Terapia por contensão induzida na funcionalidade do membro superior após AVC: relato de caso Constraint-induced movement therapy in the functionality of upper limb after stroke: case report

Introduction: The Constraint-Induced Movement Therapy is applied to promote physical and functional gains in patients who have experienced stroke and who presented with clinical hemiparesis. Case Report: The patient is a 66-year-old man with a 9-month history of chronic ischemic stroke. The patient was evaluated before and after intervention (after 10 days of Constraint-Induced Movement Therapy) using Fugl-Meyer Motor Assessment and Wolf Motor Function Test. We used an adapted Taub’s protocol for implanting a modified Constraint-Induced Movement Therapy with a 3-hour session for 10 days. The patient used a sling in the contralateral limb. The motor performance improved significantly (p = 0.016) after being measured using the Fugl-Meyer Motor Assessment. The Wolf Motor Function Test showed a significant time reduction (p <0.0001) of the performance of motor activities as well as the improved functionality after treatment. Conclusion: The modified Constraint-Induced Movement Therapy resulted in improved motor performance and functional capacity by performing activities of daily living using the paretic upper limb.