Banca de DEFESA: JESIMIEL MISSIAS DE SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JESIMIEL MISSIAS DE SOUZA
DATE: 14/04/2023
TIME: 14:30
LOCAL: remoto
TITLE:

ADVERSE EVENTS REPORTED IN GAIT TRAINING ON TREADMILL IN INDIVIDUALS WITH STROKE: A SYSTEMATIC REVIEW

KEY WORDS:

Keywords: Neurorehabilitation, Gait, Medical complications, health intervention, Cerebral Vascular Disorder, Stroke.

PAGES: 62
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Treadmill gait training has been recommended in the rehabilitation of people with stroke. As with any treatment in the health area, treadmill training is a potential source of adverse events, and it is important that the evaluation, reporting and quality of information on these events are clear, reliable and expected. Objective: To analyze the report of adverse events in clinical trials involving treadmill gait training for individuals with stroke. Methods: The article constitutes a systematic review of intervention studies, in which randomized or quasi-randomized crossover clinical trials were considered; and before-after studies. Primary studies should include treadmill gait training in subjects with stroke in at least one of the study groups. Studies with full text, in English, Portuguese and Spanish and without data restrictions were considered. The searches were carried out in the period of October and November 2019 and updated in May and June 2021, as well as in November and December 2022 in the PsyINFO, MEDLINE, CENTRAL, CINAHL, SportDISCUS, LILACS and PEDro databases. Among the studies that met the criteria, studies that mentioned some type of adverse event observed or evaluated/monitored in the study were included. In the article, the results related to adverse events were analyzed regarding the occurrence and types of events evaluated and observed, and the data were analyzed using descriptive statistics. Data regarding the type and severity of the event were analyzed in relation to an adverse event tree. Results: The Article included 51 studies, of which 36 were randomized clinical trials. The most frequently evaluated adverse events in the studies were pain and imbalances in heart rate and pressure, while the most observed events were new strokes, medical complications and pain. Although less serious when compared to physiological and pharmacological reactions, adverse events associated with physical exercise need attention regarding the severity, type and frequency in which they occur. Adverse events for participants in groups who received treadmill training were reported in a greater number of studies compared to participants who did not train on a treadmill. Few studies used an event assessment strategy, failing to inform event details, how they were assessed and the time of assessment. Conclusion: From this review, we concluded that the reporting of adverse events in studies that built treadmill training in individuals with stroke is inconsistent and not systematic. Even though it is considered safe, our results indicate that treadmill training in individuals with stroke seems to be related to the occurrence of adverse events.

COMMITTEE MEMBERS:
Externa ao Programa - 1032531 - ALINE BRAGA GALVAO SILVEIRA FERNANDES - nullExterno à Instituição - MIKHAIL SANTOS CERQUEIRA
Presidente - 2319151 - TATIANA SOUZA RIBEIRO