Uso da terapia de contensão induzida e da terapia espelho para favorecer a atividade de vida diária em pacientes pós acidente vascular cerebral: revisão sistemática

Abstract

Stroke is a vascular impairment that can result in neurological damage and sensorimotor deficits, including major incapacities of the upper extremities (UE). Some techniques can be used to minimize its consequences, with emphasis on Mirror Therapy (MT) and Constraint Induced Movement Therapy (CIMT) - therapeutic measures for rehabilitation of UE that are antagonistic to each other. This study aims to understand if CIMT and MT promote improvements in the engagement in Activities of Daily Living (ADL) of post-stroke patients and if one of them is superior to the other in relation to this outcome. This systematic review, following a PRISMA recommendation, searched the Embase, PubMed, Scielo, Cochrane, LILACS, Scopus and Web of Science databases, between November and December 2020, for articles to answer the leading question. The inclusion criteria were: original articles from clinical trials on the efficacy of Constraint Induced Movement Therapy and/or Mirror Therapy in post-stroke patients with analysis for outcomes in activities of daily living, excluding book chapters, other systematic reviews, letters to the editor, reflection or opinion articles, duplicate articles and experimental animal studies. The articles were obtained using the PEDro scale for methodological quality. The results pointed to the superiority of CIMT in improving activity and social participation, while Mirror Therapy also had benefits, but they were not measured in the functions of daily living. Thus, it is concluded that CIMT had the best results in the execution and engagement in ADL by post-stroke patients.