Graduate School of Electrical Engineering and Computer Science (CPGEI), Federal University of Technology, Paraná (UTFPR), Curitiba, Paraná, Brazil.
Computer Engineering School, Positivo University, Bloco Vermelho, Sala 217, Rua Professor Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, Paraná, 81280-330, Brazil.
Med Biol Eng Comput. 2022 Apr;60(4):1187-1198. doi: 10.1007/s11517-022-02532-0. Epub 2022 Mar 4.
Stroke is a neurological syndrome resulting from the sudden interruption of blood flow. Among the symptoms/consequences of the stroke are muscle weakness in the lower and/or upper limbs, decreased sensitivity, altered fine motor skills, proprioception, and reflections. The treatment for the motor consequences is orthopedic management, in which the physiotherapist assists the individual in repetitive range of motion exercises, which can be demotivating during the treatment. The Ludic Table (LT), on the other hand, incorporates playfulness into therapy, making it a motivating tool. This research describes the comparative study between kinesiotherapy techniques and exercises using the LT, applied to the development of upper limb movements. For this, fourteen volunteers were divided into groups, submitted to interventions according to the techniques, and evaluated using systems such as goniometry, HAQ-DI, GMFM-88, and neurofunctional assessment. In general, it can be stated that regardless of the intervention, the individuals obtained gain in movements (minimum average of 7 degrees) and that the use of the LT allows the development of the angular amplitude and the reduction of the effects of spasticity. The individuals submitted to the intervention through the LT obtained the development of a greater number of articular movements of the shoulder and elbow.
中风是一种神经系统综合征,由血流突然中断引起。中风的症状/后果包括下肢和/或上肢肌肉无力、感觉减退、精细运动技能改变、本体感觉和反射异常。针对运动障碍的治疗方法是矫形管理,理疗师通过让患者反复进行运动范围练习来协助治疗,但这种治疗可能会让患者感到沮丧。另一方面,游戏桌(Ludictable)将趣味性融入到治疗中,使其成为一种激励工具。本研究描述了使用游戏桌的运动疗法技术与练习之间的对比研究,这些技术用于上肢运动的发展。为此,14 名志愿者被分为两组,根据技术接受干预,并使用测角计、HAQ-DI、GMFM-88 和神经功能评估等系统进行评估。总的来说,可以说无论干预措施如何,个体的运动能力都有所提高(平均最小幅度为 7 度),并且使用游戏桌可以开发关节角度幅度,并减少痉挛的影响。通过游戏桌接受干预的个体获得了肩部和肘部更大数量的关节运动发展。