Avaliação do controle postural e sua relação com o hemisfério acometido no acidente vascular cerebral

Abstract

Introduction: The stroke is a neurological disorder that affects the hemisphere contralateral to the lesion and causes asymmetry in weight distribution between hemibodies and consequent difficulty in postural control. The functional differences between the cerebral hemispheres originate distinct characteristic in this postural control and this should be considered in the physical therapy treatments. Objective: To establish relationship between the postural control and the impaired hemisphere in stroke. Methods: Descriptive study, cross case, with a qualitative and quantitative approach. The sample consisted of 8 subjects, divided into two groups, group with lesions in the right hemisphere (HCD) and the group left hemisphere lesion (HCE), equated by sex and age. They were used: Patient’s Registration Form, Berg Balance Scale (BBS), Trunk Disability Scale (TDS) and Timed Up and Go (TUG). The sample characterization data and the variables analyzed in postural control tests were treated using descriptive statistics, using Excel 2013 software. Results: We included 8 subjects as the participants. Although the results does not allow infer statistically significant difference, it seems there is evidence that individuals with affected HCD, have greater difficulty in postural control in relation to subjects with injury in HCE. Conclusion: In the present study, subjects with injury HCD had higher scores than the ones with the HCE affected. This suggests that these individuals have higher deficits in postural control, reflecting on their activities of daily living and on the adoption of a suitable physical therapy treatment.