Neuromuscular physiotherapeutic reeducation in the function of the paretic upper limb after stroke
- Journal of Neurology & Stroke
Isabelly Barbosa da Silva,¹ Luciana Maria de Morais Martins Soares,² Míria Mendonça Ferreira Galvão,³ Emerson Belarmino de Freitas,³ Júlio Cezar Felinto dos Santos³
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The stroke is the acute onset of neurological clinical manifestations, which may be ischemic or hemorrhagic, leading to several related signs and symptoms the affected areas. Aimed to evaluate the function of the paretic upper limb before and after a neuromuscular physical therapy rehabilitation program. It is a multiple case study, cross-sectional and quantitative. The sample consisted of three participants characterized as participants P1, P2 and P3. Steps have been taken before and after a neuromuscular based intervention program and used the following data collection instruments: a clinical, sociodemographic and inspection of member form; the Mini-Mental State Examination; the modified Ashworth scale; the Fugl-Meyer Scale and the Arm Motor Ability Test. The neuromuscular program was performed 2 times per week for fifty minutes totaling ten sessions and consisted of: 1) Guidelines and general care; 2) specific skills training for upper limb, and 3) application of Kinesio Taping®. It was observed cognitive preservation and tonus ranging between normal and slightly hypertonic. Two participants reported pain: P2 on the handle and P3 on the shoulder. All showed improvement of motor function. In the assessment of functional ability and movement quality all participants showed improvement. All showed gains for functionality, quality of movement and functional ability, as well as decreased pain, which showed that the program had effectively on the rehabilitation process.
physiotherapy, neurology, hemiplegia, stroke, reeducation