Physiotherapy Course at the State University of Pará; Belém, Brazil; Postgraduate in Human Movement Sciences at the Methodist University of Piracicaba; Piracicaba, Brazil.
Physiotherapy Course at the State University of Pará; Belém, Brazil.
J Stroke Cerebrovasc Dis. 2021 Jun;30(6):105774. doi: 10.1016/j.jstrokecerebrovasdis.2021.105774. Epub 2021 Apr 10.
This blind randomized clinical trial evaluated the effect of CIMT on the functionality and quality of life (QOL) of chronic hemiparetics. Thirty volunteers were divided into two groups: Control (CG) and CIMT (CIMTG); evaluated before and after 12 and 24 intervention sessions. The scales used were: adapted Fugl-Meyer Motor Assessment (FMA), Modified Ashworth, Stroke Specific Quality Of Life (SS-QOL) and the Functional Reach Test (FRT). The scores for all FMA variables in the CIMTG increased until the 24th session, differing from the pre-treatment. In the CG, the scores increased for pain, coordination/ speed and sensitivity. In the FRT there was an increase in the scores in both groups; after the 12th and 24th sessions, the result of the CIMTG was superior to the CG. For the SS-QOL in the CIMTG, the general score and most of the variables increased, as well as in the CG. Muscle tone in CIMTG was lower compared to CG after 24 sessions. Both protocols used in the study were effective, the CIMT protocol showed benefits in recovering the functionality of the paretic upper limb, in the functional range and in reducing muscle tone, with a consequent improvement in quality of life.
这项盲法随机临床试验评估了 CIMT 对慢性偏瘫患者功能和生活质量 (QOL) 的影响。30 名志愿者被分为两组：对照组 (CG) 和 CIMT 组 (CIMTG)；在 12 次和 24 次干预后进行评估。使用的量表包括：改良 Fugl-Meyer 运动评估 (FMA)、改良 Ashworth、中风特定生活质量 (SS-QOL) 和功能性伸手测试 (FRT)。CIMTG 的所有 FMA 变量的分数在第 24 次治疗后均增加，与治疗前不同。在 CG 中，疼痛、协调性/速度和敏感性的评分增加。在 FRT 中，两组的评分均增加；在第 12 次和第 24 次治疗后，CIMTG 的结果优于 CG。在 CIMTG 的 SS-QOL 中，一般评分和大多数变量都增加了，CG 也是如此。CIMTG 的肌肉张力在 24 次治疗后低于 CG。研究中使用的两种方案均有效，CIMT 方案在恢复偏瘫上肢的功能、功能范围和降低肌肉张力方面具有优势，从而提高了生活质量。
