Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehab.periodikos.com.br/article/doi/10.17784/mtprehabjournal.2019.17.774
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Relationship between anxiety and static and dynamic balance disorder in subjects with cerebrovascular accident (stroke) diagnosis.

Ana Paula Lemos Ferreira, Danillo Barbosa

Downloads: 1
Views: 123

Abstract

Background: According to the World Health Organization, cerebrovascular accident (Stroke) is defined as an acute neurological dysfunction that occurs due to a change in the brain circulation, resulting in signs and symptoms that compromise specific brain sites, persisting for more than 24 hours. There is a range of symptoms that stroke causes, in which motor changes become the most evident and feared symptoms by the patient, as they are the causes of several functional limitations, directly interfering with activities of daily living and possibly causing psychological disorders. Anxiety disorder is one of the psychological disorders that the subject after stroke may have. This disorder is characterized as a state of discouragement, distress and fear, which causes a series of symptoms, such as tachycardia, muscle tension, chronic pain, among others. These emotional and physical changes may be beneficial or harmful to the regularization of the disorders that stroke causes. Objective: To analyze the interference of anxiety on the static and dynamic balance of patients diagnosed with stroke. Methods: Fifteen patients with stroke, aged 40 to 80 years, were assessed using the Hospital Anxiety and Depression Scale, Timed Up and Go test for dynamic balance and the Berg Scale for static balance. Data were tabulated in Excel and analyzed using SPSS. Results: Significant values were found for the correlation between anxiety and balance, in which the results analyzed showed that the balance of patients with stroke can be negatively exacerbated due to the anxiety that affects them. Conclusion: It can be concluded from these results that anxiety can alter the balance of stroke patients and thus, it is shown the importance of a multidisciplinary treatment from the first moment to leverage the treatment.

Keywords

Anxiety; Cerebrovascular Accident; Stroke; Balance.

References

1. Barcala L, Colella F, Araujo MC, Salgado ASI, Oliveira CS. (2011). Balance analysis in hemiparetics patients after training with Wii Fit program. Fisioterapia em Movimento. 2011;24(2):337-43.

2. Chen J, Sun D, Shi Y, Jin W, Wang Y, Xi Q, Ren C. (2018). Alterations of static functional connectivity and dynamic functional connectivity in motor execution regions after stroke. Neuroscience letters. 2018;686:112-21.

3. Freitas ECG, Ferreira EAG. Alinhamento postural, ansiedade e estresse em adultos jovens. Revista PIBIC, Osasco. 2007; 4:81-94.

4. Pedroso VSP, Souza LCD, Teixeira AL. (2014). Neuropsychiatric syndromes associated with stroke: review of the literature. Jornal Brasileiro de Psiquiatria. 2014;63(2):165-76.

5. da Rosa, GMMV. Análise da influência do estresse no equilíbrio postural. Fisioterapia Brasil. 2009;5(1):50-55.

6. Meneghetti CHZ, Delgado GM, Pinto FD, Canonici AP, Gaino MRC. Equilíbrio em indivíduos com acidente vascular encefálico: Clínica Escola de Fisioterapia da Uniararas. Revista Neurociências. 2009;14-18.

7. Bergerot CD, Laros JA, de Araujo TCCF. (2014). Avaliação de ansiedade e depressão em pacientes oncológicos: comparação psicométrica. PsicoUSF. 2014;1(1):187-97.

8. Marcolino JÁM, Mathias LAST, Piccinini Filho L, Guaratini AA, Suzuki FM, Alli LAC. Escala hospitalar de ansiedade e depressão: estudo da validade de critério e da confiabilidade com pacientes no pré-operatório. Rev Bras Anestesiol. 2007;57(1):52-62.

9. Dias BB, da Silva Mota R, Gênova TC, Tamborelli V, Pereira VV, de Tarso Puccini P. Aplicação da Escala de Equilíbrio de Berg para verificação do equilíbrio de idosos em diferentes fases do envelhecimento. Revista Brasileira de Ciências do Envelhecimento Humano. 2009;6(2).

10. Figueiredo KMOB, Lima KC, Guerra RO. Instrumentos de avaliação do equilíbrio corporal em idosos. Revista Brasileira de Cineantropometria & Desempenho Humano.2007;9(4):408-13.

11. Dutra MC, Cabral ALL, Carvalho GA. Tradução para o português e validação do teste timed up and go. Revista INTERFACES. 2016;3:81-88.

12. Santos DG, Pegoraro ASN, Abrantes CV, Jakaitis F, Gusman S, Bifulco SC. Avaliação da mobilidade funcional do paciente com sequela de AVC após tratamento na piscina terapêutica, utilizando o teste Timed Up and Go. Einstein. 2011;9(3).

13. Souza WC, Rosa GMMV, Gaban G.A, Pinto LDP, Bastista ET, Serafim AD, Silva AMM. A influência da personalidade ansiosa e o estado de ansiedade sobre o equilíbrio postural. Fisioterapia Ser. 2009;4:216-219.

14. Rafsten L, Danielsson A, Sunnerhagen KS. Anxiety after stroke: a systematic review and meta-analysis. J Rehabil Med. 2018;50:769–78.

15. Schottke H, Giabbiconi CM. Post-stroke depression and post-stroke anxiety: prevalenceand predictors. International Psychogeriatrics. 2015;27(11):1805-12.

16. Rutovic S, Kadojic D, Dikanovic M, Solic K, Malojcic B. Prevalence and correlates of post-traumatic stress disorder after ischaemic stroke. Acta Neurologica Belgica. 2019;1-6.

17. Gagey PM, Weber B. Uma Breve Historia Posturologia. Posturologia, Regulação e Distúrbios da Posição Ortostática. 2ª ed. São Paulo:Manole, 2000.

5e6a2a970e8825d5293c3167 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections