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Academia Mexicana de Neurología, A.C.

2009, Número 3

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Rev Mex Neuroci 2009; 10 (3)


Evaluación de la eficacia y tolerancia del Programa de Restauración Neurológica del CIREN en pacientes adultos con infarto cerebral crónico de territorio carotídeo

Rodríguez ML, López PM, Bender BJE, Bergado RJ, Álvarez GL, Serra VY, Martínez SS

Idioma: Español
Referencias bibliográficas: 35
Paginas: 195-201
Archivo PDF: 76.59 Kb.


RESUMEN

Introducción: El infarto cerebral es la forma de presentación más frecuente de la enfermedad cerebrovascular, ocasionando una importante minusvalía en los pacientes que sobreviven. Las secuelas neurológicas son tributarias de tratamiento de rehabilitación en la mayoría de los pacientes. Material y método: Se realizó un ensayo clínico, con ochenta (80) pacientes, portadores de secuelas neurológicas crónicas por infarto cerebral de territorio carotídeo, sometidos al Programa de Restauración Neurológica del Centro Internacional de Restauración Neurológica. Estos pacientes recibieron tratamiento entre enero del 2005 y enero del 2007, por un periodo de cuatro semanas. Se realizaron evaluaciones pre y postratamiento utilizando las Escala Escandinava del Ictus y el Índice de Barthel. Para el análisis de significación estadística se utilizó t-Student. Resultados: Los pacientes tenían seis o más meses de ocurrido el infarto. Al finalizar el tratamiento se obtuvo una recuperación del déficit neurológico y la condición funcional en la mayoría de los pacientes (p ‹ 0.05). Se aprecia mayor recuperación en los déficit motores, en especial, la marcha y la motilidad de las extremidades (p ‹ 0.05). Existe mejora de la orientación y del lenguaje (p ‹ 0.05). En la esfera funcional los pacientes mejoraron en las habilidades para comer, vestirse, arreglarse, uso del retrete, traslados, deambulación y uso de escaleras (p › 0.05). Se reportaron escasos eventos adversos. No se reportó fallecimiento durante el tratamiento. Conclusiones: El Programa de Restauración Neurológica representa un tratamiento eficaz y seguro para mejorar los déficit neurológicos y las limitaciones funcionales secundarias a Infarto Cerebral de territorio carotídeo.


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