ORCID Profile
0000-0003-3366-1545
Current Organisation
Universidade Federal de Minas Gerais
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Informa UK Limited
Date: 23-07-2021
DOI: 10.1080/09638288.2021.1953623
Abstract: We aimed to provide a critical review of measurement properties of mHealth technologies used for stroke survivors to measure the amount and intensity of functional skills, and to identify facilitators and barriers toward adoption in research and clinical practice. Using Arksey and O'Malley's framework, two independent reviewers determined eligibility and performed data extraction. We conducted an online consultation survey exercise with 37 experts. Sixty-four out of 1380 studies were included. A majority reported on lower limb behavior ( This provides an initial foundation for a field experiencing rapid growth, new opportunities and the promise that mHealth technologies affords for envisioning a better future for stroke survivors. We synthesized findings into a set of recommendations for clinicians and clinician-scientists about how best to choose mHealth technologies for one's in idual objective.Implications for RehabilitationRehabilitation professionals are encouraged to consider the measurement properties of those technologies that are used to monitor functional locomotor and object-interaction skills in the stroke survivors they serve.Multi-modal knowledge translation strategies (research synthesis, educational courses or videos, mentorship from experts, etc.) are available to rehabilitation professionals to improve knowledge, attitude, and skills pertaining to mHealth technologies.Consider the selection of commercially available devices that are proven to be valid, reliable, accurate, and responsive to the targeted clinical population.Consider usability and privacy, confidentiality and safety when choosing a specific device or smartphone application.
Publisher: Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)
Date: 30-09-2020
DOI: 10.11606/ISSN.2317-0190.V27I3A174188
Abstract: A performance funcional é maximizada através de programas de fortalecimento muscular em idosos. Contudo, poucas intervenções foram implementadas em idosos institucionalizados para avaliar os efeitos de programas de exercícios de fortalecimento muscular em desfechos como o equilíbrio, performance funcional e força muscular. Objetivo: Avaliar o impacto de um programa de fortalecimento muscular de membros inferiores no equilíbrio, performance funcional e força muscular de idosos institucionalizados. Métodos: Ensaio clínico controlado e randomizado. O equilíbrio, a performance funcional e a força muscular foram avaliados através da Escala de Equilíbrio de Berg (EEB), Marcha Tandem (MT), Short Physical Performance Battery (SPPB) e Teste do Esfigmomanômetro (TE), respectivamente. O grupo experimental (GE, n=11) participou do programa de exercícios em grupo, três vezes semanais, durante oito semanas, enquanto o grupo controle (GC, n=8) continuou sua rotina habitual. Foram calculados os intervalos de 95% de confiança para as diferenças entre os grupos experimental e controle (experimental – controle) e entre os dois momentos de observação (pós – pré). Foi realizada análise de intenção de tratar. Resultados: O GE apresentou um ganho significativo em relação ao GC para a EEB (DM=3,7 IC95% 1,0 a 6,5), MT DM=3,5 IC95% 0,7 a 6,2), FMEJ (DM=33,2 IC95% 4,9 a 61,5) e FMD (DM=37,5 IC95% 9,6 a 65,3). Conclusão: O programa de fortalecimento muscular foi capaz de melhorar o equilíbrio, a performance funcional e a força muscular em idosos institucionalizados.
Publisher: Informa UK Limited
Date: 06-09-2016
DOI: 10.1080/09638288.2016.1219397
Abstract: To evaluate which measures of physical impairments of both upper extremity (UE) and lower extremity (LE) would predict restrictions in participation with 105 community-dwelling stroke subjects. For this cross-sectional, exploratory study, participation was assessed by the daily activity and social role domains of the Assessment of Life Habits (LIFE-H). The potential predictors included measures of physical impairments (UE and LE motor recovery, sensation, motor coordination, and strength deficits). Step-wise multiple linear regression analyses revealed that, for the daily activity domain, LE strength deficits and UE motor recovery explained 28% of the variance in the LIFE-H scores and LE strength deficits alone explained 22% (F = 29.5 p< .0001). For the social role domain, LE strength deficits and sensation explained 22% of the variance in the LIFE-H scores and LE strength deficits alone explained 16% (F = 20.6 p< .0001). Strength deficits of the LE muscles were the physical impairment variables that best predicted participation in both daily activity and social role domains of the LIFE-H. Although significant, UE motor recovery and LE sensation added little to the explained variance. Future research is needed to determine whether progressive resistance strength training program enhances participation after stroke. Implications for Rehabilitation Residual strength deficits of the LE muscles were the physical impairments that showed to be the main predictors of restrictions in participation, as determined by the daily activity and social role domains of the LIFE-H 3.1. It is possible that stroke in iduals would benefit from physical interventions aiming at improving the strength of the LE muscles, when the goal is to enhance participation.
