Principais alterações que interferem na marcha de pacientes com acidente vascular encefálico

Abstract

Stroke is a neurological disorder characterized by an abrupt onset, resulting from a vascular injury. Among the alterations caused by the stroke, one of the ones with the greatest impact on the patient is gait disturbances. Objective: To analyze the kinematic alterations of the unaffected lower limb during the gait of patients with stroke sequelae. Methods: Quantitative, observational and descriptive cross-sectional study that evaluated individuals with stroke, of both genders, over 18 years old and able to perform the gait exam at the Movement Analysis Service of the State Center for Rehabilitation and Readaptation Dr. Henrique Santillo ( CRER), in Goiânia. Graphs referring to gait kinematics in the ankle, knee and hip joints of the unaffected hemibody were analyzed. Results: 34 individuals, aged between 19 and 75 years (mean 49) participated in the study. It was observed that when analyzing the kinematic alterations of the unaffected ankle, a predominance of the normal pattern was not found in any of the main events of the gait cycle. However, there was a predominance of inadequate dorsiflexion (55.8%) at the beginning of the gait. In the knee, the most frequent alteration was increased flexion (70.5%), but in no case was there a decreased flexion. In the hip, during the first flexion peak, 38.2% of the patients were able to perform the movement within the normal range. Conclusion: The alterations caused by the Stroke also cause compensation in the unaffected limb.