Análise das variáveis hemodinâmicas durante o ortostatismo passivo em pacientes com trauma raquimedular: projeto piloto

Abstract

Introduction: The spinal Cord injury constitutes a set of temporary o permanent changes in the spinal cord’s motor, sensory and autonomic functions. Arising from the patient’s clinical condition, physiotherapy intervention is crucial for quality of life. Objective: Asses hemodynamic variables in patients with spinal cord injury and the effectiveness of pilot project during a progressive orthostatic test. Methodology: A pilot projects was outlined in order to analyse the hemodynamic variables present in orthostatism. Patients were placed on an orthostatic board and monitored. Thus, the board was elevated and remained for five minutes in each position. Results: Data collected from three patients revealed that blood pressure behavior was the same for two of these patients, which gradually increased after enlarged angulation. However, from 60° on the blood pressure decresed while the third patient presented a lowered pressure during the whole procedure. Also, two of the patients presented a progressive drop in heart rate, while the third volunteer presented the opposite behavior. All of them showed an increase in respiratory rate during the procedure and pulse oximetry results were not significant. Conclusion: The pilot project was effective and safe. The assumed variables were strictly monitored during the procedure, therefore, it will be continued