Publisher: FapUNIFESP (SciELO)
Date: 09-2011
DOI: 10.1590/S1020-49892011000900003
Abstract: To assess the perception of patients with chronic hemiplegia regarding the use of assistive walking devices (AWD). Twenty-three in iduals who met the inclusion criteria and used AWD were recruited from a database of 360 stroke survivors. Their mean age was 58.4 years, mean time since stroke was 80.8 months, and mean time using AWD was 67.6 months. To assess the participants' perception, was used a standardized questionnaire covering the impact of AWDs on five aspects: weight-bearing on the paretic limb ability to move the paretic limb confidence safety and walking style. Possible answers were "improved," "unchanged," or "decreased." Fourteen in iduals used canes and nine used elbow crutches 21 (91.3%) used AWDs on public roads and only two (8.7%) used AWDs at home. The perception regarding the use of AWDs were positive in the first four questions (6.87 < χ2 < 29.83 0.0001 < P < 0.03), with reports of improvement in weight-bearing (82.6%), ability to move the paretic limb (39.1%), confidence (82.6%), and safety (86.9%). No significant differences were found in terms of walking style (χ2 = 1.09 P = 0.30). The perception of chronic hemiplegic subjects regarding the use of AWD were positive, suggesting that these devices can improve mobility and independence in activities of daily living.
Publisher: Informa UK Limited
Date: 07-2022
DOI: 10.1080/10749357.2022.2095100
Abstract: The Stroke Upper Limb Capacity Scale (SULCS) is a clinically useful measure of upper-limb (UL) capacity, which assesses both basic and advanced capacities. To examine the reliability, construct validity, and interpretability of the SULCS-Brazil with community-dwelling in iduals with stroke. The SULCS-Brazil and measures of impairment (handgrip strength and motor function of the paretic UL), capacity (manual and digital dexterities), and performance were applied during the first session, to establish construct validity (80 patients). The SULCS-Brazil was applied again during a second session (a sub-set of 30 patients), to investigate test-retest reliability. Test-retest reliability was evaluated using kappa statistics ( High level of agreement was found between the SUCLS-Brazil total scores obtained on both applications (ICC = 0.98 95%CI:0.96-0.99) and 80% of the in idual items had almost perfect agreement ( The SULCS-Brazil showed to be reliable and valid for the evaluation of upper-limb capacity of in iduals with stroke.
Publisher: Society of Physical Therapy Science
Date: 2016
DOI: 10.1589/JPTS.28.1161
Publisher: Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)
Date: 08-06-2017
DOI: 10.11606/ISSN.2238-6149.V28I1P71-78
Abstract: O objetivo foi descrever e comparar diferenças na restrição na participação social de in íduos após acidente vascular encefálico (AVE) na fase crônica, considerando as deficiências, limitações em mobilidade e fatores pessoais. A restrição na participação social foi mensurada pelo LIFE-H 3.1-Brasil as deficiências pela Escala de Depressão Geriátrica e Escala de Fugl-Meyer (EFM) as limitações em mobilidade pela velocidade de marcha e Timed Up & Go (TUG) e os fatores pessoais incluíram sexo, idade, situação familiar e tempo de evolução pós-AVE. Observou-se restrição significativa na área de recreação. Em geral, restrições na participação social foram observadas em participantes com escores ≤28 na EFM-membro inferior, sintomas de depressão, marcha comunitária limitada, risco de quedas e tempo de evolução ≤5 anos. Aqueles com escores ≤45 na EFM-membro superior apresentaram maior restrição em algumas áreas das atividades diárias. As mulheres apresentaram maior restrição em papéis sociais. Os resultados sugerem que deficiências e limitações relacionadas aos membros inferiores, sintomas depressivos e tempo de evolução devem ser considerados na avaliação, quando o objetivo da reabilitação for aumentar a participação social de in íduos pós-AVE.
