Constraint Induced Movement Therapy Associated with Functional Electrical Stimulation on Upper Limb Paresis

Authors

  • Flávia Priscila de Paiva Silva Fisioterapeuta, Especialista em Fisioterapia Neurofuncional ISCMSP, São Paulo-SP, Brasil.
  • Stefânia Portugal Gonçalves Fisioterapeuta, Pouso Alegre-MG, Brasil.
  • Sidney Benedito Silva Fisioterapeuta, docente da Universidade do Vale do Sapucaí, Pouso Alegre- MG, Brasil.
  • Denise Fortes Chibeni Ramos Rios Fisioterapeuta, docente da Universidade do Vale do Sapucaí, Pouso Alegre- MG, Brasil.
  • Adriana Teresa Silva Fisioterapeuta, mestranda na Neurologia UNICAMP, docente da Universidade do Vale do Sapucaí, Pouso Alegre-MG, Brasil.

DOI:

https://doi.org/10.34024/rnc.2012.v20.8275

Keywords:

Stroke, Rehabilitation, Electrical Stimulation

Abstract

Objective. Compare the constraint induced movement therapy (TCI) and it associated with functional electrical stimulation (FES) in upper limb of patients with stroke. Method. The sample included 12 patients divided into 2 groups (n = 6) - group I – TCI and group II - TCI associated with FES. Individuals should have a history of stroke, hemiparesis, at least 10° of wrist extension and preserved cog­nitive status. Were evaluated before and in the end of the session and after 2 months of completing these. For evaluation were used: Mini- Mental State Examination, Fugl-Meyer Motor Assessment Scale, goniometry and manual muscle strength scale. We conducted 10 ses­sions lasting 3 hours for a period of two weeks, while Group II held 10 minutes longer for the application of FES. Results. We found a significant improvement in the paretic limb function in group I, in goniometry of wrist extension in both groups and muscle strength of the wrist flexor muscles in group II. Comparing the groups, there was no statistical difference between them. Conclusion. There was no difference between techniques and should be emphasized that regardless of the type of technique the individual will benefit from physiotherapy treatment.

Metrics

Metrics Loading ...

References

Barros AF, Fábio SRC, Furkin AM. A rondomized controlled Trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Arch Phys Med Rahabil 2006;88:273-8.

Rodrigues JE, Sá MS, Alouche SR. Perfil dos pacientes acometidos por AVE tratados na clínica escola de fisioterapia da UMESP. Rev Neurocienc 2004;12:117-22.

O’Sullivan SB. Acidente vascular encefálico. In: O’Sullivan SB, SCHIMITZ TJ. Fisioterapia: avaliação e tratamento. 2ª ed. São Paulo: Manole, 2004, p.519-82.

Fritz LS, Light KE, Patterson TS, Behrman AL, Davis SB. Active finger extension predicts outcomes after constraint-induced movement therapy for individuals with hemiparesis after stroke. Stroke 2005;36:1172-77. http://dx.doi.org/10.1161/01.STR.0000165922.96430.d0

Riberto M, Monroy HM, Kaihami HN, Otsubo PPS, Battistella LR. A terapia de restrição como forma de aprimoramento da função de membro superior em pacientes com hemiplegia. Acta Fisiatr 2005;12:15-9.

Arantes NF, Vaz DV, Mancini MC, Pereira MSDCI, Pinto FPI, Pinto TPS. Efeitos da estimulação elétrica funcional nos músculos do punho e dedos em indivíduos hemiparéticos: uma revisão sistemática da literatura. Rev Bras Fisioter 2007;11:419-27.7.Strasser A, Albers B, Schofield K, Dunning K, Levine PG, Hill V et al. FES and forced use therapy for a person with chronic stroke: a case study. J Neurol Phys Ther 2006;30:208.

Murden RA, McRae TD, Kaner S, Bucknam ME. Mini-mental state exam scores vary with education in blacks and whites. J Am Geriatr Soc 1991;39:149-55.

Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arqui Neuropsiquiatr 2003;61:20-6. http://dx.doi.org/10.1590/S0004-282X2003000500014

Maki T, Quagliato EMAB, Cacho EWA, Paz LPS, Nascimento NH, Inoue MMEA, et al. Estudo de confiabilidade da aplicação da escala de Fugl-Meyer no Brasil. Rev Bras Fisioter 2006;10:177-83. http://dx.doi.org/10.1590/S141335552006000200007

Gajdosik RL, Bohannon RW. Clinical measurement of range of motion: review of goniometry emphasizing reliability and validity. Phys Therap 1987;67:1867-72.

