Eficacia de la terapia de espejo y terapia de observación de acciones en la parálisis cerebral infantil: revisión sistemática
DOI:
https://doi.org/10.23938/ASSN.1003Palabras clave:
Parálisis cerebral, Clasificación internacional del funcionamiento, de la discapacidad y de la salud, Modalidades de fisioterapia, Revisión sistemáticaResumen
El objetivo de esta revisión fue evaluar la eficacia de la terapia en espejo (TE) y terapia de observación de acciones (AOT) en estructuras y funciones corporales, actividad y participación, relacionadas con miembro superior en parálisis cerebral infantil (PCI). Se realizó una revisión sistemática de ensayos controlados aleatorizados publicados en los últimos diez años, que investigaran TE o AOT frente a otras intervenciones en PCI. La calidad metodológica de los nueve estudios incluidos se evaluó con la escala PEDro. El tratamiento con TE o AOT parece mostrar mejoras significativas en estructuras y funciones corporales, actividades y participación del miembro superior comparado con otras intervenciones en PCI. Ambas intervenciones parecen mejorar la calidad de vida al abarcar la globalidad del paciente, reducir la discapacidad y favorecer su funcionamiento. Se necesitan más estudios con mayor calidad metodológica para respaldar estas intervenciones a largo plazo.
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