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Neuromuscular physiotherapeutic reeducation in the function of the paretic upper limb after stroke

Journal of Neurology & Stroke
Isabelly Barbosa da Silva,¹ Luciana Maria de Morais Martins Soares,² Míria Mendonça Ferreira Galvão,³ Emerson Belarmino de Freitas,³ Júlio Cezar Felinto dos Santos³

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The stroke is the acute onset of neurological clinical manifestations, which may be ischemic or hemorrhagic, leading to several related signs and symptoms the affected areas. Aimed to evaluate the function of the paretic upper limb before and after a neuromuscular physical therapy rehabilitation program. It is a multiple case study, cross-sectional and quantitative. The  sample  consisted  of  three  participants  characterized  as  participants  P1,  P2  and  P3.  Steps  have  been  taken  before  and  after  a  neuromuscular  based  intervention  program  and  used the following data collection instruments: a clinical, sociodemographic and inspection of member form; the Mini-Mental State Examination; the modified Ashworth scale; the Fugl-Meyer  Scale  and  the  Arm  Motor  Ability  Test.  The  neuromuscular  program  was  performed 2 times per week for fifty minutes totaling ten sessions and consisted of: 1) Guidelines and general care; 2) specific skills training for upper limb, and 3) application of  Kinesio  Taping®.  It  was  observed  cognitive  preservation  and  tonus  ranging  between  normal and slightly hypertonic. Two participants reported pain: P2 on the handle and P3 on the shoulder. All showed improvement of motor function. In the assessment of functional ability and movement quality all participants showed improvement. All showed gains for functionality, quality of movement and functional ability, as well as decreased pain, which showed that the program had effectively on the rehabilitation process.


physiotherapy, neurology, hemiplegia, stroke, reeducation