Efecto de la retención del tronco y las extremidades superiores sobre la función motora después de un accidente cerebrovascular: un estudio piloto de ensayo clínico aleatorizado
DOI:
https://doi.org/10.34024/rnc.2024.v32.18633Palabras clave:
Ictus, rehabilitación, función, hemiparesiaResumen
Objetivo. Las compensaciones del tronco no permiten que el miembro superior utilice todo su potencial para realizar actividades funcionales. Por lo tanto, el objetivo de este estudio fue analizar los efectos de la terapia de inducción y retención del movimiento (TRIM) con estabilización del tronco y las extremidades superiores en pacientes hemiparéticos después de un accidente cerebrovascular. Método. Estudio piloto clínico con 18 personas con secuelas de un accidente cerebrovascular fueron asignadas aleatoriamente a uno de tres grupos: un grupo de control (CG), un grupo TRIM experimental sin restricción del tronco (GET) y un grupo TRIM experimental con restricción del tronco (GETT). Los grupos GET y GETT se sometieron a terapia TRIM basada en el protocolo Shaping durante diez sesiones consecutivas, de 1 hora cada una, durante 2 semanas. Para evaluación, el estudio utilizó la Escala de Evaluación de la Función Sensorial-Motriz (FAS) de Fugl-Meyer, el Inventario de Actividad de las Extremidades Superiores (MAL), la electromiografía de superficie (EMG) de los flexores, extensores y flexores superficiales de la muñeca del codo, así como Mediciones goniométricas del miembro superior. Resultados. Se observaron diferencias significativas a lo largo del tiempo en los grupos GET y GETT para las puntuaciones totales en las escalas FAS y MAL, así como en el rango de movimiento para la flexión del hombro (p<0,05). No se encontraron diferencias significativas para las variables EMG. Conclusión. TRIM combinado con estabilización del tronco no mostró ningún efecto significativo sobre las actividades funcionales, sensoriomotoras o EMG y las variables de rango de movimiento al comparar diferentes grupos.
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Referencias
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Derechos de autor 2024 Bruna Leonel Carlos, Andressa Alves Francisco, Sandra Aparecida Dias, Vanessa de Queiroz dos Santos, Patrícia Pereira Alfredo, Luciana Maria dos Reis, Andréia Maria Silva Vilela Terra, Adriana Teresa Silva Santos
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
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Aceptado 2024-09-03
Publicado 2024-10-01
