Revisão de intervenções cognitivas em pacientes com Afasia Progressiva Primária
DOI:
https://doi.org/10.34024/rnc.2021.v29.12122Palavras-chave:
Afasia Progressiva Primária, Reabilitação, terapia de reposição hormonal (TRH)Resumo
Introdução. A afasia progressiva primária (APP) é uma síndrome clínica caracterizada pelo comprometimento da fala e da linguagem decorrente da neurodegeneração das redes neurais. Objetivo. Analisar as técnicas ecológicas de reabilitação neuropsicológica e a sua efetividade no tratamento de indivíduos com APP por meio de uma revisão sistemática de literatura. Método. Foram selecionados, no PubMed, 42 estudos em pacientes com idade entre 50 e 80 anos e com diagnóstico APP, usando os descritores Primary Progressive Aphasia/rehabilitation/therapy publicados entre 2014 e 2020. Destes, foram excluídos os estudos de caso e aqueles com tratamentos medicamentosos ou com estimulação transcraniana. Resultados. Cinco publicações foram selecionadas seguindo os critérios de inclusão e exclusão. Os estudos construíram a base das técnicas de estimulação da nomeação através da apresentação de imagens com seus respectivos nomes. Estudos avançaram em treinar com variações nas imagens de mesmo conteúdo para analisar a generalização da aprendizagem. Conclusão. Dentre os estudos selecionados pode se observar uma melhora significante nos pacientes de APP, tanto com a generalização como na manutenção. Portanto, a intervenção de nomeação de imagens contribui para proteção ou melhora da função linguística em declínio nesse grupo de pacientes. Entretanto, existem poucos estudos com amostragem randomizada e com grupo controle para avaliar os efeitos de reabilitação neuropsicológica de pacientes com APP.
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Copyright (c) 2021 Karin Reuwsaat Vieira, Ariane Cristina Ramello de Carvalho, Eliane Correa Miotto
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Aceito: 2021-10-05
Publicado: 2021-10-27