Terapia de restrição de membro superior não paretico e indução de movimento em pacientes hemipareticos / Constrain therapy in upper estremity not paretic and induced movement in hemiparetics patients

AUTOR(ES)

Rodrigo Dantas de Sousa

DATA DE PUBLICAÇÃO

2008

RESUMO

The Constraint-Induced movement therapy is enters the forms of treatment that more blunts in the world, for presenting excellent functional results. Low the tack to the treatment has been target of quarrel, then its protocol has been modified to minimize this problematic one. In this work the technique was adapted and made the evaluation of the hemiparetic body 15 patients had been selected, of which they had remained 10, of an average flow of 100 patients/month of the Service of Physiotherapy and Occupational Therapy of the Hospital of Clinics of the State University of Campinas (UNICAMP). 7 men and 3 women had been attended who already were in physiotherapy 2 times/week, didn t present restriction of the movement articulation (ADM) of the upper extremity and with one episode of stroke. Immobilization was made through one splint of positioning of fist, hand and fingers, during 5 daily hours, for two periods of 15 days each, with interval between them of 30 days. The patients had been evaluated by the scales of Fugl-Meyer Motor Assessment (FMA) and Functional Independence Measure (FIM), at the beginning and in the end of each period of immobilization. The analysis statistics was carried through averages, variations and variances; the models had been adjusted for the age and time of injury; the comparisons had been made by the coefficient of Spearman; the assumed level of significance was of <5%. Improvement of the functionality of hemiparetic body was observed, with significance statistics in the comparisons between 3ª evaluations of the FIM and FMA-LE (Lower Extremity) (p=0,04) and enters of the FIM and FMA-UE (Upper Extremity) (p=0,05). It can be concluded that 2 sessions/week of physiotherapy, of 1 hour each, had revealed beneficial. The functional profits had occurred all in hemiparetic body and not only in upper paretic extremity

ASSUNTO(S)

brain ischemia plasticidade neuronal neuronal plasticity hemorragia cerebral isquemia cerebral cerebral hemorrhage reabilitação rehabilitation

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