Efeitos da prática mental combinada à cinesioterapia em pacientes pós-acidente vascular encefálico
uma revisão sistemática
DOI:
https://doi.org/10.34024/rnc.2007.v15.8677Palavras-chave:
Acidente cerebrovascular, Reabilitação, Recuperação, RevisãoResumo
Introdução. A prática mental (PM) consiste na simulação mental de repetidos movimentos, com a intenção de promover aprendizagem de uma habilidade motora. Objetivo. Investigar se a PM, quando combinada à cinesioterapia, é eficaz na recuperação dos déficits motores de membros superiores de pacientes pós-AVE. Método. Foi realizada revisão sistemática nas bases de dados PubMed/Medline, Cochrane Database of Systematic Reviews, Lilacs e SciELO. A busca foi realizada com as palavras-chave: prática mental, imagética motora, fisioterapia, reabilitação e atividades da vida diária, em inglês, português e espanhol. Deveriam avaliar pacientes hemiparéticos/hemiplégicos, pós-AVE, sem déficits cognitivos, com idade superior a 45 anos e intervenção através da PM e cinesioterapia. Resultados. Foram encontrados 4 ensaios clínico randomizados e controlados (ECRC) e 2 relatos de caso. Os ECRC mostraram evidências e os relatos de caso, tendência de que a PM combinada à cinesioterapia foi eficaz. De acordo com recentes achados, a PM combinada à inesioterapia promoveu a reaprendizagem por reforçar processos corticais induzindo a reorganização cortical, levando à melhora da função. Conclusão. PM e cinesioterapia foram eficazes na melhora de déficits motores e na reorganização neural de pacientes pós-AVE. No entanto, mas ECRC são necessários para se estabelecer critérios para freqüência e duração da intervenção.
Downloads
Métricas
Referências
ReviewVan Leeuwen R, Inglis JT. Mental practice and imagery: a potential role in stroke rehabilitation. Phys Ther Rev 1998;3:47-52.
Jackson PL, Doyon J, Richards CL, Malouin F. Potential role of mental practice using motor imagery in neurological rehabilitation. Arch Phys Med Rehabil 2001;82:1133-41.
Nair DG, Purcott KL, Fuchs A, Steinberg F, Kelso JA. Cortical and cerebellar activity of the human brain during imagined and executed unimanual and bimanual action sequences: a functional MRI study. Cogn Brain Res 2003; 15:250-60.
Jackson PL, Lafleur MF, Malouin F, Richards CL, Doyon J. Functional cerebral reorganization following motor sequence learning through mental practice with motor imagery. Neuroimage 2003;20:1171-80.
Malouin F, Richards CL, Jackson PL, Dumas F, Doyon J. Brain activations during motor imagery of locomotor-related tasks: a PET study. Hum Brain Mapp 2003;19:47-62.
Decety J, Grèzes J. Neural mechanisms subserving the perception of human actions. Trends Cogn Sci 1999;3:172-8.
Lotze M, Cohen LG. Volition and imagery in neurorehabilitation. Cogn Behav Neurol 2006;19:135-40.
Deiber MP, Ibanez V, Honda M, Sadato N, Ramans R, Hallett M. Cerebral processes related to visuomotor imagery and generation of finger movements studied with positron emission tomography. NeuroImage 1998; 7:73-85.
Ruby P, Decety J. Effect of subjective perspective taking during simulation of action: a PET investigation of agency. Nat Neurosci 2001;4:546-50.
Michelon P, Vettel JM, Zacks JM. Lateral somatotopic organization during imagined and prepared movements. J Neurophysiol 2006;95:811-22.
Jeannerod M. Neural simulation of action: a unifying mechanism for motor cognition. NeuroImage 2001;14:103-9.
Lotze M, Montoya P, Erb M, Hulsmann E, Flor H, Klose U, et al. Activation of cortical and cerebellar motor areas during executed and imagined hand movements: an fMRI study. J Cogn Neurosci 1999;11:491-501.
