Cacho, Roberta de OliveiraGalvão, Fábio Ricardo de Oliveira2021-03-122021-03-122020-12-01GALVÃO, Fábio Ricardo de Oliveira. Análise comparativa entre a terapia por contensão induzida e a reabilitação convencional de membros superiores em pacientes pós-AVC: série de casos. 2020. 63f. Dissertação (Mestrado em Ciências da Reabilitação) - Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Natal, 2020.https://repositorio.ufrn.br/handle/123456789/31838Objective: Investigate whether 90-minute modified constraint-induced movement therapy (MCIMT) is better than occupational therapy and conventional physiotherapy, both using the group approach, in improving the amount and quality and quantity of upper limb motor function in post-stroke patients. Methods: This is a quasi-experimental qualitative study composed of repeated-measures case series, using the A1-B-A2 design. Study site: Clinical Physiotherapy School of the Department of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte state, Brazil. Subjects: Five subjects diagnosed with stroke were divided into three phases: Phase A1 (MCIMT group), Phase B (follow-up) and phase B2 (conventional rehabilitation group). Intervention: In phase A1, the participants underwent two consecutive weeks of MCIMT, using all the CIMT principles. In phase B, the participants were monitored once a week for 60 minutes over 10 months, using prevention and health promotion exercises. In phase A2, 90 minutes of occupational therapy and conventional physiotherapy were applied for two consecutive weeks. All the phases were conducted in groups. The primary outcome was achieved using the Motor Activity Log (MAL), while secondary outcomes were obtained via the Wolf Motor Function Test (WMFT) and the Canadian Occupational Performance Measure (COPM). These measures were administered in pre-treatment, post-treatment and 3-to-4-month follow-up, depending on the phase. Results: Intergroup comparison showed a significant statistical difference in the Performance subscale of the COPM (p=0.025) in favor of phase A1, with average effect size of d’=0.51 compared to the phase A2 pretest, and the Satisfaction subscale of the COPM also in favor of phase A1, for the period and the follow-up of the same phase (p=0.022), with average effect size of d’=0.52. Individual analysis was conducted using the multidimensional matrix (MDM), showing that the participants were also better in the 1st phase, according to the MAL AOU and QOM, WMFT FSS and COPM Satisfaction scales. Participant responses in relation to CIMT barriers and facilitators revealed that the constraint mitt was the main barrier and group exercises a therapy facilitator. Conclusion: Group CMIT may significantly increase the amount and quality of paretic upper limb movement during household tasks, functional capacity, performance and satisfaction with activities in post-stroke patients.Acesso AbertoAcidente vascular cerebralExtremidade superiorReabilitaçãoDestrezaManualmasterThesis