Effect of global posture reeducation on rehabilitation after stroke

• Grant number: 18/18952-1
• Support type: Scholarships in Brazil - Post-Doctorate
• Effective date (Start): January 01, 2019
• Effective date (End): December 31, 2020
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Fernando Morgadinho Santos Coelho
• Grantee: Cristina Mattos Pereira Frange
• Home Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo, SP, Brazil

Abstract

After stroke, the patient may be affected by sensorimotor, musculoskeletal, perceptual and congenital sequelae. Several motor impairments, such as balance changes, motor coordination, loss of protective reactions, muscular strength, muscle tone, and range of motion, restricting essential actions such as maintaining posture in orthostatism and walking. In addition, sleep disorders are evidently common in this population. In this sense, we will explore the hypothesis that the physical therapy treatment with Global Posture Reeducation (GPR) could improve the motor rehabilitation (functional mobility, ability in daily life activities) in patients after stroke, besides sleep. For this, the patients, of both sexes, with 18 years or more will be allocated in 2 groups: GPR and control. All patients will receive physiotherapeutic care in a clinical setting. Motor rehabilitation and sleep will be evaluated subjectively (questionnaires) and objective (computerized photographs, manovacuometry and polysomnography), before and after the intervention, and 1 and 3 month of follow-up. Understanding the effect of GPR as a physiotherapeutic resource and its impact on motor rehabilitation, sleep, and consequently the post-stroke phenotype may be a viable strategy as a therapeutic measure for this growing population.