Comportamento da distribuição do suporte de peso em pé em pessoas com hemiparesia crônica: revisão com metanálise

Monike Barros Camargos, Hudson Azevedo Pinheiro, Michelle Rabelo, Roberto de Souza Baptista, Emerson Fachin-Martins

Resumo


Embora seja relatada a ideia de que pessoas com hemiparesia crônica possuem distribuição assimétrica do suporte de peso em pé, algumas evidências também apontam distribuições simétricas nessa população. Esta revisão teve por objetivo levantar pesquisas que investigaram a distribuição do suporte de peso em pé em sujeitos que adquiriram hemiparesia crônica decorrente de acidente vascular encefálico (AVE) identificando qual comportamento de suporte de peso foi descrito pelos autores para essa população. Foram consultadas as bases de dados PubMed, EMBASE, Cochrane, CINAHL e SciELO, até outubro de 2015. Das referências selecionadas foram destacadas as informações: (1) medidas de distribuição do suporte de peso; (2) equipamentos utilizados para medir essa distribuição; (3) informações disponíveis sobre as propriedades psicométricas do instrumento utilizado e (4) ideia apresentada sobre o tipo de distribuição no suporte de peso. Dentre as referências encontradas, aquelas que apresentaram dados obtidos a partir de balanças digitais e que permitiam o cálculo de uma razão de simetria foram utilizadas para metanálise. Observou-se na maioria dos estudos, assim como mencionado previamente, que prevaleceu a ideia de que os indivíduos com hemiparesia crônica possuem distribuição assimétrica do suporte de peso com sobrecarga do hemicorpo não parético. No entanto, a heterogeneidade dos estudos, a falta de parâmetros para se definir quais são os limites do que seria simetria no suporte de peso e as poucas informações sobre as propriedades psicométricas dos instrumentos utilizados apontam para necessidade de estudos adicionais.



Palavras-chave


Transtornos cerebrovasculares; hemiplegia; equilíbrio postural; suporte de carga; revisão.

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Referências


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DOI: https://doi.org/10.13037/ras.vol14n48.3240

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