Recuperación motora y funcional en pacientes con afasia secundaria a un ictus

Introduccion: se realizo un estudio observacional y prospectivo. Objetivo: evaluar la recuperacion motora y funcional en pacientes con afasia secundaria a un ictus, incorporados al Programa de Restauracion Neurologica del Centro Internacional de Restauracion Neurologica. Metodos: se estudiaron 132 pacientes durante los anos 2007-2012, en tratamiento durante 4 sem. Se agruparon segun la presencia o no de afasia. Se compararon ambos grupos, segun la recuperacion motora y funcional, mediante la Escala Escandinava del Ictus y el indice de Barthel, respectivamente. Resultados: los grupos estudiados no presentaron diferencias significativas en cuanto a edad, sexo, condicion motora y funcional inicial, tiempo de evolucion y factores de riesgo vascular. La recuperacion motora resulto significativa en ambos grupos (p=0,00), aunque el porcentaje de recuperacion motora resulto superior en los pacientes con ictus no afasicos. La recuperacion funcional resulto significativa en ambos grupos (p=0,00), existio una recuperacion cualitativamente superior en el ictus no afasico donde se identifico una mejora en las habilidades manipulativas (p=0,00), que no resulto significativa en el ictus con afasia. Conclusion: ambos grupos se beneficiaron con el tratamiento aplicado, sin embargo, los pacientes afasicos experimentaron menor recuperacion motora y funcional, en comparacion con los pacientes no afasicos Introduction: an observational and prospective study was carried out. Objective: to evaluate motor and functional recovery in patients with aphasia secondary to a stroke, who were included in the Neurological Restoration Program of International Center of Neurological Restoration. Methods: 132 patients were studied from 2007 to 2012; they were in treatment during 4 weeks and they were grouped according to the presence or absence of aphasia. Comparisons between both groups were carried out according to their motor and functional recovery by using Scandinavian Stroke Scale and Barthel Index respectively. Results: significant differences were not found in the studied groups concerning age, sex, motor and functional initial conditions, evolution time and vascular risk factors. Motor recovery was significant in both groups (p=0,00), although motor recovery percent was higher in the patients with non aphasic stroke. Functional recovery was significant in both groups (p=0,00), a higher quality recovery was seen in non aphasic stroke patients, and improvement was identified in hand abilities (p=0,00) which was not significant in stroke with aphasia. Conclusion: both groups were benefitted with the applied treatment, however, the aphasic patients experienced a lower motor and functional recovery, in comparison with the non aphasic patients