[en] Introduction. Strokes are currently the biggest cause of acquired disability and the second one of cognitive impairment among adults. People who have suffered f rom this neurological disorder report significant functional health limitations in their upper limbs, affecting their ability to perform everyday activities. Therefore, achieving a functional improvement in patients is an important goal in physical rehabil itation interventions. There is a wide panoply of approaches to the treatment of this symptomology and to the rehabilitation of patients who have suffered from a stroke. Foremost among these is the constraint induced movement therapy, which will be further analyzed in this review. Aim. To determine the efficacy of physiotherapy in adults' upper limbs after ACV through constraint induced movement therapy. Material and method An intensive literature review was conducted, based on data from Pubmed, Cochrane, Scopus, Cinahl, PEDro and Web of Science and including randomized clinical trials (RCT) of the last five years. These trails include, at least, two study groups: an intervention group and at least a control group Results. Following inclusion and exclusion criteria and the automatic removal of duplications with a bibliographical manager, 10 randomized controlled trial have been chosen out of 496 participants who had suffered from a stroke. Conclusions. After carrying out this analysis, we can determ ine that CIMT produce the best results for the physical wellbeing of the patients' upper limbs spasticity, grip strength and fine hand dexterity and proprioception) and for the improvement of their quality of life. CIMT has been proved to be an effective therapy which can be combined with other treatment therapies with a focus on the treatment of adult patients after stroke.

[gl] Introdución. O accidente cerebrovascular (ACV) posiciónase como a primeira causa de discapacidade adquirida e a segunda de deterioro cognitivo na población adulta. Nas persoas que sufriron este trastorno neurolóxico a afectación das extremidades superiores provoca importantes limitacións nas actividades da vida diaria. Polo tanto, conseguir unha mellora funcional é un obxectivo importante nas intervención de rehabilitación. Son múltiples as abordaxes existentes para o tratamento desta sistomatoloxía e para a rehabilitación do paciente que sufriu un ACV. Entre elas destácase a analizada nesta revisión, a terapia de movemento inducido por restricción (CIMT). Obxectivo. Determinar a eficacia do tratamiento de fisioterapia en membros superiores en adultos tras ACV mediante terapia de movemento inducido por restricción en comparación con outros métodos de fisioterapia. Material e método. Analizouse unha revisión bibliográfica nas bases de datos de Pubmed, Cochrane, Scopus, Cinahl, PEDro y Web of Science, incluindo ensaios clínicos aleatorizados (ECA) dos últimos 5 anos que contiveran como mínimo 2 grupos de estudo, o grupo intervención e polo menos un grupo control. Resultados. Seguindo os criterios de inclusión e exclusión, así como a eliminación de duplicados de forma automática co xestor bibliográfico, foron finalmente seleccionados un total de 10 ECA que conformaron unha mostra total de 496 participantes que sufriran un ACV. Conclusións. Trala realización deste traballo pódese determinar que a CIMT ofrece mellores resultados para a condición física das extremidades superiores (espasticidade, forza de prensión e destreza fina da man e propiocepción) e para a calidade de vida. Posicionándose como unha intervención efectiva e plenamente combinable con outras terapias no tratamento de persoas adultas tras accidente cerebrovascular.