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Revista Ecuatoriana de Neurología

versão On-line ISSN 2631-2581versão impressa ISSN 1019-8113

Resumo

SANDOVAL-CUELLAR, Carolina; QUINO-AVILA, Aura Cristina; COBO-MEJIA, Elisa Andrea  e  HERNANDEZ-ALVAREZ, Edgar Debray. Functionality Of The Gait In The Quality Of Life Related To Health In Adults With Stroke: Systematic Review - Metaanalysis. Rev Ecuat Neurol [online]. 2019, vol.28, n.2, pp.92-104. ISSN 2631-2581.

Introduction:

Stroke causes deficiencies that affect movement; these include deficit in motor function, reflex integrity, sensory integrity, and gait.

Objective:

determine the effect of gait functionality on health-related quality of life in adults with Stroke.

Method:

databases PUBMED / MEDLINE, EMBASE, LILACS, SCIELO, Central Cochrane Registry of Controlled Trials (CENTRAL) were consulted between November 2016 and February 2017. Randomized clinical trials were selected. For the analysis, the methodological quality was evaluated using the Physiotherapy Evidence Database, PEDro score and the Risk of bias with the Review Manger 5.3 (RevMan) criterias, also RevMan was being used for analysis and data extraction according to the eligibility criteria.

Results:

Lokomat as a rehabilitation strategy for gait functionality has a positive effect on improving the quality of life in people with stroke. The analysis of the included studies demonstrated a low level of statistical heterogeneity based on I2 and Chi2, for the global scale of quality of life. The results obtained for quality of life related to health, when the proposed intervention is carried out with the use of Lokomat and measured with the SF-36 scale, an increase of 1.83 points.

Conclusions:

The rehabilitation of gait functionality through different protocols and intervention strategies does not present differences, due to its variability in terms of technique, application method, clinical involvement of stroke and the duration of its application. However, clinical changes that favor quality of life related to health are observed.

Palavras-chave : Adult; Middle aged; Aged; Gait; Quality of life; Stroke; Postural balance..

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