Different treatments for stroke patients have been proposed; among them the mirror therapy and motion imagery lead to functional recovery by providing a cortical reorganization. Up today the basic concepts of the current literature on mirror neurons and the major findings regarding the use of mirror therapy and motor imagery as potential tools to promote reorganization and functional recovery in post-stroke patients. Bibliographic research was conducted based on publications over the past thirteen years written in English in the databases Scielo, Pubmed/MEDLINE, ISI Web of Knowledge. The studies showed how the interaction among vision, proprioception and motor commands promotes the recruitment of mirror neurons, thus providing cortical reorganization and functional recovery of post-stroke patients. We conclude that the experimental advances on Mirror Neurons will bring new rational therapeutic approaches to post-stroke rehabilitation.
Stroke has been considered as one of the main causes of death and of motor and cognitive sequels. Especially, many patients with upper limb hemiparesis improved their motor action and showed meaningful cortical changes after treatment with constraint-induced movement therapy. Therefore, this review aims to verify the literature about neuroimaging and behavioral evidences in the cortical reorganization through the use of the constraint-induced movement therapy. So, we conducted the literature research in indexed journals from many databases like Pubmed, Medline, Cochrane Database, Lilacs and Scielo. We concluded that the behavioral and neuroimaging studies using traditional and modified constraint-induced movement therapy promote cortical reorganization.
Problem statement: Motor Imagery (MI), which corresponds to an active process during which the representation of a specific action is internally reproduced into working memory without any motor output. It represents the result of conscious access to the content of a movement intention, which is usually performed unconsciously during movement preparation. Approach: This review study aims to provide information on the current research and main findings related to the potential therapeutic effects of motor imagery on stroke neurorehabilitation. Results: Several studies demonstrate that conscious motor imagery and unconscious motor preparation share common mechanisms and are functionally equivalent, improving recovery of motor skills in stroke patients. Conclusion: In conclusion, motor imagery, proved very useful and effective, with significant results in improvement of motor deficits in post stroke patients. Thus, it is recommended that further studies must be conducted to determine specific parameters such as number and weekly frequency, duration (minutes per session), type (visual or kinesthetic) and the appropriate moment to apply mental practice (phases recovery of pathology), in order to create specific protocols for each treatment phase.
Este projeto tem como objetivo, mostrar a importância da fisioterapia durante o tratamento de pacientes com Parkinson, mostrando um resultado satisfatório no equilíbrio, funcionalidade e independência funcional, trazendo uma independência ao paciente e uma qualidade de vida, mesmo com a evolução da doença.
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