Mirror visual feedback na recuperação motora e funcional da mão após acidente vascular cerebral

Abstract

Objective. to investigate the effect of the Mirror Visual Feedback (MVF) in motor and functional recovery of the paralyzed hand after stroke. Method. participants were six patients with a mean age of 53.8±15 years; time of stroke was 7±8.6 months. The Functional Independence Measure was used to assess independence in activities of daily living. Motor function was assessed for Fugl-Meyer Assessment (FMA) and motor skills by the Wolf Motor Function Test (WMFT). The MVF was applied individually for 10 sessions, twice a week. Patients performed hand movements with their unaffected hand as they watched through the mirror. Results. statistically significant improvement (p<0.05) in motor function (PDFFM) and independence in activities of daily living (FIM). Significant improvement in dexterity (p <0.05) measured by the WMFT. Two patients developed appropriate functional use of the hand, one developed an ability to use it partially and three did not transfer the gains made in the clinic to the real world. Conclusions. recovery of the hand active movements after stroke is only the starting point. We suggest randomized controlled studies, adding other techniques in order to promote functional recovery.