Terapia de ondas de choque na recuperação motora pós acidente vascular cerebral: relato de caso

Objective: To report the motor evolution after rehabilitation with shock wave therapies, of a patient with left hemiparesis due to ischemic stroke due to dissection of the right internal carotid artery. Method: Information was obtained by reviewing the medical records, interviewing the patient, photographing the record, calculating according to the formula designed to assess the rate of evolution (TE%), formula for calculating the global efficiency of functionality (EFG) and assessment scales international clinics validated for our reality: Functional Independence Measure - FIM; Muscle Strength Grading Scale - Medical Research Council; Shoulder Abduction Finger Extension Score - SAFE; EFG = [(MIF reached) - (MIF initial] / Time in weeks to reach MIF; TE% = 100 x (Acquired Strength Degree) / 6. Results: Reported case and the literature bring to light the discussion of the therapy of a complex situation that is the recovery of a chronic and consolidated motor deficit after brain injury due to stroke and show that, although little explored, its mechanism of action has not yet been explored. Fully clarified and adopted in a minority of cases, when well performed and in properly selected patients. Conclusion: The shock wave therapy may be able to obtain satisfactory results in improving the mobility of paralyzed limbs, in addition to the use of reducing spasticity, conceiving improvement of the patient's functionality, being a promising instrument for use in rehabilitation to gain independence in patients with motor sequelae.