Gerardin E, Sirigu A, Lehericy S, Poline JB, Gaymard B, Marsault C, et al. Partially overlapping neural networks for real and imagined hand movements. Cereb Cortex 2000;10:1093-104.
Kuhtz-Buschbeck JP, Mahnkopf C, Holzknecht C, Siebner H, Ulmer S, Jansen O. Effect or independent representations of simple and complex imagined finger movements: a combined fMRI and TMS study. Eur J Neurosci 2003;18:3375-87.
Gerloff C, Corwell B, Chen R, Hallett M, Cohen LG. The role of the human motor cortex in the control of complex and simple finger movement sequences. Brain 1998;121:1695-709.
Li S, Kamper DG, Stevens JA, Rymer WZ. The effect of motor imagery on spinal segmental excitability. J Neurosci 2004;24:9674-80.
Pascual-Leone A, Nguyet D, Cohen LG, Brasil-Neto JP, Cammarota A, Hallett M. Modulation of muscle responses evoked by transcranial magnetic stimulation during the acquisition of new fine motor skills. J Neurophysiol 1995; 74:1037-45.
Miltner R, Simon U, Netz J, Hömberg V. Motor imagery in the therapy of patients with central motor deficit. Neurol Rehabil 1999;5:66-72.
Stevens JA, Stoykov MEP. Using motor imagery in the rehabilitation of hemiparesis. Arch Phys Med Rehabil 2003; 84:1090-2.
Weiss T, Hansen E, Rost R, Beyer L, Merten F, Nichelmann C, et al. Mental practice of motor skills used in post-stroke rehabilitation has own effects on central nervous activation. Int J Neurosci 1994;78:157-66.
Dixon-Woods M, Agarwal S, Jones D, Sutton A. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Sci Res Policy 2005;10:45-53.
Page SJ, Levine P, Leonard A. Mental practice in chronic stroke: results of a randomized, placebo-controlled trial. Stroke 2007;38:1293-7.
Page SJ, Levine P, Leonard AC. Effects of mental practice on affected limb use and function in chronic stroke. Arch Phys Med Rehabil 2005;86:399-402.
Page SJ, Levine P, Sisto S, Johnston M. A randomized, efficacy and feasibility study of imagery in acute stroke. Clin Rehabil 2001;15:233-40.
Page SJ. Imagery improves motor function in chronic stroke patients with hemiplegia: a pilot study. Occ Ther J Res 2000;20:200-15.
Page SJ, Levine P, Sisto AS, Johnston MV. Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke. Phys Ther 2001;81:1455-62.
Crosbie JH, Mcdonough SM, Gilmore DH, Wiggam MI. The adjunctive role of mental practice in the rehabilitation of the upper limb after hemiplegic stroke: a pilot study. Clin Rehabil 2004;18:60-8.
Jeannerod, M. The representing brain: neural correlates of motor intention and imagery. Brain Behav Sci 1994; 17:187-245.
Szaflarski JP, Page SJ, Kissela B, Levine P, Lee J, Strakowski S. Cortical reorganization following modified constraint-induced therapy: a study of four patients with chronic stroke. Arch Phys Med Rehabil 2006;87:1052-8.
Lafleur MF, Jackson PL, Richards C, Malouin F, Doyon J. Motor learning produces parallel dynamic functional changes during the execution and the imagination of sequential foot movements. NeuroImage 2002;16:142-57.
Mulder T. Motor imagery and action observation: cognitive tools for rehabilitation. J Neural Transm 2007, in press. Lotze M, Halsband U. Motor imagery. J Physiol Paris 2006;99:386-95.
Van Leeuwen R, Inglis JT. Mental practice and motor imagery: a potential role in stroke rehabilitation. Phys Ther Rev 1998;3:47-52.
Johnson SH. Imagining the impossible: intact motor representations in hemiplegics. Neuroreport 2000;11:729-32.
Downloads
Publicado
Como Citar
Edição
Seção
Publicado: 2007-12-31
Português
English
Español