Publisher: Informa UK Limited
Date: 07-01-2022
DOI: 10.1080/10749357.2021.2019177
Abstract: Oxygen uptake efficiency slope during submaximal tests has been proposed as a more appropriate measure of aerobic capacity after suffering a stroke, since some in iduals cannot tolerate maximal exercise testing. However, it has not yet been investigated whether the oxygen uptake efficiency slope is able to differentiate between healthy in iduals and those who have suffered a stroke. To compare the oxygen uptake efficiency slope during walking and stair climbing between stroke survivors and age- and sex-matched healthy controls. This is a cross-sectional study in which 18 in iduals who had suffered a stroke (stroke survivors) and 18 healthy controls matched for sex and age were included. Oxygen consumption and minute ventilation were collected breath-by-breath during walking (6-min Walk Test) and stair climbing. The oxygen uptake efficiency slope was estimated by the slope of the line obtained through linear regression. The stroke survivors had a lower oxygen uptake efficiency slope during the 6-min Walk Test than the healthy controls (MD 498, 95% CI 122 to 873, Stroke survivors had lower oxygen uptake efficiency slope during the performance of the 6-min Walk Test when compared to sex- and age-matched healthy controls. This suggests that stroke survivors have worse cardiopulmonary capacity.
Publisher: Society of Physical Therapy Science
Date: 2015
DOI: 10.1589/JPTS.27.3739
Publisher: Springer Science and Business Media LLC
Date: 17-02-2021
DOI: 10.1186/S12951-021-00795-7
Abstract: Programmable nano-bio interfaces driven by tuneable vertically configured nanostructures have recently emerged as a powerful tool for cellular manipulations and interrogations. Such interfaces have strong potential for ground-breaking advances, particularly in cellular nanobiotechnology and mechanobiology. However, the opaque nature of many nanostructured surfaces makes non-destructive, live-cell characterization of cellular behavior on vertically aligned nanostructures challenging to observe. Here, a new nanofabrication route is proposed that enables harvesting of vertically aligned silicon (Si) nanowires and their subsequent transfer onto an optically transparent substrate, with high efficiency and without artefacts. We demonstrate the potential of this route for efficient live-cell phase contrast imaging and subsequent characterization of cells growing on vertically aligned Si nanowires. This approach provides the first opportunity to understand dynamic cellular responses to a cell-nanowire interface, and thus has the potential to inform the design of future nanoscale cellular manipulation technologies.
Publisher: Universidade Federal de Sao Paulo
Date: 30-06-2014
Publisher: Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)
Date: 28-12-2022
DOI: 10.11606/ISSN.2317-0190.V29I4A199833
Abstract: Objective: To describe the clinical profile of in iduals with Amyotrophic Lateral Sclerosis (ALS) from a reference hospital in the city of Belo Horizonte, Brazil. Method: This is a retrospective cross-sectional study with data collection from electronic medical records of in iduals with a defined diagnosis of ALS between 2010 and 2020, in the Muscular Dystrophies reference sector of a hospital in a Brazilian capital. Results: A total of 103 in iduals with ALS were included, with a mean age of 60±12 years, mean diagnostic age 56±12 years, and mean time of disease progression of 3±3 years. Furthermore, 70% were male, 88% with sporadic ALS, with a similar bulbar involvement between mild (32%), moderate (27%) and severe (28%), and with a higher rate of diagnosis from 50 to 70 years of age. Conclusion: The epidemiological data from this study are very similar to those in the literature. However, the heterogeneity of the disease, the complexity of the diagnosis and the ersity of forms that each study brings to the disease, and especially the rapid progression, make a more extensive picture difficult to be discussed. Tracing this profile is important for a more focused clinic and a more adequate management, and for that, further studies are needed.
