Técnica por contensão induzida em pacientes com hemiparesia de membro superior pós acidente vascular encefálico: estudo de dois casos

• Autor(a) principal: Leão, Jéssica Dias Cardoso
• Data de Publicação: 2019
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Universitário da Ânima (RUNA)
• Texto Completo: https://repositorio.animaeducacao.com.br/handle/ANIMA/8945
• topic: Acidente vascular encefálico; Hemiparesia; Fisioterapia; Neuroplasticidade

INTRODUCTION: Stroke is defined as a neurological deficiency with persistent signs for more than 24 hours, interfering with blood supply to the entire brain. It has two classifications: ischemic and hemorrhagic. Being considered the first cause of death in Brazil. Physical therapy comes to contribute techniques recovery of the functionality that was lost with stroke and for the patient to return to their daily activities. Among the physiotherapeutic post-stroke treatments, we can mention the Induced Contention Technique (ICT). ICT is a technique that causes non-paretic upper limb restraint to leave it static and immobilized and the paretic is stimulated to perform functional activities in order to favor the motor skills that were lost. OBJECTIVE: To evaluate the effects of ICD on upper limb hemiparetics after stroke. METHODS: Two hemiparetic patients, after stroke, participated in the quasi-experimental, exploratory and qualitative research. There were 10 treatment consultations lasting 2 hours. Patients were evaluated before and after earch consultations by the Motor Activity Log (MAL) and Wolf Motor Function Test (WMFT) scales, and photographs of the paretic limb hand were taken. RESULTS: There was a significant improvement in both patients, who presented p values <0.05 in both scales. And through the photos it was possible to visualize the structural improvement in each patient. CONCLUSION: ICT showed good effects on upper limb hemiparesis in both patients, even in an adapted method. Keywords: Stroke. Hemiparesis. Physiotherapy. Neuroplasticity.