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Eficácia da terapia do espelho na reabilitação do membro superior hemiparético após AVE em fase aguda/subaguda: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_34031 | 989.25 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: O AVE é uma doença que atinge uma parte importante da população mundial causando
principalmente défices sensoriomotores no membro superior (MS) e inferior. No entanto, após
reabilitação permanece frequentemente maiores défices no MS. Hoje em dia existe várias terapias
complementares para melhorar a função motora e as atividades de vida diárias como por exemplo a
terapia do espelho (TE). A TE é uma das técnicas que pode ser aplicada numa fase precoce após AVE.
Objetivo: Verificar através de RCT quais são os efeitos da terapia do espelho no membro superior
hemiparético após acidente vascular encefálico na fase aguda/subaguda. Metodologia: A pesquisa foi
realizada nas bases de dados Pubmed e PEDro. Após a seleção dos estudos segundo os critérios de
inclusão e exclusão, foi avaliada a qualidade metodológica através da PEDro (Physiotherapy Evidence
Database Scoring Scale). Resultados: analisamos de 9 RCT, apesar de ligeiras variações nos protocolos,
todos demostraram melhorias significativas na reabilitação do membro superior hemiparético em pelo
menos um destes défices seja na função sensoriomotora, heminegligência, espasticidade, hemiparésia
ou total hemiplegia do MS e nas AVD’s. Conclusão: A TE é eficaz no tratamento do MS hemiparetico
na fase aguda e subaguda do AVE, tendo maior resultados na função distal do MS hemiparético. É uma
técnica barata, simples e complementar à terapia convencional. Para alem disso o paciente pode usar em
casa.
Background: Stroke is a disease that affects an important part of the world's population, mainly causing sensorimotor deficits in the lower and upper limbs (UL). However, after rehabilitation often remains greater deficits in UL. Today there are several complementary therapies to improve motor function and daily life activities (DLA’s) such as mirror therapy (MT). MT is one of the techniques that can be applied at an early stage after a stroke. Objective: To verify through RCT what effects has mirror therapy on the hemiparetic upper limb after an acute/subacute stroke. Methodology: The research was conducted in the Pubmed and PEDro databases. After selecting the studies according to the inclusion and exclusion criteria, the methodological quality was assessed through PEDro (Physiotherapy Evidence Database Scoring Scale). Results: we analyzed 9 RCT, despite slight variations in protocols, all showed significant improvements in the rehabilitation of the hemiparetic upper limb in at least one of these deficits: sensorimotor function, neglect, spasticity, hemiparesis or total hemiplegia of the MS and in the DLAs. Conclusion: The MT is an efficient treatment in upper limb rehabilitation after acute and subacute stroke. It has better results in distal function. It’s cheap, simple to apply and an additional therapy to the conventional therapy. It can also be self-use by the patients at home.
Background: Stroke is a disease that affects an important part of the world's population, mainly causing sensorimotor deficits in the lower and upper limbs (UL). However, after rehabilitation often remains greater deficits in UL. Today there are several complementary therapies to improve motor function and daily life activities (DLA’s) such as mirror therapy (MT). MT is one of the techniques that can be applied at an early stage after a stroke. Objective: To verify through RCT what effects has mirror therapy on the hemiparetic upper limb after an acute/subacute stroke. Methodology: The research was conducted in the Pubmed and PEDro databases. After selecting the studies according to the inclusion and exclusion criteria, the methodological quality was assessed through PEDro (Physiotherapy Evidence Database Scoring Scale). Results: we analyzed 9 RCT, despite slight variations in protocols, all showed significant improvements in the rehabilitation of the hemiparetic upper limb in at least one of these deficits: sensorimotor function, neglect, spasticity, hemiparesis or total hemiplegia of the MS and in the DLAs. Conclusion: The MT is an efficient treatment in upper limb rehabilitation after acute and subacute stroke. It has better results in distal function. It’s cheap, simple to apply and an additional therapy to the conventional therapy. It can also be self-use by the patients at home.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Terapia do espelho Reabilitação membro superior AVE agudo/subagudo Mirror therapy Upper limb rehabilitation Acute/subacute stroke