Loading...
Publication
O efeito da imagética motora associada à terapia convencional, na recuperação funcional do membro superior após AVC, comparada com a terapia convencional : uma revisão sistemática
Advisor(s)
Abstract(s)
Introdução: A terapia convencional (fisioterapia e terapia ocupacional) compreende um conjunto de medidas que ajudam os indivíduos com sequelas motoras, pós Acidente Vascular Cerebral a alcançar e manter a função ideal em interação com o seu ambiente, para a máxima independência e reinserção social. A imagética motora (IM) é uma intervenção relativamente recente que está a ser utilizada com mais frequência no tratamento de sobreviventes de AVC. E a literatura defende que a terapia convencional (TC) parece ser mais eficaz, na reabilitação da função motora, quando combinada com esta técnica.
Objetivo: Identificar a eficácia da imagética motora associada à terapia convencional, em comparação com a terapia convencional apenas, na recuperação da função do membro superior, pós AVC. Métodos: Foi realizada uma revisão sistemática da literatura nas bases de dados Web of Science, PubMed, CINHAL, PEDro e Scopus de estudos registados até maio de 2021, para selecionar ensaios clínicos com controlo aleatorizado com utentes com AVC, nos quais a IM foi utilizada como técnica de reabilitação. Foram incluídos 14 ensaios clínicos. As características dos estudos e as medidas dos resultados foram resumidas e as evidências foram descritas.
Resultados: Os estudos diferiram em relação ao design, características dos utentes, protocolos de intervenção e medidas dos resultados. Todos os estudos envolveram o membro superior afetado nas tarefas de IM. A maioria dos estudos encontrou diferenças significativas na melhoria da função motora do membro superior nos grupos experimentais. E apenas um dos estudos não mostrou qualquer evidência de sua eficácia.
Conclusão: Os resultados sugerem que TC combinada com IM é mais eficaz na recuperação da função do membro superior do que a TC apenas, estes foram também importantes para melhorar a heterogeneidade das intervenções futuras.
Introduction: Conventional Therapy (physiotherapy or occupational therapy) comprising a set of measures that assist individuals who experience disability to achieve and maintain optimal function in interaction with their environment. Motor imagery is a relatively new intervention that is being used on an increasingly more frequently basis in the treatment of stroke patients. And the literature argues that conventional therapy seems to be more effective in motor control rehabilitation when combined with this technique. Objective: To determine whether motor imagery combined with conventional therapy, compared with conventional therapy, is an effective intervention to improve upper-limb recovery after stroke. Method: A systematic review of the literature was conducted until May 2021 in the Web of Science, PubMed, CINHAL, PEDro and Scopus databases to select randomized controlled trail with stroke patients in whom this technique was used as rehabilitation. 14 clinical trials were included. The characteristics of the studies and the measures of results were summarised and the evidence of their outcomes was described. Results: Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. Most of the studies found significant differences in terms of improved motor rehabilitation of the upper limb among the subjects in the experimental groups. Only one of the studies failed to show any evidence of its effectiveness. Conclusions: The results suggest that MI combined with CT is more effective in restoring upper limb function than CT alone, and they are important to improve the heterogeneity of future interventions
Introduction: Conventional Therapy (physiotherapy or occupational therapy) comprising a set of measures that assist individuals who experience disability to achieve and maintain optimal function in interaction with their environment. Motor imagery is a relatively new intervention that is being used on an increasingly more frequently basis in the treatment of stroke patients. And the literature argues that conventional therapy seems to be more effective in motor control rehabilitation when combined with this technique. Objective: To determine whether motor imagery combined with conventional therapy, compared with conventional therapy, is an effective intervention to improve upper-limb recovery after stroke. Method: A systematic review of the literature was conducted until May 2021 in the Web of Science, PubMed, CINHAL, PEDro and Scopus databases to select randomized controlled trail with stroke patients in whom this technique was used as rehabilitation. 14 clinical trials were included. The characteristics of the studies and the measures of results were summarised and the evidence of their outcomes was described. Results: Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. Most of the studies found significant differences in terms of improved motor rehabilitation of the upper limb among the subjects in the experimental groups. Only one of the studies failed to show any evidence of its effectiveness. Conclusions: The results suggest that MI combined with CT is more effective in restoring upper limb function than CT alone, and they are important to improve the heterogeneity of future interventions
Description
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção de grau de Mestre na especialidade de Neurociências Cognitivas e Comportamentais
Keywords
Stroke Stroke reabilitation Motor iImagery Mental practice Conventional therapy Upper extremity