EFEITOS DA ESTIMULAÇÃO MAGNÉTICA TRANSCRANIANA E DA ESTIMULAÇÃO ELÉTRICA FUNCIONAL NA QUALIDADE DE VIDA E INDEPENDÊNCIA FUNCIONAL DE PACIENTES COM LESÃO MEDULAR

Abstract

This dissertation is composed of an article that is submitted to the Brazilian Journal of Physical Therapy (BJPT), entitled "Effects of Transcranial Magnetic Stimulation and Functional Electrical Stimulation on Quality of Life and Functional Independence of People with Spinal Cord Injury." This is a longitudinal and observational study with the objective of evaluating the effects of transcranial magnetic estimation (rTMS) and functional electrical estimation (FES) on quality of life (QoL) and functional capacity of adult patients with LM spinal cord injury. A sample initially composed of a group of individuals who complete a research with a clinical diagnosis of LM. The study was done for two treatment periods. In the first period, patients were followed up in the outpatient rehabilitation process for 30 days prior to initiation of rTMS therapy. In the second treatment period, patients continued the therapies that they already did in the first period and were inserted in a therapy by the rTMS / FES. Participants had 20 daily sessions of rTMS and FES associated with traditional therapy. As the evaluations were carried out before the first survey, before the first treatment period, between the first and the second period at the end of the second treatment period. The following instruments were used: Sociodemographic and Clinical Profile Sheet; Scale of the American Spinal Injury Association (ASIA); Functional Independence Measurement Scale (MIF); Barthel Index; And the Medical Outcomes Study Questionnaire 36v2 - Short Item - Form Health Survey (SF-36v2). The analysis of the nine individuals of both sexes obtained an average age of 33.55 (± 10.78) years. It was not observed between a first and second evaluation. But, between the second and third evaluation, there was improvement in the Barthel Index (p = 0.02); In the mobility and transfer domain (p = 0.02), in its total score (p = 0.01) of MIF; And it has no SF-36v2 functional processing capability (p = 0.02). It can be concluded that rTMS and FES improve QoL and the functional independence of patients with LM.