Home-based physiotherapy practice and the influence of the family environment on the rehabilitation of patients with cerebrovascular accident
Keywords:
Cerebrovascular diseases, Rehabilitation, Social supportAbstract
Introduction: Neurological pathologies are responsible for cognitive and sensorimotor impairments, with Stroke (Cerebrovascular Accident - CVA) being one of the most prevalent conditions among the Brazilian population. The high number of cases in the country is concerning, as stroke significantly compromises individuals’ functionality and negatively impacts their quality of life. Objective: To identify, in the literature, the relationship between home-based physical therapy and the influence of the family environment on the rehabilitation of stroke patients. Methodology: A literature review was conducted using the SciELO, PubMed, and Google Scholar databases, with the following descriptors: "Stroke," "Home Physical Therapy," "Rehabilitation," and "Family." Results: Twenty-five articles were selected for this review. The studies demonstrated that home-based physical therapy contributes to improvements in joint mobility, balance, and patients’ functional independence. Regarding the family environment, it was found that the active involvement of family members in the rehabilitation process supports treatment adherence through encouragement and emotional support. Conclusion: Physical therapy assistance in the home setting, combined with family support, stands out as an important predictor of better prognosis in post-stroke patient rehabilitation.
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