Mesa lúdica: um estudo comparativo entre a reabilitação lúdica e a cinesioterapia na restrição de movimentos dos membros superiores em indivíduos com AVC

Abstract

Stroke is a neurological syndrome resulting from the interruption of blood flow. Among the symptoms, or the consequences, stroke has muscle weakness in the lower and upper limbs, decreased static and dynamic balance, visual impairment, decreased sensitivity, fine motor skills, cognitive impairment, proprioception, and reflexes. The treatment for motor consequences of stroke is orthopedic monitored, no physiotherapist and / or monitor the individual in repetitive range of motion exercises, readjustment of bonuses and / or load, which can be demotivating following treatment. This research describes the comparative study between kinesiotherapy techniques and exercises through the Play Table, applied to the development of upper limb movements. To this end 14 volunteers were divided into groups, submitted to interventions according to the techniques, and evaluated by systems such as Goniometry, HAQ-DI, GMFM-88 and Neurofunctional Evaluation. In general, it can be said that regardless of the intervention, the individuals obtained 7 larger movements and that the use of the Play Table allows the development of angular amplitude and the reduction of the effects of spasticity. The individuals submitted to the intervention through the Play Table obtained the development of a greater number of shoulder and elbow joint movements, but not necessarily superior, in all aspects, to those presented by the individuals in the group undergoing kinesiotherapy.