Terapia por Contensão Induzida e Treino Mental na Função de Membro Superior Pós-AVC

Abstract

Introduction. Stroke is the second leading cause of disability and death in the world. The most common clinical sign is hemiparesis, which undermines the performance of activities of daily living (ADL’s). Ob­jective. Analise the constraint-induced movement therapy and mental practice to improve arm function in stroke patients. Method. Twenty hemiparetic patients, post-stroke, 45-74 years, randomly randomized into three groups: Group I (mental training) with 6 patients, Group II (Therapy Constraint-induced movement-TCI) with 6 patients and control group (kinesiotherapy) with 8 patients. Before and after treat­ment of the groups were assessed with the Fulg Meyer Scale, goniom­etry and Functional Independence Measure (FIM). The intervention carried for 4 months, 2 times a week for 30 minutes. Results. In Fulg- Meyer, which measures motor impairment of the upper limb (UL) affected an improvement in mobility and upper limb motor function (intragroup) in all groups, but the mental training group achieved bet­ter scores (intergroup) in goniometry group kinesiotherapy best result obtained in hand/fingers (intragroup). In MIF, which evaluates the functionality ADL’S, the Mental Training group had the best results (intragroup/intergroup). Conclusion. The mental training group showed better results in rehabilitation.