Artigo

O poder do pensamento como colaborador na reabilitação de pacientes com doença neurológica aguda: o acidente vascular encefálico

INTRODUCTION: Stroke is the main cause of motor sequelae, necessitating different rehabilitation techniques. Currently, Motor Imagery (MI) is a treatment option, a procedure that requires technical and scientific deepening, including in Occupational Therapy. OBJECTIVE: To inve...

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Autor principal: JAIME, Gabriela Ferraz
Outros Autores: ALVES, Thamyres Pereira
Grau: Artigo
Publicado em: 2023
Assuntos:
Acesso em linha: https://bdm.ufpa.br:8443/jspui/handle/prefix/5891
Resumo:
INTRODUCTION: Stroke is the main cause of motor sequelae, necessitating different rehabilitation techniques. Currently, Motor Imagery (MI) is a treatment option, a procedure that requires technical and scientific deepening, including in Occupational Therapy. OBJECTIVE: To investigate the applicability and efficacy of simple motor tasks based on ADL performed mentally in a complementary way to a traditional therapeutic intervention plan in the rehabilitation of patients diagnosed with stroke. METHOD: Eight patients of both genders, stroke survivors, who consisted of two randomized groups: control and clinical (MI), evaluated by admission protocols Movement Imagery Questionnaire (MIQ), Mini Mental State Examination, Functional Independence Measure (FIM), monofilaments from Semmes-­Weinstein and muscle strength scale Medical Research Council (MRC). The visits occurred twice a week, total­ing 20 sessions over 10 weeks, among which admission, reevaluation and discharge are included. Each session lasted one hour, being divided into 50 minutes of intervention and 10 minutes of relaxation (control group) or mental practice (clinical group) idealizing a daily life activity. The data collected were statistically analyzed by the Graph Pad Program, Prism ­- 6.0, ANOVA (One Criterion), Fisher ­- P <0.05 and Test t ­ p <0.05. The generated graphs were plotted in columns ± standard deviation. RESULTS: Both groups presented cognitive homogeneity, FIM evidenced an early functional recovery of the clinical group. The gain of muscular strength in the times is similar between the groups, with a significant improvement in the clinical group and the sensory perception is categorically recovered in the clinical group. CONCLUSION: Finally, motor imagery, coupled with the traditional rehabilitation program, brought physical­-functional benefits more quickly and promoted a greater independence gain, providing a better quality of life for the subjects involved.