Terapia espelho baseada em realidade virtual após acidente vascular cerebral: revisão sistemática de ensaios randomizados
DOI:
https://doi.org/10.33233/fb.v23i4.5115Palavras-chave:
acidente vascular cerebral, realidade virtual, neurônios-espelhoResumo
Introdução: A terapia espelho (TE) tem sido recomendada para melhoria da funcionalidade após o acidente vascular cerebral (AVC). A TE convencional demanda alta concentração e pode se tornar desmotivante, restringindo a participação ativa e engajamento do paciente, além de levar a alterações posturais e de equilíbrio. A TE baseada em realidade virtual (RV) tem por intuito minimizar estes déficits e facilitar o controle dos movimentos. Objetivo: Analisar os efeitos de intervenções de TE baseadas em RV em pacientes com disfunções motoras pós-AVC. Métodos: Revisão sistemática da literatura, nas bases Pubmed, Embase, ICTRP, Cinahl, Medline e Lilacs. Resultados: Foram selecionados 6 ensaios controlados e randomizados. TE+RV demonstraram melhoria na marcha, equilíbrio, funcionalidade de membro superior, inferior e face, e reduziram as consequências negativas encontradas na TE convencional. Conclusão: Melhora das disfunções motoras pós-AVC na TE+RV, reduzindo as limitações observadas na TE convencional. Sugerem-se estudos futuros para desenvolver e validar abordagens de TE+RV com menor impacto financeiro.
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Copyright (c) 2022 Natália Feitoza do Nascimento, Emanuel Roger dos Santos Reis, Raynara Oliveira dos Santos, Camilla Gabrielly de Lima Sousa Santana, Tais Fernanda da Silva , Raissa Tamires da Silva , Ana Karla da Silva Moura Pedrosa
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