Publisher: Informa UK Limited
Date: 26-06-2019
DOI: 10.1080/09638288.2019.1632942
Abstract: To determine the Duke Activity Status Index (DASI) cut-off scores and verify if they would be able to discriminate between chronic stroke in iduals, who had poor, from those who had good functional capacity (FC). Cross-sectional study, where 92 in iduals with chronic stroke had their FC measured by DASI scores and were classified into community and non-community walkers. Both the receiver operating characteristic and the area under the curve were used to determine the best DASI cut-off values that could discriminate between in iduals, who had poor, from those who had good FC. Binary logistic regression analysis is used to investigate the ability of DASI scores in predicting community walkers. DASI cut-off value of 31.95 showed to be sensitive and specific to differentiate between in iduals, who had poor from good FC. The regression analysis revealed that the chance of in iduals, who had better FC (≥ 31.95) be community walkers was 10.69 (95%CI:4-32.75) times higher than that of those who had poor FC (< 31.95). The model demonstrated good predictive ability. The DASI cut-off value of 31.95 showed to be sensitive and specific to distinguish between chronic stroke in iduals, who had poor, from those who had good FC.IMPLICATIONS FOR REHABILITATIONThe identification of in iduals, who have good and poor functional capacity, is important for clinical reasoning and decision-making in stroke rehabilitation.The Duke Activity Status Index (DASI) is a clinically useful tool for the assessment of functional capacity, based upon the performance of common daily living activities.The DASI cut-off of 31.95 points was able to discriminate between in iduals with stroke, who had poor, from those who had good functional capacity.The chance of in iduals, who had good functional capacity (DASI ≥ 31.95) be community walkers was 10.69 times higher than that of those who had poor functional capacity (DASI < 31.95).The findings support the use of the DASI as a simple tool for the assessment of functional capacity, especially in low-resource settings.
Publisher: Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)
Date: 31-03-2019
DOI: 10.11606/ISSN.2317-0190.V26I1A163789
Abstract: A disponibilidade de instrumentos para avaliação da saúde sexual é muito importante para uma boa prática clínica, pois permite que os profissionais da área da saúde avaliem e intervenham de forma eficaz, atingindo os melhores padrões de avaliação e intervenção, e assim, melhorem a vida sexual dessa população. Objetivo: Revisar sistematicamente os instrumentos de avaliação da sexualidade em homens e mulheres após a lesão medular disponíveis na literatura, em relação ao seu uso e propriedades de medida. Método: Trata-se de uma revisão sistemática da literatura das bases de dados Pubmed, Lilacs, Scielo e Cinahl, de todos os estudos até maio de 2019, em que a estratégia de busca consistiu na utilização das palavras-chave: sexuality, spinal cord injury, evaluation, assessment e questionnaires. Os artigos identificados pela estratégia de busca inicial foram avaliados conforme critérios de inclusão pré-estabelecidos. Os desfechos foram mecanismos sexuais (excitação, ejaculação, ereção e orgasmo), desejo, satisfação, frequência sexual, ajuste, educação sexual e relação com o parceiro. Os dados foram organizados em tabelas foram apresentados através de uma análise descritiva dos resultados dos estudos incluídos. Resultados: Dezoito estudos atenderam aos critérios de elegibilidade e foram incluídos. Foram encontrados sete instrumentos validados para avaliação da sexualidade em in íduos com lesão medular, nove genéricos e doze instrumentos para avaliação de fatores possivelmente relacionados a sexualidade. Dois avaliaram as propriedades de medida, sendo que em ambos foram adequadas. Conclusão: Esta revisão identificou um total de 28 instrumentos que foram utilizados na avaliação da sexualidade em in íduos com lesão medular, entretanto, apenas sete desses instrumentos foram validados.
