{"id":7216,"date":"2021-03-31T15:33:22","date_gmt":"2021-03-31T18:33:22","guid":{"rendered":"https:\/\/kinetec.com.br\/new\/?p=7216"},"modified":"2022-12-15T12:34:32","modified_gmt":"2022-12-15T15:34:32","slug":"informacoes-valiosas-sobre-analise-de-marcha-pos-covid","status":"publish","type":"post","link":"https:\/\/kinetec.com.br\/new\/informacoes-valiosas-sobre-analise-de-marcha-pos-covid\/","title":{"rendered":"Informa\u00e7\u00f5es valiosas sobre An\u00e1lise de Marcha P\u00d3S-COVID"},"content":{"rendered":"

Na live com o Marco Ant\u00f4nio Figueiredo, atuante no laborat\u00f3rio de marcha da Funda\u00e7\u00e3o Jos\u00e9 Silveira, e com o Guilherme Brodt, foi poss\u00edvel extrair diversas informa\u00e7\u00f5es valiosas em rela\u00e7\u00e3o a uma an\u00e1lise de paciente p\u00f3s COVID.\u00a0<\/span><\/p>\n

Apresenta\u00e7\u00e3o do caso<\/strong>:<\/span><\/p>\n

– Homem de 54 anos.<\/span><\/p>\n

– Iniciou em abril de 2020 com desconforto respirat\u00f3rio, evoluindo para insufici\u00eancia e hipoxemia, diagnosticado com COVID-19.<\/span><\/p>\n

– 15 dias entubado.<\/span><\/p>\n

– 95 dias internado.<\/span><\/p>\n

– Escara sacral \/ 5 infec\u00e7\u00f5es \/ TVP bilateral.<\/span><\/p>\n

– Em agosto de 2020 teve alta hospitalar.<\/span><\/p>\n

– Iniciou reabilita\u00e7\u00e3o domiciliar 2x\/semana.<\/span><\/p>\n

– Novembro de 2020 teve avalia\u00e7\u00e3o na institui\u00e7\u00e3o.<\/span><\/p>\n

– Diagn\u00f3stico: Polineuropatia do Paciente Cr\u00edtico.<\/span><\/p>\n

O laborat\u00f3rio no qual o paciente foi avaliado possui 8 c\u00e2meras infravermelho para fazer a an\u00e1lise dos marcadores reflexivos dos pacientes, duas c\u00e2meras de v\u00eddeo cl\u00ednico para an\u00e1lise da caminhada, 4 plataformas de for\u00e7a e 8 pontos de avalia\u00e7\u00e3o eletromiogr\u00e1fica. Al\u00e9m disso, possui um aceler\u00f4metro G Walk. Essas informa\u00e7\u00f5es destacam a enorme import\u00e2ncia de tratar um paciente desses com tecnologia.<\/span><\/p>\n

Existem situa\u00e7\u00f5es que s\u00e3o f\u00e1ceis de enxergar no v\u00eddeo cl\u00ednico, mas a grande vantagem da tecnologia \u00e9 que existem diversos detalhes que n\u00e3o \u00e9 poss\u00edvel conseguir enxergar no v\u00eddeo. Essa capacidade s\u00f3 o equipamento consegue trazer para voc\u00ea, e isso faz toda a diferen\u00e7a.<\/span><\/p>\n

A perna direita do paciente ficou extremamente limitada. Al\u00e9m disso, ele n\u00e3o consegue mais fazer extens\u00e3o de quadril durante a marcha. O paciente tem mobilidade, mas n\u00e3o consegue realizar a ativa\u00e7\u00e3o do m\u00fasculo, fazendo uso de padr\u00e3o primitivo. Tamb\u00e9m \u00e9 importante destacar que est\u00e1 andando a menos de 20% da velocidade que ele deveria apresentar. Ou seja, est\u00e1 com muita falta de for\u00e7a e amplitude de movimento. \u00c9 importante ressaltar que o COVID tamb\u00e9m pode afetar a coordena\u00e7\u00e3o.<\/span><\/p>\n

