Banca de QUALIFICAÇÃO: JESIMIEL MISSIAS DE SOUZA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : JESIMIEL MISSIAS DE SOUZA
DATE: 28/06/2022
TIME: 14:30
LOCAL: remoto
TITLE:

QUALITY IN REPORTING ADVERSE EVENTS DURING TREADMILL GAIT TRAINING IN STROKE PATIENTS: A SYSTEMATIC REVIEW

KEY WORDS:

Stroke; Treadmill Gait Training, Adverse Event, Rehabilitation.

PAGES: 80
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Stroke is responsible for major functional impairments, and
treadmill gait training is an excellent alternative for the treatment of these
disabilities; however, it presents considerable occurrences of adverse events.
It is important that the reporting, evaluation and quality of information on these
events are reliable and clear, aiming at the safe clinical applicability of this
intervention. Purpose: Article 1. To analyze the methodological quality in the
reporting of adverse events in clinical trials involving treadmill gait training for
individuals with stroke. / Article 2. Assess the risks involving Treadmill Gait
Training when compared to other interventions. Methods: This study is
characterized as a systematic review of intervention studies. Randomized or
quasi-randomised, crossover and before-after trials were considered, which
performed treadmill gait training in stroke subjects in at least one of the study
groups. Studies in English and without date restriction were considered. The
searches were carried out between November 2019 and May 2021 in the
PsyINFO, MEDLINE, CENTRAL, CINAHL, SportDISCUS, LILACS and PEDro
databases. Among the studies that met the criteria, only studies with full text
available that mentioned any type of adverse event observed or
evaluated/monitored in the study were included. Article 1. Outcomes related
to adverse events were analyzed regarding the occurrence and types of
events evaluated and observed. Data were analyzed by descriptive statistics.
Article 2. Data relating to the type and severity of the event were analyzed in
relation to an adverse event tree; and, from the number of adverse events in
each group (experimental and control) and the number of participants in each
group, the risk ratio (RR) was calculated as the main measure. Thus, the
studies were grouped for analysis (meta-analysis), considering the 

comparisons of treadmill training with other interventions. Results: In Article
1, 44 studies were included, of which 29 were randomized clinical trials. The
most evaluated adverse events in the studies were pain and
decompensations in heart rate and pressure, while the most observed events
were new stroke, medical complications, and pain. Adverse events in
participants in the groups that received treadmill training were reported in a
greater number of studies compared to participants who did not exercise on a
treadmill. Few studies used an event evaluation strategy, failing to report
details of the event, how they were evaluated and the moment of evaluation.
In article 2, still in the results analysis phase, it is expected that when
compared to other interventions taking into account the severity and number
of adverse events, treadmill gait training will prove to be safe, effective or
even superior to other types of intervention. for stroke patients with regard to
adverse events.

BANKING MEMBERS:
Presidente - 2319151 - TATIANA SOUZA RIBEIRO
Interna - 2291421 - KARLA MORGANNA PEREIRA PINTO DE MENDONCA
Externa à Instituição - LARISSA COUTINHO DE LUCENA - FACENE