Publisher: FapUNIFESP (SciELO)
Date: 10-2013
Publisher: Springer Science and Business Media LLC
Date: 23-10-2021
DOI: 10.1007/S13760-021-01824-W
Abstract: Physical activity (PA) level is decreased in in iduals with Parkinson´s disease (PD). To increase the PA level improves both motor and non-motor symptoms of this population. It is known that gait performance and five times sit-to-stand (FTSTS) are associated with PA level therefore, it is of great relevance for rehabilitation purposes to understand whether these variables may predict PA level of in iduals with PD. To investigate whether gait performance and FTSTS are predictors of PA level. Cross-sectional study with in iduals with idiopathic PD modified Hoehn and Yahr staging scale between 1.0 and 3.0. The gait performance was measured by Functional Gait Assessment (FGA) and PA level was measured by an accelerometer for one week, during day and night through their time spend in locomotion (locomotion time-LT). Multiple linear regression was conducted with gait performance and FTSTS as independent variables and PA level (LT) as dependent variable. Twenty-two participants were included, mean age 64.82 (8.39) and the mean storage of accelerometer time was 9.866 min (0.33). Both gait performance and FTSTS have moderate significant correlation with PA level (r = - 0.538 p < 0.01 and r = 0.625 p < 0.001, respectively). The linear regression model with FGA and FTSTS was significant (p < 0.05) and predicted 41% of LT. Gait performance and FTSTS have important interaction with PA level measured by LT in in iduals with PD, and it provides insights on the importance of these variables in predicting the PA level of its population.
Publisher: Informa UK Limited
Date: 15-09-2015
Publisher: FapUNIFESP (SciELO)
Date: 06-2014
Publisher: Elsevier BV
Date: 04-2021
Publisher: Informa UK Limited
Date: 21-06-2018
Publisher: Informa UK Limited
Date: 16-08-2021
DOI: 10.1080/09593985.2021.1964660
Abstract: In iduals with stroke experience residual walking disabilities, as the inability to increase walking speed (walking speed reserve - WSR), and frequently present decreasing in functional capacity. The relation between functional capacity and walking ability may contribute to more specific functional management of stroke. To investigate the association between WSR and functional capacity in in iduals with chronic stroke and compare functional capacity between in iduals who can increase walking speed or not. Cross-sectional study, where functional capacity was assessed with the Duke Activity Status Index (DASI), in metabolic equivalent (METS). WSR was assessed through the difference between fast and self-selected speed (in m/s). The in iduals were assigned into two groups: able (WSR ≥ 0.2 m/s) and unable (WSR<0.2 m/s) to increase speed. Pearson's correlation and t test were used for analysis. Fifty-five in iduals (functional capacity 23 ± 13 METS and WSR 0.3 ± 0.2 m/s) were included. The association between functional capacity and WSR was positive and statistically significant, with moderate magnitude (r = 0.56) ( Functional capacity has a positive association with WSR in in iduals with chronic stroke. The in iduals who are unable to increase walking speed present lower functional capacity.
Publisher: FapUNIFESP (SciELO)
Date: 12-2019
DOI: 10.1590/1809-2950/18046626042019
Abstract: RESUMO Os comprometimentos da funcionalidade em in íduos com lesão medular (LM) geram complicações secundárias, sendo o descondicionamento físico preponderante e um exacerbador das complicações da lesão. O objetivo foi avaliar em atletas e não atletas com LM a incapacidade percebida e a independência funcional. Os questionários WHODAS 2.0 e SCIM III foram aplicados em 37 voluntários com LM e seus dados sociodemográficos foram coletados. Os escores totais do WHODAS 2.0 e SCIM III de in íduos com LM torácica e LM cervical foram comparados por meio do teste de Mann-Whitney. Quanto à incapacidade percebida observou-se diferença significativa no WHODAS 2.0 entre atletas e não atletas com LM torácica. Em relação à independência funcional não houve diferenças significativas entre os grupos no SCIM III. Apesar de a prática esportiva promover benefícios para a saúde, no grupo de in íduos com LM cervical não foram encontradas diferenças significativas, o que pode ser explicado pelo maior grau de comprometimento motor desses in íduos.
