Constraint-induce movement therapy in the recovery of the upper limb of in post-stroke individuals
DOI:
https://doi.org/10.34024/rnc.2023.v31.14922Keywords:
stroke, hemiplegic, upper extremity, neuronal plasticity, muscle spasticityAbstract
Introduction. The Constraint-induced movement therapy (CIMT) is a technique that encourages the patient to use the paretic upper limb in their activities of daily living (ADL), immobilizing the nonaffected limb. Objective. To evaluate the use of TRIM in the recovery of the affected upper limb in post-stroke patients. Method. Patients with stroke in the chronic phase, hemiparetic, over 18 years of age participated in the study. Patients with other neurological pathologies, use of neurotoxins and cognitive alterations that made the technique impossible were excluded. They were submitted to two weekly 50-minute sessions of TRIM for a period of 4 weeks. Physiotherapy consisted of performing exercises focused on ADLs and instrumental activities of daily living (IADLs). Results. Fifteen individuals were selected and recruited, 8 of them did not finish the intervention. In the evaluation of the upper limbs motor function recovery, more than half of the patients presented significant improvement (p=0.008) in the reduction of the degree of motor impairment. In the spontaneous activities of daily living they had an improvement in the quantitative and qualitative evaluation. The reduction of tonus was noticed in only two patients (14%). Conclusion. The stroke patients who underwent TRIM showed improvement in motor recovery and in the spontaneous activities of daily living and movement of the upper limb in the chronic phase. Spasticity did not decrease significantly, which was expected.
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Copyright (c) 2023 Glauber Rocha Araujo Carneiro1 Carneiro, Laureane Matos Nunes, Thaís Gontijo Ribeiro
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