Reabilitação em grupo de indivíduos pós-AVC na atenção primária em saúde: um estudo coorte retrospectivo

Abstract

Stroke causes sequelae that impact the individual's functionality. In the context of Primary Health Care (PHC), carrying out therapeutic groups can be a viable and safe rehabilitation strategy. The objective of the work was to investigate the feasibility and safety of a therapeutic group in PHC for post-stroke individuals. A retrospective cohort study was carried out from the group focused on post-stroke individuals treated at UBS Gilmário Teixeira (CDFAM). Services were provided from August to November 2022, aimed at improving mobility, balance and gait. The outcomes assessed were attendance, adverse events, mobility and gait (TUG), and balance and risk of falls (Berg Balance Scale). Of the 9 individuals included, 6 completed the final assessment. Age and time since stroke were 57.6±12 years and 29.6±28.9 months. Of the participants, 6 were male and 8 were ischemic.. All subjects rated 2 and 3 on the Modified Rankin Scale. 22 appointments were made, with an average number of absences of 5.44±2.51. The initial TUG values were 20.9±8.68 seconds and BBS 43.3±4.68. The final values in TUG were 18.8±7.89 seconds and BBS 45.3±5.47, with a significant improvement in BBS (p<0.05). There was 1 adverse event of hypotension during exercises. Therefore, the therapeutic group is safe and viable to be carried out in PHC, requiring attention to possible complications, with access to emergency services. Future studies should investigate its effectiveness.