Zarantonello Mariéle Marchezan, Stefani Marco Antonio, Comel João Carlos
Instituto Cenecista de Ensino Superior de Santo Ângelo: Santo Ângelo, RS, Brazil.
Federal University of Rio Grande do Sul (UFRGS), Brazil.
J Phys Ther Sci. 2017 Nov;29(11):1883-1888. doi: 10.1589/jpts.29.1883. Epub 2017 Nov 22.
[Purpose] The purpose is to analyze the effects of Constraint-induced Movement Therapy in post stroke patients in chronic course. [Subjects and Methods] This is a Quasi-experiment study and the adopted protocol consisted of a three-hour therapy for ten consecutive working days applied to a constraint intact upper limb. Surface Electromyography, Motor Activity Log, Wolf Motor Function Test and Functional Independence Measure were used for evaluating the experiment. [Results] The individuals showed reduction in the degree of spasticity, confirmed by Surface Electromyography. In relation to Motor Activity Log this study showed an increase in amount and in quality of the paretic upper limb movement. The Wolf Motor Function Test showed reduction in the average time to perform the tasks and a functional improvement was identified through the Functional Independence Measure. [Conclusion] Constraint Induced Movement Therapy proved to be a relevant method to improve motor function in chronic hemiparesis post stroke reducing the spasticity, maximizing and improving the use of committed upper limb.
[目的] 目的是分析强制性运动疗法对慢性期脑卒中患者的影响。[对象与方法] 这是一项准实验研究，所采用的方案包括连续十个工作日对未受限制的上肢进行为期三小时的治疗。使用表面肌电图、运动活动日志、Wolf运动功能测试和功能独立性测量来评估该实验。[结果] 表面肌电图证实个体的痉挛程度降低。关于运动活动日志，本研究显示患侧上肢运动的数量和质量有所增加。Wolf运动功能测试显示完成任务的平均时间减少，并且通过功能独立性测量确定功能有所改善。[结论] 强制性运动疗法被证明是一种改善脑卒中后慢性偏瘫运动功能的相关方法，可减轻痉挛，最大限度地提高和改善受累上肢的使用。
