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Effectiveness of intensive physiotherapy for gait improvement in stroke: systematic review

2019-10-12Conference object Open access
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dc.contributor.authorSantos, Hugo
dc.contributor.authorBaleia, Isabel
dc.contributor.authorBrás, B
dc.contributor.authorSantos, F
dc.contributor.authorPereira, M
dc.contributor.authorLucas, R
dc.contributor.authorHenriques, S
dc.date.accessioned2022-03-29T10:18:45Z
dc.date.available2022-03-29T10:18:45Z
dc.date.issued2019-10-12
dc.description.abstractIntroduction: Stroke is one of the leading causes of functional disability worldwide. Approximately 80% of post-stroke subjects have motor changes. Improvement of gait pattern is one of the main objectives of physiotherapists intervention in these cases. The real challenge in the recovery of gait after stroke is to understand how the remaining neural networks can be modified, to be able to provide response strategies that compensate for the function of the affected structures. There is evidence that intensive training, including physiotherapy, positively influences neuroplasticity, improving mobility, pattern and gait velocity in post-stroke recovery. Objectives: Review and analyze in a systematic way the experimental studies (RCT) that evaluate the effects of Intensive Physiotherapy on gait improvement in poststroke subjects. Methodology: Were only included all RCT performed in humans, without any specific age, that had a clinical diagnosis of stroke at any stage of evolution, with sensorimotor deficits and functional gait changes. The databases used were: Pubmed, PEDro (Physiotherapy Evidence Database) and CENTRAL (Cochrane Center Register of Controlled Trials). Results: After the application of the criteria, there were 4 final studies that were included in the systematic review. 3 of the studies obtained a score of 8 on the PEDro scale and 1 obtained a score of 4. The fact that there is clinical and methodological heterogeneity in the studies evaluated, supports the realization of the current systematic narrative review, without meta-analysis. Discussion: Although the results obtained in the 4 studies are promising, it is important to note that the significant improvements that have been found, should be carefully considered since pilot studies with small samples, such as these, are not designed to test differences between groups, in terms of the effectiveness of the intervention applied. Conclusion: Intensive Physiotherapy seems to be safe and applicable in post-stroke subjects and there are indications that it is effective in improving gait, namely speed, travelled distance and spatiotemporal parameters. However, there is a need to develop more RCTs with larger samples and that evaluate the longterm resultspt_PT
dc.description.versionN/Apt_PT
dc.identifier.doiDOI: 10.13140/RG.2.2.30097.79209pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/39874
dc.language.isoengpt_PT
dc.subjectStrokept_PT
dc.subjectGait improvementpt_PT
dc.subjectIntensive physiotherapypt_PT
dc.titleEffectiveness of intensive physiotherapy for gait improvement in stroke: systematic reviewpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceBudapestept_PT
oaire.citation.endPage72pt_PT
oaire.citation.issue2019pt_PT
oaire.citation.startPage71pt_PT
oaire.citation.titleEurpean Congress of Neurorehabilitation 2019pt_PT
person.familyNameSantos
person.familyNameBaleia Batista
person.givenNameHugo
person.givenNameIsabel
person.identifier.ciencia-id991E-0C70-0121
person.identifier.ciencia-idEE1D-918C-6192
person.identifier.orcid0000-0001-8964-1960
person.identifier.orcid0000-0002-9324-9811
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublicatione8dfbc43-b964-44b6-a935-2b23b4de2525
relation.isAuthorOfPublication60e506f7-6536-4750-a5d4-3db2335ce571
relation.isAuthorOfPublication.latestForDiscovery60e506f7-6536-4750-a5d4-3db2335ce571

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