Publisher: Wiley
Date: 03-07-2017
DOI: 10.1002/PRI.1688
Abstract: Since physical inactivity is the major risk factor for recurrent stroke, it is important to understand how level of disability impacts oxygen uptake by people after stroke. This study investigated the nature of the relationship between level of disability and oxygen cost in people with chronic stroke. Level of walking disability was measured as comfortable walking speed using the 10-m Walk Test reported in m/s with 55 ambulatory people 2 years after stroke. Oxygen cost was measured during 3 walking tasks: overground walking at comfortable speed, overground walking at fast speed, and stair walking at comfortable speed. Oxygen cost was calculated from oxygen uptake ided by distance covered during walking and reported in ml∙kg The relationship between level of walking disability and oxygen cost was curvilinear for all 3 walking tasks. One quadratic model accounted for 81% (95% CI [74, 88]) of the variance in oxygen cost during the 3 walking tasks: [Formula: see text] DISCUSSION: The oxygen cost of walking was related the level of walking disability in people with chronic stroke, such that the more disabled the in idual, the higher the oxygen cost of walking with oxygen cost rising sharply as disability became severe. An equation that relates oxygen cost during different walking tasks according to the level of walking disability allows clinicians to determine oxygen cost indirectly without the difficulty of measuring oxygen uptake directly.
Publisher: Elsevier BV
Date: 06-2013
Publisher: Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)
Date: 30-06-2020
DOI: 10.11606/ISSN.2317-0190.V27I3A171118
Abstract: Certain muscle groups strength directly influence walking speed (WS), and the lower strength of the paretic side is significantly associated with lower WS of in iduals after stroke. Studies that have investigated the association between the average of lower limb strength and the WS in in iduals are scarce. Therefore, it is important to determine whether the strength could explain walking performance due to some muscle weakness could be compensated by the strength of others, mainly because all muscles act in group, not isolated. Objective: To investigate the association between WS and lower limbs muscle strength, and to identify whether an in idual muscle group or the average strength of lower limb would best predict WS and walking speed reserve (WSR) in in iduals with stroke. Methods: Sixty-four community-dwelling in iduals with chronic stroke have their maximum isometric strength (hip flexors/extensors/abductors, knee flexors/extensors, and ankle dorsiflexors lantarflexors) and self-selected and fast WS (10m walk test) measured. WSR was considered as the difference between the fast and self-selected speed. Results: Average strength of the paretic limb accounted for 19% and 20% of the variance in self-selected and fast WS, respectively. Plantarflexor strength of the paretic, knee and hip flexors of the non-paretic side explained alone 27% of the WSR scores and plantarflexor strength of the paretic side alone explained 15%.Conclusion: Average muscle strength of the paretic side contributed to self-selected and fast WS. Plantarflexor strength of the paretic side, knee and hip flexors of the non-paretic side contributed with the WSR of chronic stroke in iduals.
Publisher: Elsevier BV
Date: 04-2022
DOI: 10.1016/J.JSTROKECEREBROVASDIS.2022.106314
Abstract: To compare five distinct methods to score the peak of oxygen consumption (VO2peak) obtained through the cardiopulmonary exercise testing (CPET) in in iduals after stroke. The VO Fifty-nine in iduals were included (54±12 years, 56±60 months after stroke). The CV of the methods 1-to-5 were, respectively: 27.91%, 25.77%, 23.38%, 23.83%, and 23.33%. There was no difference between method-1 and method-2 (95%CI: -1.10 to 4.69) and between methods 3 to 5: method-3 and method-4 (95%CI: -2.97 to 2.82) method-3 and method-5 (95%CI: -3.57 to 2.22) method-4 and method-5 (95%CI: -3.49 to 2.30). However, method-1 and -2 provided VO The scoring method of obtaining the VO
Publisher: Elsevier BV
Date: 09-2017
Publisher: Springer Science and Business Media LLC
Date: 03-08-2018
DOI: 10.1186/S42358-018-0022-Z
Abstract: Fibromyalgia (FM) is a syndrome characterized by widespread chronic pain associated to other symptoms, such as: fatigue, anxiety, depression and sleep disorders. Health education programs (HEP) have emerged as good non-pharmacological strategies to treat it. However, it is still not clear if the benefits are only subjective, or it has also objective impacts on immune and or neuroendocrine systems. Fifty-eight fibromyalgia women were randomly allocated in experimental group (n = 27) or control group (n = 31). The experimental group was submitted to HEP treatment for 11 weeks, while control group did not receive intervention at the same period. All data were collected at zero and 11th week by a blinded researcher. The statistical analysis were made in GraphPad Prism software (version 5.0) with significant level adjusted for α = 0.05. Forty-four patients concluded the full study, 21 in the experimental group and 23 in the control group. Intragroup and intergroup analysis revealed that treatment induced significant increases of IL-4 plasma levels, anti-inflammatory cytokine/inflammatory cytokine ratio (AC/IC ratio), salivary cortisol levels, in addition to significant decreases on FIQ scores. Intergroup variation analyses revealed also significant increases of IL-10 plasma levels. The results presented suggest that this kind of HEP could induce subjective and objective changes (immune and neuroendocrine), that could explain, at least in part the improvement of fibromyalgia patient's health status. (Clinical Trial Registration Number - ReBEC - RBR-5tdnbr).
