RETENÇÃO DE HABILIDADE MOTORA EM UM PACIENTE DE TRAUMATISMO CRANIOENCEFÁLICO SUBMETIDO A REABILITAÇÃO COM USO DE NEURO-ÓRTESE: UM ESTUDO DE CASO

• DOI: https://doi.org/10.22533/at.ed.780152404111

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• Abstract: Traumatic brain injury (TBI) can cause upper limb (UL) paresis, making daily activities challenging. Thus, promoting motor skills is essential for daily activities and rehabilitation, facilitating recovery and retention of abilities through neuroplasticity. These skills involve repetitive movements that improve with practice and are made possible by assistive technologies (ATs), which are fundamental in helping to restore active movements in paretic limbs and provide therapeutic benefits. This study investigated the retention of functional gains achieved by a patient with MS-related paresis when using a neuro-orthosis capable of assisting hand opening and wrist extension. The patient, a 29-year-old man with a TBI sustained more than six years prior, was evaluated before and after the last clinical intervention using the neuro-orthosis and again four months later, to verify retention of gains obtained in the absence of ongoing neuro-orthosis intervention. Assessments included the Modified Ashworth Scale for muscle tone, a functional test based on the Jebsen-Taylor Test, which involved grasping and placing a bottle on a wooden platform, and analysis of active range of motion using Kinovea software. Results showed regression in the active range of motion of the wrist and fingers, improvement in task execution times, and maintenance of muscle tone. The research underscores the importance of assistive technologies in motor rehabilitation, highlighting the need for continuous interventions to sustain achieved results.