qualidade de vida.