Manual Therapy, Posturology & Rehabilitation Journal
http://mtprehabjournal.com/article/doi/10.17784/mtprehabjournal.2018.16.595
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

EFFECT OF NEURAL MOBILIZATION ON BALANCE, FLEXIBILITY, STRENGTH AND GAIT IN STROKE PATIENTS

Rosimere de Lima Souza, Karine Rocha Moriz, Francisca Deyze Reis Teixiera, Adriano Araújo Fernandes, Sinval Souza da Costa Neto, Maria Dulce Dias De Oliveira, Thiago dos Santos Maciel, Fernando Zanela Da Silva Areas.

Downloads: 0
Views: 93

Abstract

Background: Neural mobilization is characterized by the neurodynamics of the nervous system with the objectives of: reducing musculoskeletal tension and pain and increasing muscular endurance and strength. Stroke is a worldwide health problem due to the impacts on quality of life, and makes the physical capacity of individuals after stroke about 40% lower of normal individuals of the same age. Objective: To verify the efficacy of neural mobilization in patients with stroke. Methods: This is a blinded randomized clinical trial performed in 12 volunteers, aged between 20 and 80 years, with a diagnosis of ischemic or hemorrhagic stroke. It was performed five mobilizations of 60 seconds in the bilateral sciatic nerve. The degree of balance and gait of the volunteers was verified, as well as the muscular strength and flexibility of the quadriceps and hamstrings muscles pre-mobilization, immediately after and after 10 sessions performed three times a week. Results: Neural mobilization on neurological patients showed positive effects in relation to flexibility, lower limb muscle strength, gait and balance. Conclusion: The present study demonstrated that the technique of neural mobilization can present good results in neurological patients with stroke sequelae. However, it is suggested that more studies be done with a larger number of volunteers and with a homogeneous sample on the approach of this technique in patients with neurological sequelae.

Keywords

Stroke; Neural Mobilization; Rehabilitation

References

1. BRASIL. Secretaria de direitos humanos; secretaria nacional de promoção defesa dos direitos humanos. Presidência da República. Dados sobre o envelhecimento no Brasil. Brasília, 2016a. Disponível em: http://www.sdh.gov.br/assuntos/pessoa-idosa/dados-estatisticos/DadossobreoenvelhecimentonoBrasil.pdf Acessado em: 21/04/2016.

2. Carmo JB, Oliveira ERA, Morelato RL. Incapacidade funcional e fatores associados em idosos após o Acidente Vascular Cerebral em Vitória-ES, Brasil. Rev. Bras. Geriatr. Gerontol. 2016; 19(5):809-818

3. Williams GR. Incidence and characteristics of total stroke in the United States. BMC Neurology.2001;1:2

4. Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP, Silver KH. Treadmill training improves fitness reserve in chronic stroke patients. Archives of Physical Medicine and Rehabilitation. 2001;82:879-884.

5. Ministério da saúde,http://portal.saude.gov.br/portal/aplicacoes/noticias/default.cfm?pg=dspDetalheNotici&id_area=1450&CO_NOTICIA=10817, 2010.

6. CorriveauH,Hébert R, Raîche M, Prince F. Evaluation of posturalstability in the elderly with stroke. Archives of Physical Medicine and Rehabilitation. 2004;85:1095-1101.

7. Butler DS. Mobilização do Sistema Nervoso. São Paulo: Manole; 2003.

8. ShackLock M. Neurodinâmica Clínica, 1°edição, Rio de Janeiro: Elsevier, 2007.

9. Maciel TS, Da Cruz VWC, Jorge FS, Areas FZS, Ribeiro Junior SM. Efeitos da mobilização neural na força, resistência e recrutamento muscular dos flexores de punho. MTP&RehabJournal. 2012;10(50):411-416.

10. Valente PS, Valente PS, Augusta S, Arêas GPT, Freire Jr RC, Maciel TS. Mobilização do plexo braquial e flexibilidade do membro inferior. MTP&RehabJournal 2014;12:439-454.

11. LothEA,BertoloniGRF,AlbuquerqueCE.AvaliaçãodoTimedUpandGocomo preditor de quedas em uma amostra de idosas que relatam quedas. Reabilitar, 2003.

12. Gorst T, Rogers A, Morrison SC, Cramp M, Paton J, Freeman J, Marsden J. Disabil Rehabil. 2018; 4:1-8.

13. Shacklock M, Donoso CG, López MOL. Tratamiento Manual de dolor y lombar ciática com neurodinámica. Clínica. Fisioterapia 2007; 29:312-20

14. Ramos GV, Santos RR, Gonçalves A. Influência do alongamento sobre a forçamuscular: uma revisão breve sobre como possíveis causas. Rev. Bras Cineantropom Desempenho Hum. 2007; 9:203-6

15. PohlM,MehrolzJ. Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients. Clinical Rehabilitation. 2006; 20(4): 324-330.

16. Shackock MO. Clinical Apllication of Neurodynamics. In: Moving in on Pain.

17. Brown CL, Gilbert KK, Brismee J-M, Sizer PS, Roger James C, Smith MP. The effects of neurodynamic mobilization on fluid dispersion within the tibial nerve at the ankle: an unembalmed cadaveric study. The Journal of Manual & Manipulative Therapy. 2011;19(1):26-3

18. Kerrigan DC,Gronley J, Perry J. Sttiff-leggedGaitin Spascic Paresis: A study of quadriceps and hamstrings muscle activily. Am J Plys Med Rehabil, 1991; 70:294-300

19. KIM, M ENG, J The Relationship of Lower-Extremity Muscle Torque to Locomotor Performance in People With Stroke. PhysicalTherapy. 2003; 83:49-57.

20. Matsudo SM, Matsudo VKR, Barros Neto, TL Araujo, TL. Evolução do perfil neuromotor e capacidade funcional de mulheres fisicamente ativas de acordo coma idade cronológica. Revista Brasileira de Medicina do Esporte. 2003; 9;(6):365-376

5c33928d0e8825c0145f868f mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections