Percepção e adesão ao ciclismo com/sem estimulação elétrica funcional em pacientes pós-avc: uma revisão sistemática

Abstract

Cardiovascular diseases are the leading cause of global death, with stroke being the leading cause of disability in the world. Its functional impairments are directly related to muscle weakness and cycling is one of the treatment alternatives, which may or may not be associated with functional electrical stimulation (FES). This study aimed to evaluate the perception and adherence of patients with hemiplegia / hemiplegia after stroke in different cycling protocols and whether FES cycling is more effective than cycling alone to improve compliance and self-perception. This study constitutes a systematic review registered and available in Prospero with ID: 104370, was performed through Medline via Ovid, Scielo, CINAHL and Pubmed, according to PICO, performed between April and August 2018 without restriction of year of publication, with selection process carried out through PRISMA and evaluated through the PEDro scale. From a total of 404 studies, 03 met the criteria and were included, presenting similar sample characteristics and protocols used. None of the studies evaluated patient adherence and perception, despite the positive effects of FES- induced cycling demonstrated. This systematic review highlights the lack of knowledge about the perception and adherence of the hemiparetic individual using different cycling protocols associated or not with FES. It is necessary that the studies look at these aspects as fundamental to the success of this treatment.