Trunk Restraint Therapy: The Continuous Use of the Harness Could Promote Feedback Dependence in Poststroke Patients A Randomized Trial

Autor(es)

Cacho, Roberta de Oliveira ^[1] ; Cacho, Enio Walker A. ^[1] ; Ortolan, Rodrigo L. ^[2] ; Cliquet, Jr., Alberto ^{[3, 4]} ; Borges, Guilherme ^[5]

Afiliação do(s) autor(es)

^[1] Fed Univ Rio Grande Norte FACISA UFRN, Fac Hlth Sci Trairi, Santa Cruz, RN - Brazil

^[2] Fed Inst Educ Sci & Technol Southern Minas IFSULD, Dept Comp Engn, Pocos De Caldas, MG - Brazil

^[3] Univ Sao Paulo EESC, Dept Elect Engn, Campinas, SP - Brazil

^[4] Univ Estadual Campinas, Fac Med Sci, Dept Orthopaed & Traumatol, Campinas, SP - Brazil

^[5] Univ Campinas UNICAMP, Fac Med Sci, Dept Neurol & Neurosurg, Campinas, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: MEDICINE; v. 94, n. 12 MAR 2015.
• Citações Web of Science: 3

Resumo

The objective of this study was to evaluate the long-term effects of the task-specific training with trunk restraint compared with the free one in poststroke reaching movements. The design was randomized trial. The setting was University of Campinas (Unicamp). Twenty hemiparetic chronic stroke patients were selected and randomizedinto2traininggroups: trunkrestraintgroup(TRG) (reachingtraining with trunk restraint) and trunk free group (TFG) (unrestraint reaching). Twenty sessions with 45minutes of training were accomplished. The patientswere evaluated in pretreatment (PRE), posttreatment (POST) and 3 months after the completed training (RET) (follow-up). Main outcome measures were modified Ashworth scale, Barthel index, Fugl-Meyer scale, and kinematic analysis (movement trajectory, velocity, angles). A significant improvement, which maintained in the RET test, was found in the motor (P< 0.001) and functional (P = 0.001) clinical assessments for both groups. For trunk displacement, only TFG obtained a reduction statistical significance fromPRE to the POST test (P = 0.002), supporting this result in the RET test. Despite both groups presenting a significant increase in the shoulder horizontal adduction (P = 0.003), only TRGshowed a significant improvement in the shoulder (P = 0.001 -PRE to POST and RET) and elbow (P = 0.038 -PRE to RET) flexion extension, and in the velocity rate (P = 0.03 -PRE to RET). The trunk restraint therapy showed to be a long-term effective treatment in the enhancement of shoulder and elbow active joint range and velocity rate but not in the maintenance of trunk retention. (AU)

• Processo FAPESP: 06/61199-5 - Afeitos do treinamento de alcance com restrição de tronco em indivíduos hemiparéticos por acidente vascular cerebral
• Beneficiário: Roberta de Oliveira
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto