EFEITOS DA CRIOTERAPIA E CINESIOTERAPIA NA AMPLITUDE DE MOVIMENTO DE PUNHO DE PACIENTES HEMIPARÉTICOS ESPÁSTICOS

Abstract

This study aimed to verify the effects of cryotherapy and kinesiotherapy on 1 Pós-graduanda em Neurologia Funcional pela Universidade do Vale do Paraíba (Univap), E-mail: isabela.cbap@gmail.com. 2 Graduada em Fisioterapia pelo Centro Universitário de Barra Mansa (UBM), E-mail: lauane.fisioterapia@gmail.com. 3 Pós-graduanda em Terapia Intensiva pelo Instituto D'Or de Ensino e Pesquisa (IDOR), E-mail: cmsouza-28@hotmail.com. Pós-graduanda em Fisioterapia Dermato Funcional pela Interfisio, E-mail: maarcela_martins@hotmail.com. 5 Mestranda em Engenharia Biomédica pela Universidade do Vale do Paraíba (UNIVAP), E-mail: jufisio_souza@yahoo.com.br. 6 Doutoranda em Ciências da Reabilitação pela Universidade de São Paulo (USP), E-mail: pri.januario@gmail.com. 7 Doutoranda em Ciências da Reabilitação pela Universidade de São Paulo (USP), E-mail: ariela_tcruz@yahoo.com.br. wrist range of motion (ROM) in spastic hemiparetic patients. The sample of this randomized controlled clinical trial consisted of 12 volunteers with a clinical diagnosis of chronic stroke, of both genders, in the age group between 40 and 80 years, with spastic hemiparesis of the upper limb, randomly divided into: Group A (GA n = 6), submitted to kinesiotherapy and Group B (GB n = 6), submitted to cryotherapy and kinesiotherapy. Active wrist flexion and extension of the paretic upper limb were assessed by manual goniometry. For data analysis, the Shapiro-Wilk and Student's “t” tests were used, with a significance level of p≤ 0.05. There was an increase in wrist flexion and extension ROM in both groups, maintained for one month after the end of the treatment, with the exception of Group A, which presented a reduction in wrist flexion ROM one month after the end of the proposed treatment. Comparing the groups, it was observed that there was no difference between them. The proposed treatments were able to increase wrist ROM in the studied population, with no difference between the groups.