Publisher: Elsevier BV
Date: 07-2021
Publisher: Human Kinetics
Date: 04-2014
Abstract: Lower extremity kinetic data during walking of 12 people with chronic poststroke were reanalyzed, using functional analysis of variance (FANOVA). To perform the FANOVA, the whole curve is represented by a mathematical function, which spans the whole gait cycle and avoids the need to identify isolated points, as required for traditional parametric analyses of variance (ANOVA). The power variables at the ankle, knee, and hip joints, in the sagittal plane, were compared between two conditions: With and without walking sticks at comfortable and fast speeds. For the ankle joint, FANOVA demonstrated increases in plantar flexion power generation during 60–80% of the gait cycle between fast and comfortable speeds with the use of walking sticks. For the knee joint, the use of walking sticks resulted in increases in the knee extension power generation during 10–30% of the gait cycle. During both speeds, the use of walking sticks resulted in increased power generation by the hip extensors and flexors during 10–30% and 40–70% of the gait cycle, respectively. These findings demonstrated the benefits of applying the FANOVA approach to improve the knowledge regarding the effects of walking sticks on gait biomechanics and encourage its use within other clinical contexts.
Publisher: Elsevier BV
Date: 07-2012
DOI: 10.1016/J.JBMT.2012.01.002
Abstract: The purpose of this study was to examine the relationships between isometric hand grip (HG) strength and isokinetic strength data of the glenoumeral and scapulothoracic muscles in 12 in iduals with chronic hemiparesis due to stroke. Measures of maximal grip strength were obtained on the HG dynamometer Jamar(®). Isokinetic measures of peak torque and work during shoulder rotations and scapular protraction-retraction movements were obtained with the isokinetic dynamometer at a speed of 60°/s. Pearson correlation coefficients between isometric HG and isokinetic strength data ranged between 0.60 and 0.82 for the peak torque and between 0.59 and 0.86 for the isokinetic work. The findings suggested that, in absence of isokinetic dynamometers, isometric HG strength measurements could be clinically used to monitor strength levels of the shoulder stabilizers and to guide load progressions during strengthening interventions for people with chronic hemiparesis.
