Terapia de Restrição e Indução do Movimento em Hemiparéticos

  • Regina Célia Pereira de Sousa Fisioterapeuta, Especialista em Fisioterapia Aplicada à Neurologia Adulto (Universidade Gama Filho), Campinas-SP, Brasil.
  • Fernando Rodrigo Terra Fisioterapeuta, Faculdade Anhanguera de Campinas (FAC), Campinas-SP, Brasil.
  • Flávia Cristina Carbonero Fisioterapeuta, Especialista em Fisioterapia Aplicada à Neurologia Infantil (UNICAMP), Campinas-SP, Brasil.
  • Denise Campos Fisioterapeuta, Professora Doutora, Docente do Curso de Fisioterapia da FAC, Membro do Grupo Interdisciplinar de Avaliação do Desenvolvimento Infantil (GIADI), Campinas-SP, Brasil.
Palavras-chave: Acidente Cerebral Vascular, Paresia, Reabilitação, Terapia de Restrição e Indução do Movimento

Resumo

O Acidente Vascular Cerebral (AVC) é definido como um sinal clíni­co de rápido desenvolvimento de perturbação focal da função cerebral, de suposta origem vascular com mais de 24 horas de duração. A dis­função mais comum apresentada é a hemiparesia, a qual acarreta limi­tações nas atividades diárias do indivíduo, devido a debilidade motora em um lado do corpo. Objetivo. Verificar os efeitos da terapia de res­trição e indução de movimento (TRIM) na recuperação funcional do membro superior de indivíduos hemiparéticos após AVC. Método. Trabalho de revisão de literatura. Foram utilizados artigos publicados nas bases de dados LILACS, SciELO, PubMed e PEdro, nas línguas portuguesa e inglesa. Resultados. Foram selecionados 28 artigos cien­tíficos. Conclusão. Os estudos demonstraram grande efetividade da TRIM na superação do “não-uso aprendido”, qualidade e quantidade de movimento do membro superior parético.

Métricas

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Referências

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Ching-yi Wu, Keh-chung Lin, Hsieh-ching Chen, I-hsuen Chen, Wei- -hsien Hong. Effects of Modified Constraint-Induced Movement Therapy on Movement Kinematics and Daily Function in Patients With Stroke: A Kinematic Study of Motor Control Mechanisms. Neurorehabil Neural Repair 2007;21:460-466. http://dx.doi.org/10.1177/1545968307303411

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Page SJ, Levine P, Khoury JC. Modified Constraint-Induced TherapyCombined With Mental Practice: Thinking Through Better Motor Outcomes. Stroke 2009;40:551-554. http://dx.doi.org/10.1161/STROKEAHA.108.528760

Könönen M, Tarkka IM, Niskanen E, Pihlajamäki M, Mervaala E, Pitkänen K, et al. Functional MRI and motor behavioral changes obtained with constraint-induced movement therapy in chronic stroke. Eur J Neurol2011;19:578-586. http://dx.doi.org/10.1111/j.1468-1331.2011.03572.x

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Lin Keh-Chung, Keh-Chung, Chung Hsin-Ying, Wu Ching-Yi, Liu Ho- -Ling, Hsieh Yu-Wei, et al. Constraint-induced therapy versus controlintervention in patients with stroke: a functional magnetic resonance imaging study. Am J Phys Med Rehabil 2010;89:177-278. http://dx.doi.org/10.1097/PHM.0b013e3181cf1c78

Publicado
2012-12-31
Como Citar
Sousa, R. C. P. de, Terra, F. R., Carbonero, F. C., & Campos, D. (2012). Terapia de Restrição e Indução do Movimento em Hemiparéticos. Revista Neurociências, 20(4), 604-611. https://doi.org/10.34024/rnc.2012.v20.8237
Seção
Artigos de Revisão