Efeitos da terapia de contensão induzida (TCI) na extremidade superior em indivíduos pós-avc: revisão de literatura.
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Data
2023-12
Tipo de documento
Monografia
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
PINTO, Adriana Laryssa Araujo
SILVA, Adrielly Risoneide da
Orientador
OLIVEIRA, Marcella Cabral de
Coorientador
SANTOS, Amanda Yasmim da Silva
Resumo
O Acidente Vascular Cerebral (AVC) é uma condição neurológica vascular que resulta da obstrução dos vasos sanguíneos no cérebro devido à formação de coágulos ou ao rompimento das artérias. No Brasil, o AVC é a principal causa de incapacitação em indivíduos com mais de 50 anos, contribuindo para 10% das mortes. A fisioterapia, especialmente a Terapia por Contensão Induzida (TCI), desempenha um papel crucial na reabilitação. O objetivo deste estudo é observar na literatura, a influência da Terapia de Contensão Induzida em pacientes que sofreram o AVC e apresentam o membro superior parético. Este estudo é uma revisão de literatura que emprega artigos obtidos de bases de dados eletrônicos, incluindo BVS, LILACS, Pedro, Pubmed e SciELO. A seleção dos artigos foi conduzida nos últimos cinco anos e envolveu estudos clínicos randomizados e de corte que aplicaram a Terapia de Contensão Induzida em pacientes com membro superior hemiparético ou hemiplégico. A busca resultou em 53 artigos pré-selecionados, dos quais 8 foram escolhidos para análise com base nas palavras-chave. Os resultados dos estudos analisados indicam benefícios significativos da Terapia de Contensão Induzida (TCI) tanto quando aplicada isoladamente quanto em combinação com outras abordagens terapêuticas. A TCI emerge como uma abordagem eficaz na reabilitação pós-AVC, incentivando a neuroplasticidade e promovendo melhorias na funcionalidade dos membros superiores. Contudo, é crucial continuar a pesquisa para aprimorar as práticas clínicas e personalizar a aplicação dessa terapia para atender às necessidades individuais dos pacientes. Destaca-se a importância de disseminar amplamente essa técnica entre os profissionais da área, visando promover um tratamento fisioterapêutico mais individualizado para pacientes com membro superior parético decorrente do AVC.
Cerebral Vascular Accident (CVA) is a vascular neurological condition that results from the obstruction of blood vessels in the brain due to the formation of clots or rupture of arteries. In Brazil, stroke is the main cause of disability in individuals over 50 years of age, contributing to 10% of deaths. Physiotherapy, especially Restraint Induced Therapy (TCI), plays a crucial role in rehabilitation. The objective of this study is to observe in the literature the influence of Induced Restraint Therapy on patients who have suffered a stroke and have a paretic upper limb. This study is a literature review that uses articles obtained from electronic databases, including VHL, LILACS, Pedro, Pubmed and SciELO. The selection of articles was conducted over the last five years and involved randomized clinical trials that applied Induced Restraint Therapy to patients with hemiparetic or hemiplegic upper limbs. The search resulted in 53 preselected articles, of which 8 were chosen for analysis based on keywords. The results of the studies analyzed indicate significant benefits of Induced Restraint Therapy (ICT) both when applied alone and in combination with other therapeutic approaches. ICT emerges as an effective approach in post-stroke rehabilitation, encouraging neuroplasticity and promoting improvements in upper limb functionality. However, it is crucial to continue research to improve clinical practices and personalize the delivery of this therapy to meet individual patient needs. The importance of widely disseminating this technique among professionals in the field is highlighted, aiming to promote a more individualized physiotherapeutic treatment for patients with a paretic upper limb resulting from stroke.
Cerebral Vascular Accident (CVA) is a vascular neurological condition that results from the obstruction of blood vessels in the brain due to the formation of clots or rupture of arteries. In Brazil, stroke is the main cause of disability in individuals over 50 years of age, contributing to 10% of deaths. Physiotherapy, especially Restraint Induced Therapy (TCI), plays a crucial role in rehabilitation. The objective of this study is to observe in the literature the influence of Induced Restraint Therapy on patients who have suffered a stroke and have a paretic upper limb. This study is a literature review that uses articles obtained from electronic databases, including VHL, LILACS, Pedro, Pubmed and SciELO. The selection of articles was conducted over the last five years and involved randomized clinical trials that applied Induced Restraint Therapy to patients with hemiparetic or hemiplegic upper limbs. The search resulted in 53 preselected articles, of which 8 were chosen for analysis based on keywords. The results of the studies analyzed indicate significant benefits of Induced Restraint Therapy (ICT) both when applied alone and in combination with other therapeutic approaches. ICT emerges as an effective approach in post-stroke rehabilitation, encouraging neuroplasticity and promoting improvements in upper limb functionality. However, it is crucial to continue research to improve clinical practices and personalize the delivery of this therapy to meet individual patient needs. The importance of widely disseminating this technique among professionals in the field is highlighted, aiming to promote a more individualized physiotherapeutic treatment for patients with a paretic upper limb resulting from stroke.
Palavras-chave
Acidente Vascular Cerebral; Terapia de Contensão Induzida; Extremidade Superior; Fisioterapia; Terapia de movimento induzido por restrição.