ANÁLISE DA MARCHA E DO EQUILÍBRIO APÓS FRATURA MALEOLAR DE TORNOZELO
DOI:
https://doi.org/10.25110/arqsaude.v29i3.2025-11834Palavras-chave:
Tornozelo, Fratura, Marcha, Equilíbrio, Desempenho físico FuncionalResumo
Objetivos: avaliar a marcha, o equilíbrio e a funcionalidade de pacientes que passaram por tratamento cirúrgico pós-fratura maleolar de tornozelo. Métodos: a amostra foi composta por 20 participantes, de ambos os sexos, com idade entre 30 a 59 anos, divididos em dois grupos; Grupo Fratura de Tornozelo (GFT) e o Grupo Controle (GC). O GFT foi composto por 10 participantes em pós-operatório de fratura de tornozelo; enquanto o GC foi composto por 10 participantes saudáveis. Para a análise da marcha e do equilíbrio foi utilizado um acelerômetro e para a avaliação da funcionalidade foi utilizado o Y Balance Test (YBT). Além disso, os participantes do GFT responderam um questionário específico sobre lesões de tornozelo e pé (FAOS - Foot and Ankle Outcome Score). Para a análise estatística das variáveis bipodais foi realizado um teste T para medidas independentes para comparar o GFT com GC e para a análise das variáveis unipodais foi realizado uma ANOVA de um fator. Resultados: As avaliações ocorreram, em média, 12,15 (± 2,00) meses após a cirurgia e os valores médios do FAOS demonstraram-se abaixo do esperado para o período (53,10 ± 36,89). Na análise dos parâmetros espaçotemporais da marcha, a velocidade dos participantes do GFT foi significativamente inferior à do GC. Além disso, ambos os membros do GFT apresentaram desempenho inferior ao do GC na análise do comprimento do passo, na maioria das variáveis de equilíbrio e no YBT. Conclusão: Conclui-se que, apesar de ainda apresentarem alterações na marcha, no equilíbrio e na funcionalidade, esses pacientes mantiveram independência funcional, sugerindo que protocolos fisioterapêuticos padrão constituem ferramentas eficazes na reabilitação pós-fratura de tornozelo.
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