Effects of exercises with action observation and aquatic physical therapy in arm recovery after stroke

INTERVENTION: E02.779 E02.779.474 E02.779.483 Experimental group 1 (n=20): The first group will receive the intervention: action observation training. 20 participants will perform funcional movements while watching a video that demonstrates functional movements and perform the movements shown in the video, if necessary with assistance. Exercises include: active movements of the upper limbs , functional movements such as combing hair, handle cutlery for eating, brushing teeth, hold and drop different objects, change posture and walking. Experimental group 2 (n=20): The second group will receive the intervention: hydrotherapy. Participants will hold exercises in the heated pool, active movements of the upper limbs, strengthening exercises and functional movements that simulate everyday activities and walking. Control group (n=20) The control group will carry out conventional physiotherapy with exercises in range of motion of the upper and lower limbs, strengthening exercises of the upper limbs, trunk and lower limbs, stretching and balance exercises and walking. All the groups will receive intervention 2 times a week, lasting 40 minutes. The duration of treatment is 6 months. CONDITION: C10.228.140.300.775 G00‐G99 Stroke ; C10.228.140.300.775 ; I64 ; G81 PRIMARY OUTCOME: Improvement of upper limb functionality and performance of activities of daily living, verified by Fulg ‐Meyer scale, from the increase of finding the final score after six months. The improvement rate will be determined by Analysis of Variances, with p<0.05 and statistical power of 80%. SECONDARY OUTCOME: Secondary outcomes are not expected. INCLUSION CRITERIA: Sample consists of 60 adult participants with a minimum age of 40 years and maximum age of80 years. INCLUSION CRITERIA: diagnosis of a single episode of ischemic or hemorrhagic stroke occurred between 3 months and 2 years in good health condition; with brachial‐ facial hemiparesis; with mild to moderate and independent walking even under use of any assistive device for ambulation