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Publication
Efeito da terapia de espelho na reabilitação de pacientes com sequelas de acidente vascular encefálico: uma revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_27909 | 421.72 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: A terapia de espelho (TE) tem sido referenciada como um método de tratamento novo e diferenciador para a recuperação motora funcional, que trabalha com estratégias de treino sensório-motor e feedback visual. Objetivo: Verificar o efeito da TE na reabilitação funcional de pacientes com sequelas neuromusculoesqueléticas, após um acidente vascular encefálico (AVE). Metodologia: Pesquisa computorizada nas bases de dados b-on e Pubmed com o intuito de identificar estudos randomizados controlados e/ou estudos piloto publicados nos últimos 5 anos em inglês, que abordem a aplicação da TE na reabilitação de pacientes após AVE no membro superior (MS). Resultados: Foram incluídos 9 artigos, num total de 230 participantes. Dos artigos avaliados 6 combinaram a TE mais Fisioterapia Convencional (FC), 1 combinou a TE com Estimulação Elétrica Funcional (FES) com e sem Biofeedback (BF), 1 combinou a TE com FC mais FES mais Terapia Ocupacional (TO) e 1 combinou a TE com e sem objetos. Em 1 dos artigos incluídos a TE foi aplicada na fase aguda do AVE, 4 na fase sub-aguda e 4 na fase crónica. Conclusão: A TE parece ter demonstrado efeitos significativos positivos: na recuperação funcional, nas atividades da vida diária (AVD´s) e na negligência visuo-espacial. Através da análise dos artigos incluídos, a TE parece ser um método de tratamento complementar na recuperação funcional do MS, apresentando melhorias tais como: “o alcançar”, velocidade de movimento e prono-supinação do antebraço. No entanto, são ainda necessários mais estudos para avaliar a evidência científica da TE como intervenção terapêutica complementar na reabilitação do MS pós-AVE.
Introduction: Mirror therapy (MT) has been referred to as a new and differentiating treatment method for functional motor recovery, which works with sensory-motor training strategies and visual feedback. Objective: To verify the effect of MT in the functional rehabilitation of patients after a stroke. Methodology: Computerized research in b-on and Pubmed with keywords to identify randomized controlled trials, pilot studies published in the last 5 years in English, that address the application of MT in the rehabilitation of patients after stroke in Upper Limb (UL). Results: 9 articles were included, with a total of 230 participants. Of the evaluated articles, 6 combined MT plus Conventional Physiotherapy (CF), 1 combined MT with Functional Electrical Stimulation (FES) with and without Biofeedback (BF), 1 combined MT with CF plus FES plus Occupational Therapy (OT), and 1 Combined MT with and without objects. In 1 of the articles included MT was applied in the acute phase of stroke, 4 in the subacute phase and 4 in the chronic phase. Conclusion: The MT seems to have demonstrated significant positive effects: functional recovery, daily activities, living (ADLs) and visual-spatial neglect. Through the analysis of the included articles, the MT seems to be a complementary treatment method in the functional recovery of UL, presenting improvements such as: "reaching", improved speed, pronation and supination of the forearm. However, further studies are needed to evaluate the scientific evidence of MT as a complementary therapeutic intervention in the rehabilitation of post-stroke UL.
Introduction: Mirror therapy (MT) has been referred to as a new and differentiating treatment method for functional motor recovery, which works with sensory-motor training strategies and visual feedback. Objective: To verify the effect of MT in the functional rehabilitation of patients after a stroke. Methodology: Computerized research in b-on and Pubmed with keywords to identify randomized controlled trials, pilot studies published in the last 5 years in English, that address the application of MT in the rehabilitation of patients after stroke in Upper Limb (UL). Results: 9 articles were included, with a total of 230 participants. Of the evaluated articles, 6 combined MT plus Conventional Physiotherapy (CF), 1 combined MT with Functional Electrical Stimulation (FES) with and without Biofeedback (BF), 1 combined MT with CF plus FES plus Occupational Therapy (OT), and 1 Combined MT with and without objects. In 1 of the articles included MT was applied in the acute phase of stroke, 4 in the subacute phase and 4 in the chronic phase. Conclusion: The MT seems to have demonstrated significant positive effects: functional recovery, daily activities, living (ADLs) and visual-spatial neglect. Through the analysis of the included articles, the MT seems to be a complementary treatment method in the functional recovery of UL, presenting improvements such as: "reaching", improved speed, pronation and supination of the forearm. However, further studies are needed to evaluate the scientific evidence of MT as a complementary therapeutic intervention in the rehabilitation of post-stroke UL.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Stroke Mirror therapy Physiotherapy Upper limb