Aprendizagem motora implícita em membro superior plégico em pacientes pós-AVC

Abstract

Introduction: Stroke (AVC) is defined as clinical, radiological or pathological evidence of ischemia or hemorrhage, involving a defined cerebrovascular territory. Motor learning becomes essential in the rehabilitation process, as it is not directly associated with the acquisition of new skills, but with the process of reorganizing the acquired patterns. Therapies usually use explicit motor learning strategies, however, implicit motor learning works using the information already stored that can facilitate the learning of these people. Objective: Analyze implicit motor learning in post-stroke hemiparetic patients and its associations with sensory and motor impairment. Methods: This is a cross-sectional and analytical study of a quantitative nature. The G1 (post-stroke) was assessed by the Mini Mental State Examination, the Fugl-Meyer scale and the Nottingham sensory assessment; the G2 (Control) only by the Mini Mental State Examination. Both groups underwent practice in Player Feedback (PF). Statistical analysis was performed using the IBM SPSS Statistic 20 software. To identify the normality of these variables and those of the PF, the Shapiro-Wilk test was used, the comparison was performed using the Student's T test and the correlation of the FMA-UE and the PF variables, the Pearson test. Results: There was no statistical difference between these variables and a positive and very strong correlation between the Fugl-Meyer and the number of hits and percentage of hits. Conclusion: In this way, it is concluded that implicit learning was perceived in the evaluated individuals.