Effects of mental practice combined with kinesiotherapy in post stroke patients:
systematic review
DOI:
https://doi.org/10.34024/rnc.2007.v15.8677Keywords:
Stroke, Rehabilitation, Recovery, ReviewAbstract
Introduction. Mental practice (MP) consists of mental simulation of repetitive movements with the intention of promoting the learning of a motor ability. Objective. To investigate if MP, when combined to inesiotherapy, is efficient in the motor deficit recovery in upper limbs of post stroke patients. Method. We realized Systematic Review throughout Data Bases PubMed/Medline, Cochrane Database of Systematic Reviews, Lilacs, and SciELO. The keywords searched were mental practice, motor imagery, phisical therapy, rehabilitation, activities of daily living, and stroke, in three languages: English, Portuguese, and Spanish.
We included hemiparetic/hemiplegic patients, post stroke, without cognitive deficits, 45 years old or more, treated with MP and kinesiotherapy. Results. We found 4 clinical trials randomized and controlled (CTRC)
and 2 case reports. The CTRC showed evidences and the case reports showed a trend that MP combined with kinesiotherapy was efficient. MP and kinesiotherapy promoted re-learning by reinforcing cortical processes and inducing the cortical reorganization, leading to functioning improvement. Conclusion. MP and kinesiotherapy were efficient to the improvement of motor deficits and cortical reorganization of post stroke patients.
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References
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