Stroke
Conditions
Keywords
Spastic hemiparesis, Posture, Pilates, Respiratory Capacity
Brief summary
To evaluate the efficacy of treatment with the Pilates Method in postural alignment and its correlation with the respiratory capacity of individuals with hemiparesis, with the aid of biomedical instrumentation, comparing the method performed in soil and therapy pool.
Detailed description
The hemiparesis, which corresponds to muscle weakness in hemisphere contralateral to injury, is the most common disorder after stroke Brain. The most obvious implication is postural asymmetry, having direct relation to respiratory pressures are also reduced due to muscle weakness, thus altering the respiratory capacity of these individuals. The Pilates Method is gaining prominence in clinical and scientific areas, contributing to restoring good posture and vertical alignment of the body. Therefore, this study aims assess muscle electrical activity, respiratory capacity and functionality of spastic hemiparetic patients before and after application the Pilates Method, soil and therapy pool. A randomized study where 60 hemiparetic participate will be held with brachial predominance and 30 healthy subjects (Control Group), of both sexes, ages 40 to 70 years. Individuals with hemiparesis will be randomly assigned through a lottery and half held 10 consecutive sessions of Pilates in the soil and the rest will the same protocol adapted for therapy pool. The control group will be treated by the Pilates Method in the soil. The exercises will aim to lengthen musculature shortened due to postural pattern of pathology ; strengthen selected muscles that give support and postural musculature more important upper limb for activities of daily living. Participants will undergo postural assessment, activity EMG, muscle strength, respiratory capacity analysis and evaluation of the functionality of the upper limbs on the first day of treatment and after doing all sessions. The Student's t test will be used, with a significance level of 5 % to compare results obtained before and after treatment. After the tests, the Pearson correlation will also be made between the data obtained in soil and therapy pool. Thus, it is expected that Pilates can improve postural alignment and the breathable hemiparetic and the strengthening of specific muscles of the upper limbs assist in improving the functionality of them in their daily activities.
Interventions
OTHERMat Pilates
OTHERWater Pilates
Sponsors
Universidade do Vale do Paraíba
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Having suffered cerebrovascular accident for at least two years (chronic hemiparesis) with prevalence of upper limb (middle cerebral artery); * Spasticity grade 1, 1 + 2 by the Modified Ashworth Scale; * Good cognition; * Get assume a standing position * Sign the Consent form; Inclusion Criteria for Healthy individuals who will make up the control group: * People who may be standing upright; * Understand the activities that will be proposed * Subscribe to the disclaimer conscentimento.
Exclusion criteria
* Patients with severe cardiovascular disease; * Patients with joint deformities; * Patients with balance disorders; * Patients with seizures; * Patients with hypertension; * Patients with uncontrolled diabetes; * Individuals with a restriction in the liquid medium; * Individuals with cognitive impairment that prevents an understanding of the proposed activities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| muscle electrical activity before and after treatment | 4 weeks | The electrical activity of the postural muscles will be measured before and after treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| respiratory capacity before and after treatment | 4 weeks | Will be measured respiratory capacity of the participants (tidal volume, residual volume, etc.) before and after treatment. |
| higher functionality members before and after treatment | 4 weeks | Will be measured through a range of functionality, the functionality of the upper limbs of the subjects, seeking an improvement in their activities of daily living. |
Countries
Brazil
Contacts
Primary ContactTamires de Souza Moreira Prianti
Outcome results
None listed