INTERVENÇÃO FISIOTERAPÊUTICA NEUROMUSCULAR NA FUNCIONALIDADE DO MEMBRO INFERIOR HEMIPARÉTICO APÓS AVC: UM ESTUDO DE CASO

Abstract

A strok Cerebrovascular Accident (CVA) is defined as a sudden focal neurological deficit. As one of the leading causes worldwide, CVA can be classified into two types: ischemic (iCVA) and hemorrhagic (hCVA), with ischemic CVA being the most frequent, occurring due to the occlusion of a blood vessel. One of the most common characteristics post-CVA is that the patient presents hemiparesis, causing various changes such as in motor and sensory function. Physiotherapy plays an important role in the rehabilitation of this individual through conventional and modern methods, such as kinesiotherapy, which minimize functional losses. The study aims to analyze the influence of a neuromuscular physiotherapeutic intervention program on the functionality of the paralyzed lower limb of  a patient affected by CVA. This is a case study, descriptive in nature, conducted at the Physiotherapy School Clinic. The intervention protocol includes the screening form containing sociodemographic topics, goniometry, Oxford scale, Barthel Index, and kinesiotherapy during the 10 sessions. The results showed improved functionality of the paretic lower limb after the physiotherapeutic intervention. An increase in range of motion was observed, with emphasis on the knee, which presented in flexion (110°-133°), extension (18°-20°), dorsiflexion (11°-19°), and plantar flexion (21°-40°) of the ankle. Furthermore, muscle strength was observed to improve in level (4-5) and in ADLs (90-100), achieving progression to maximum independence, and an improvement was seen in the execution of functional activities. It is concluded that the neuromuscular physiotherapeutic intervention was effective in promoting functional gains, contributing to the rehabilitation and improvement of the patient’s quality of life.