Efeitos da Imagem Mental na Reabilitação da Função Motora do Membro Superior na Hemiplegia Após-Acidente Vascular Encefálico

AUTOR(ES)

Claudia Morais Trevisan

DATA DE PUBLICAÇÃO

2007

RESUMO

The goal of this study was to investigate the effects of mental imagery in response to mirror therapy in rehabilitation of the motor function in the upper extremity in hemiplegia by stroke. Twenty volunteers both sexes were selected, by simple random, from communitary services via advertisements and physician referral of the city of Santa Maria/RS. The inclusion criteria were a single stroke, ischemic or hemorrhagic, at least 06 months post-stroke proved by evidenced by computed tomography or magnetic resonance, an obvious motor deficit of one upper limb, without cognitive deficits, ages between 40 and 60 years; maximum degree of spasticity 2 (Ashworth scale) and pain at most 04 in the hemiplegic upper extremity. All patients signed a term. A kinematic evaluation of the movements of the hemiplegic and nonhemiplegic upper extremity, 04 weeks before and after the application of the mirror therapy, quantifying articular movement angles and times, in reaching and grasping tasks, using the automatic Peak PerformanceTM video system. No significant differences were found in assessment of temporal and angular variables between the experimental group, after use mirror therapy and the control group (p <0,05) by Kruskal-Wallis test. The comparison between the hemiplegic and nonhemiplegic upper extremity in response to the mirror therapy, showed significant differences in the variable time in all tasks (p>0,05) by Wilcoxon test. The improvements over remained stable over one month period. Statically significant was found in angular variable but not all movements only in small complexity task. The present study suggests that rehabilitation with mirror visual feedback is an effective method for the recovery of the paretic limb post-stroke accident, even in a chronic phase

ASSUNTO(S)

hemiplegia stroke hemiplegia biomecânica biomechanics rehabilitation ciencias da saude acidente vascular encefálico reabilitação

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