Kendall FP, McCreary EB., Provance PG. Músculos: Provas e Funções. 5ª ed. São Paulo: Manole, 2007, 576p.

Taub E, Uswatte G, Pidikiti R. Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation - a clinical review. J Rehabil Res Develop 1999; 36:12-6.

Santana JM, Filho VJS, Cândido EA, Freire RF. Eletroestimulação functional no controle da espasticidade em indivíduo hemiparético. Rev Fafibe on-line 2005:1-6.

Siegel SE, Castellan JR NJ. Estatística não paramétrica para ciências do comportamento. 2ª ed. Porto Alegre: Artmed, 2006, 470p.

Page SJ, Sueann S, Levine P, Johnson MV, Hughes M. Modified constraint induced therapy: a randomized feasibility and efficacy study. J Rehabil Res Develop; 2001;38:583-90.

Bonifer NM, Anderson KM. Application of constraint-induced movement therapy for an individual with severe chronic upper-extremity hemiplegia. Phys Ther; 2003;83:384-98.

Grotta JC, Noser EA, Ro T, Boake C, Levin H, Aronowski J, et al. Constraint-induced movement therapy. Stroke 2004;35:2699-701. http://dx.doi.org/10.1161/01.STR.0000143320.64953.c4

Boake C, Noser EA, Ro T, Baraniuk S, Gaber M, Johnson R, et al. Constraint-induced movement therapy during early stroke rehabilitation. Neurorehabil Neural Repair 2007;21:14-24. http://dx.doi.org/10.1177/1545968306291858

Bueno GDP, Lúcio AC, Oberg TD, Cacho EWA. Terapia de restrição e indução modificada do movimento em pacientes hemiparéticos crônicos: um estudo piloto. Fisioter Mov 2008;21:37-44.

Souza RD. Terapia de restrição de membro superior não parético e indução de movimento em pacientes hemiparéticos [dissertação]. Campinas: Faculdade de Ciências Medicas da Universidade Estadual de Campinas (UNICAMP); 2008, 84p.

Borges MP, Ishiry MN. Aplicação de um protocolo adaptado de duas horas da terapia por contensão induzida em paciente com sequela de acidente vascular encefálico – estudo de um caso [trabalho de conclusão de curso]. Pouso Alegre: Universidade do Vale do Sapucaí (UNIVÁS); 2008, 76p.

Chae J, Bethoux F, Bohinc T, Dobos L, Davis T, Friedl A. Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia. Stroke 1998;29:975-79. http://dx.doi.org/10.1161/01.STR.29.5.975

Powell J, Pandyan D, Granat M, Cameron M, Stott DJ. Electrical stimulation of wrist extensors in poststroke hemiplegia. Stroke 1999;30:1384-89. http://dx.doi.org/10.1161/01.STR.30.7.1384

Assis RD, Massaro AR, Chamlian TR, Silva MF, Ota SM. Terapia de restrição para uma criança com paralisia cerebral com hemiparesia: estudo de caso. Acta Fisiatr 2007;14:62-5.

Dettmers C, Teske U, Hamzei F, Uswatte G, Taub E, Weiller C. Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke. Arch Phys Med Rehabil 2005;86:204-9. http://dx.doi.org/10.1016/j.apmr.2004.05.007

Taub E, Uswatte G, King DK, Morris D, Crago GE, Chatterjee A. A placebo- controlled trial of constraint-induced movement therapy for upper extremity after stroke. Stroke 2006;37:1045-9. http://dx.doi.org/10.1161/01.STR.0000206463.66461.97

Vaz DV. Terapia de movimento induzido pela restrição na hemiplegia: um estudo de caso único. Fisioter Pesqui 2008;15:298-303.

Weingarden H, Ring H. Functional electrical stimulation-induced neural changes and recovery after stroke. Euro Medicophys 2006;42:87-90.

Ecard L, Silva APS, Neto MP, Veiga H, Cagy M, Piedade R, et al. Os efeitos da estimulação elétrica funcional na assimetria cortical inter-hemisférica. Arqui Neuropsiquiatr 2007;65(3a):642-6. http://dx.doi.org/10.1590/S0004282X2007000400019

Published

2012-03-31

How to Cite

Silva, F. P. de P., Gonçalves, S. P., Silva, S. B., Rios, D. F. C. R., & Silva, A. T. (2012). Constraint Induced Movement Therapy Associated with Functional Electrical Stimulation on Upper Limb Paresis. Revista Neurociências, 20(2), 187–193. https://doi.org/10.34024/rnc.2012.v20.8275

Issue

Section

Artigos Originais
##plugins.generic.dates.received## 2019-02-20
##plugins.generic.dates.published## 2012-03-31

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.