Palabras clave
rehabilitación neurológica
plasticidad neuronal
accidente cerebrovascular
hemiplejía
hemiparesia
actividades de la vida diaria
extremidad superior
Cómo citar
Resumen
Introducción: la terapia de movimiento inducido por restricción se administra como tratamiento para la población que ha sufrido accidente cerebrovascular. Sin embargo, aún no está clara su efectividad para mejorar la función del miembro superior y el nivel de independencia en las actividades de la vida diaria. Objetivo: determinar la efectividad de la aplicación de la terapia de movimiento inducido por restricción en la función motora e independencia de la vida diaria del miembro superior comparado con otro tipo de intervención en población con accidente cerebrovascular. Materiales y métodos: revisión sistemática de literatura en Cochrane, PubMed, ScienceDirect, PEDro y Google Académico de ensayos clínicos que comparan la terapia de movimiento inducido por restricción con otro tipo de intervención en personas con accidente cerebrovascular. Recolección de datos y análisis por revisores independientes, escala de PEDro para calidad metodológica y riesgo de sesgo según Manual Cochrane. Resultados: se incluyeron 6 estudios de 498 potenciales. Se encontraron diferencias estadísticamente significativas en 4 de los estudios incluidos en comparación con otros tratamientos en la mejora de la función motora y el nivel de independencia en las actividades de la vida diaria. Conclusiones: se determinó que la terapia de movimiento inducido por restricción parece tener alta efectividad para la recuperación de la función motora y las actividades de la vida diaria al compararse con su línea de base, y diferencias estadísticamente significativas en comparación con terapia convencional y terapia en espejo; no existen diferencias estadísticas comparada con la terapia con robot.
Citas
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