Comprehensive and synthetic occupational therapy protocol for post-stroke hemiplegic patients / Protocolo terapia ocupacional abrangente e sintético para pacientes hemiplégicos após o acidente vascular cerebral

Regina Aparecida Rossetto-Guzzo, Rubens José Gagliardi, Sérgio Lianza, Fernando Tondi Guzzo, Danielle dos Santos Cutrim Garros, Claudio Gomes


Objective.  The aim of this study was to devise an Occupational Therapy protocol for post-stroke patients and to measure the functional evolution of the group. Methods: The study included 210  post-stroke hemiplegic patients, undergoing treatment at the Occupational Therapy Sector of the Rehabilitation Center of the Irmandade da Santa Casa de Misericórdia de São Paulo, and was conducted between March 2008 and December 2010. The protocol comprised twenty 60 minute therapy sessions once a week, during five months, and was split into five phases: Warm-up, Guided activities in standing position, Guided activities using functional electrical stimulation, Training on Activities of Daily Living  (ADL) and  specific free activities. Results:  The pre and post therapeutic intervention  results were compared and analyzed. A statistically significant improvement was found for all assessments, FIM (<0.01) and Box and Blocks Hand Dexterity Test (p<0.01). Conclusions: On the study, the Comprehensive and Synthetic Occupational Therapy protocol was able to improve functionality hemiplegic post-stroke patients.

Key words: Stroke, Activities of daily living, Rehabilitation; Hemiplegia, Occupational therapy,


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