Segue abaixo alguns indicadores adquiridos por meio da tecnologia de an\u00e1lise avan\u00e7ada que o laborat\u00f3rio possui:<\/span><\/p>\n

\"\"<\/p>\n

Right Limb – membro direito.<\/strong><\/p>\n

Left limb – membro esquerdo.<\/strong><\/p>\n

Normal values – valores normais.<\/strong><\/p>\n

Stance Time – tempo em apoio.<\/strong><\/p>\n

Swing time – tempo em balan\u00e7o.<\/strong><\/p>\n

Mais tempo em apoio = menos tempo em balan\u00e7o.<\/span><\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

O Plano Sagital consiste em flex\u00e3o, extens\u00e3o, inclina\u00e7\u00e3o para frente, etc. A normalidade se encontra na nuvem cinza.<\/span><\/p>\n

\"\"<\/p>\n

O joelho est\u00e1 r\u00edgido. Possui uma estrat\u00e9gia de caminhada pouco econ\u00f4mica, provavelmente causada pelas limita\u00e7\u00f5es de amplitude.<\/span><\/p>\n

\"\"<\/p>\n

Est\u00e1 acontecendo muito tarde e muito devagar, quando deveria estar acontecendo r\u00e1pido. Al\u00e9m disso, o p\u00e9 est\u00e1 sem for\u00e7a suficiente para levantar durante o balan\u00e7o.<\/span><\/p>\n

Eletromiografia do paciente:<\/strong><\/p>\n

\"\"<\/p>\n

Eletromiografia normal:<\/strong><\/p>\n

\"\"<\/p>\n

As nuvens s\u00e3o o desvio padr\u00e3o do paciente.<\/span><\/p>\n

Normalidade: linha escura.<\/span><\/p>\n

Sinal eletromiogr\u00e1fia bruto do paciente:<\/strong><\/p>\n

\"\"<\/p>\n

As linhas est\u00e3o bem espessas, ou seja possu\u00ed marcha muito inconsistente.<\/span><\/p>\n

Os sinais s\u00e3o residuais, a ponto da normalidade estar tapando o sinal. Isso \u00e9 inadmiss\u00edvel.<\/span><\/p>\n

Al\u00e9m da for\u00e7a, o paciente perdeu capacidade de recrutamento; sinais que deveriam estar chegando n\u00e3o chegam.\u00a0<\/span><\/p>\n

Sinal bruto de paciente saud\u00e1vel:<\/strong><\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Na live com o Marco Ant\u00f4nio Figueiredo, atuante no laborat\u00f3rio de marcha da Funda\u00e7\u00e3o Jos\u00e9 Silveira, e com o Guilherme Brodt, foi poss\u00edvel extrair diversas informa\u00e7\u00f5es valiosas em rela\u00e7\u00e3o a uma an\u00e1lise de paciente p\u00f3s COVID.\u00a0 Apresenta\u00e7\u00e3o do caso: – Homem de 54 anos. – Iniciou em abril de 2020 com desconforto respirat\u00f3rio, evoluindo para […]<\/p>\n","protected":false},"author":1,"featured_media":7228,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[25,1],"tags":[],"class_list":["post-7216","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-sem-categoria"],"yoast_head":"\nInforma\u00e7\u00f5es valiosas sobre An\u00e1lise de Marcha P\u00d3S-COVID - Kinetec<\/title>\n<meta name=\"description\" content=\"Confira as informa\u00e7\u00f5es de uma an\u00e1lise realizada com um paciente p\u00f3s COVID.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinetec.com.br\/new\/informacoes-valiosas-sobre-analise-de-marcha-pos-covid\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Informa\u00e7\u00f5es valiosas sobre An\u00e1lise de Marcha P\u00d3S-COVID - 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