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Abstract. Objetive: to perform a literature review on the effectiveness of aquatic therapy in the treatment of hemiplegic patient rehabilitation to help the disclosure . 29 abr. Tipos de Hemiplegia Características Causas Tratamento Os objetivos da Fisioterapia Hemiplegia Hemiplegia Homolateral Hemiplegia espinal. Hemiplegia com predomínio braquial (E). Adaptação para adutores (E) durante Mecanoterapia de Membros Inferiores. #Neurofuncional #Fisioterapia #AVC.

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The lack of significant differences between groups for shoulder flexion and handgrip strength was partially expected since all patients maintained essentially the same training intensity, volume, and frequency. Therefore, a 5-week home-based functional muscle strengthening induced positive results for the UE activity levels of patients with chronic hemiparesis and moderate motor deficits. Later, Ietswaart et al. J Rehabil Res Dev. Services on Demand Journal. Even though the size of the pots could vary, the weight was kept constant.

The exercise protocol was based on exercises found in the literature, aiming for the functionality of the activities 1422and can be seen in Table 1. The improvement observed for both groups might be considered clinically important, as demonstrated by a 4.

Please review our privacy policy. Standard goniometry was used to measure active shoulder flexion ROM. Active shoulder ROM degrees. Discussion This study was performed to determine the hemoplegia of functional and analytical strength training on UE activity levels in patients with chronic stroke.

A randomized, assessor-blinded trial was conducted in a therapist-supervised home rehabilitation program. Secondary outcome measures included shoulder and grip strength, active shoulder range of motion ROMmotor recovery of the UE, and muscle tone. This sample did not reach the calculated sample size due to the specific inclusion and exclusion criteria. One important point is that both strengthening protocols used in this trial induced no increase in muscle tone, agreeing with recent studies that have demonstrated the benefits of muscle strengthening without detrimental effects to patients after stroke, such as pain or exacerbation of spasticity 11 The programs consisted of three sets of 12 repetitions four repetitions for each movement direction — abduction, flexion, and adduction 28with a three-minute rest period between sets.


Individuals with stroke sequelae present changes in the postural alignment and muscle strength associated with hemiplegia or hemiparesis. The physical therapists received training by the same instructor and used similar verbal cues for patients in both groups. For this reason, our findings cannot be generalized to the broader community based on this study alone. The load was set according fisiotearpia the ability to generate maximal force during shoulder flexion, as mentioned before.


Both groups were instructed to perform at the same level of intensity and the same number of sessions. However, it can accompany other motor problems and is recognized as a limiting factor for rehabilitation 5 – This training may also be able to promote improvements in UE function and enhance the quality of movement without deleterious effects including exacerbation of spasticity and musculoskeletal damage.

Muscle tone evaluation Ashworth scale demonstrated no difference between groups immediately after treatment or in the month follow-up Table 3. Table 3 shows the between-group analysis for all comparisons. Primary outcome measure The TEMPA scores significantly improved in both groups throughout the intervention period outcome measures and in the follow-up. Muscle weakness is a significant motor impairment that mainly hinders voluntary movements 14and UE strengthening has been extensively shown to positively influence motor control 81418 A systematic review and meta-analysis.

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Structural and functional changes in spastic skeletal muscle.

Mirror therapy for upper limb rehabilitation in chronic patients after stroke

Discussion An increase in ROM for most analyzed fisioteerapia was observed after the intervention; however, only the wrist extension and forearm supination movements showed considerable significance. Given these results, it is believed that increasing the sample size would provide better results in the remaining aspects studied.

Data are expressed as mean with standard deviation SD and median min-max for muscle tone. The recovery of the ROM and upper limb function is a major concern during the patient’s rehabilitation after stroke. Secondary outcome measures Secondary outcome measures included shoulder and grip strength, active shoulder range of motion ROMmotor recovery of the UE, and muscle tone.

Our results corroborate and add to the previous findings. Bilateral Tasks 0 to Consequently, the 27 participants were randomized as follows: Later, corroborating the above-mentioned result, Yun et al.