Análise da ativação muscular no treino de alcance nas condições ativo, ativo-assistido e auto-assistido em pacientes pós-Acidente Vascular Encefálico
Objective: determine which range (active, active-assisted or self-assisted) is more effective in muscle recruitment of deltoid Previous (DA), biceps (BIC) and triceps brachial (TRIC). Methods: We evaluated 12 patients with chronic stroke, over 18 years and with good cognition. Excluded those with o...
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| Formato: | bachelorThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/34136 |
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| Resumo: | Objective: determine which range (active, active-assisted or self-assisted) is more effective in muscle recruitment of deltoid Previous (DA), biceps (BIC) and triceps brachial (TRIC).
Methods: We evaluated 12 patients with chronic stroke, over 18 years and with good cognition. Excluded those with orthopedic problems and/or rheumatology. For clinical assessment scales Fulg-Meyer, MIF and Ashworth were used. Patients were instructed to perform a range with target located in the functional distance of his arm, as they were collected electromyographic (EMG) data in the DA muscles, BIC and TRIC. The range was held for 15 seconds and three times for the test condition (active, active-assisted or self-assisted). For data analysis, the mean values and medians of RMS were used.
Results: TRIC was less recruited in self-assisted range (RMS 0.10122 ms) compared to the active-assisted (RMS 0.27730 ms) for p = 0.0112. There was similarity in the values of RMS OF BIC and muscle between the assets reaches of the affected limb and unaffected, but also a big difference between the 1Q and 3Q BIC muscle in active-assisted range and self-assisted. And there was a negative correlation between the sum of the values of the Fugl-Meyer scale and Ashworth (p = 0.0094).
Conclusion: the active range is still considered the most important training to improve the recruitment of motor units in the affected limb, unlike the self-assisted range, which forces the member not affected to change their movement strategy and consequently reduce muscle activation. |
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