Relação entre comprometimento motor de membros inferiores e mobilidade funcional de indivíduos com hemiparesia pós-acidente vascular encefálico

Abstract

Motor impairment is present in 80% of cases after stroke. It is necessary to investigate the relation of the motor impairment and the biomechanical strategies used by individuals with hemiparesis in performing activities involving mobility. The objective of this study was to evaluate the relationship between the level of lower limb motor impairment assessed by the Fugl-Meyer Scale (EFM) and the functional mobility of individuals with post-stroke hemiparesis considering the biomedical strategies evaluated by the Timed "Up and Go" Assessment of Biomechanical Strategies (TUGABS). This is an exploratory cross-sectional study in which 100 individuals with post-stroke hemiparesis with a mean age of 55.02 ± 12.57 years participated. EFM was used to evaluate lower limb motor impairment and the TUG-ABS test to evaluate functional mobility. The Spearman Correlation was performed to verify the relationship between the variables (α = 5%). The level of lower limb motor impairment and functional mobility considering the biomechanical strategies adopted by individuals with post-stroke hemiparesis during locomotion and transfer activities presented a significant (p <0.001) positive and moderate magnitude correlation (rs = 0, 60). Individuals with lower motor impairment of lower limbs required fewer biomechanical strategies for their locomotion and transfers. Identifying this correlation may help in the elaboration of bether evaluation and treatment strategies aiming at greater functional independence for these individuals.