Publisher: Elsevier BV
Date: 10-2019
DOI: 10.1016/J.JBMT.2019.05.008
Abstract: To investigate the concurrent validity of the Modified Sphygmomanometer Test (MST) with fixed stabilization, compared to the portable dynamometer, and to verify its test-retest and inter-raterreliability. Methodological study. The muscle strength of the following groups was measured: flexors and extensors of the wrist, of the hip, and of the knee and plantar flexors. The Tycos® aneroid sphygmomanometer and the Microfet 2® dynamometer were used. Stabilization was performed using the Mullingan® belt. Descriptive statistics were performed for characterization of the s le. To determine the validity of the MST with fixed stabilization, comparing it with the portable dynamometer, we investigated the correlation between the measurements obtained with the two instruments using the Pearson correlation coefficient. Intraclass Correlation Coefficient (ICC) was used to investigate inter-examiner and test-retest reliability (α = 0.05). 59 in iduals were included (1176 evaluations). A statistically significant correlation of moderate to high magnitude (0.58 ≤ r ≤ 0.81) was observed for concurrent validity of the MST with fixed stabilization versus the portable dynamometer for all muscle groups. Regarding inter-rater reliability, it was observed statistically significant ICC considered excellent to good (0.72 ≤ r ≤ 0.94) for all muscle groups. Regarding test-retest reliability, first evaluator presented good to excellent ICC (0.64 ≤ r ≤ 0.94), while second evaluator presented good to excellent ICC (0.74 ≤ r ≤ 0.96) for all muscle groups. The MST with fixed stabilization is valid and reliable for clinical measurement of muscle strength and can overcome previous limitations reported in the literature.
Publisher: Universidade Federal de Sao Paulo
Date: 30-09-2015
Publisher: Universidade Federal de Sao Paulo
Date: 30-03-2015
Publisher: Universidade Federal de Sao Paulo
Date: 30-03-2015
Publisher: Wiley
Date: 25-12-2022
DOI: 10.1002/PRI.1990
Abstract: In iduals after stroke present several motor impairments, which reduced the functional capacity. The understanding of modifiable factors which are related to functional capacity in in iduals with chronic stroke could better direct clinical practice. However, the mechanisms that could influence functional capacity in in iduals with chronic stroke are not fully understood. This study aimed to determine which modifiable variables would best predict self‐reported functional capacity after stroke. Cross‐sectional. Research laboratory setting. Ninety two in iduals with chronic stroke, who had a mean age of 60 (SD 13) years and a time since the onset of the stroke of 52 (67) months. Regression analysis of cross‐sectional data was used to investigate whether body mass index, habitual walking speed, physical activity levels, fatigue, motor recovery, walking distance, and residual strength deficits of the lower limb muscles would predict self‐reported functional capacity. Habitual walking speed alone explained 48% of the variance in functional capacity. When fatigue was included in the model, the explained variance increased to 55%. Habitual walking speed and fatigue were significant predictors of self‐reported functional capacity in in iduals with chronic stroke. These in iduals may increase their functional capacity with interventions aimed at increasing walking speed and reducing fatigue.
Publisher: SAGE Publications
Date: 18-12-2019
Abstract: To investigate the validity and test–retest reliability of mHealth devices (Google Fit, Health, STEPZ, Pacer, and Fitbit Ultra) to estimate the number of steps in in iduals after chronic stroke and to compare whether the measurement of the number of steps is affected by their location on the body (paretic and non-paretic side). Observational study with repeated measures. University laboratory. Fifty-five community-dwelling in iduals with chronic stroke. Not applicable. The number of steps was measured using mHealth devices (Google Fit, Health, STEPZ, Pacer, and Fitbit Ultra), and compared against criterion-standard measure during the Two-Minute Walk Test using habitual speed. Our s le was 54.5% men, mean age of 62.5 years (SD 14.9) with a chronicity after stroke of 66.8 months (SD 55.9). There was a statistically significant association between the actual number of steps and those estimated by the Google Fit, STEPZ Iphone and Android applications, Pacer iphone and Android, and Fitbit Ultra (0.30 ⩽ r ⩾ 0.80). The Pacer iphone application demonstrated the highest reliability coefficient (ICC(2,1) = 0.80 P 0.001). There were no statistically significant differences in device measurements that depended on body location. mHealth devices (Pacer–iphone, Fitbit Ultra, Google Fit, and Pacer–Android) are valid and reliable for step counting in chronic stroke survivors. Body location (paretic or non-paretic side) does not affect validity or reliability of the step count metric.
Publisher: FapUNIFESP (SciELO)
Date: 04-2012
DOI: 10.1590/S1413-35552012005000008
Abstract: To evaluate the effects of different instructions for the assessment of maximum walking speed during the ten-meter walking test with chronic stroke subjects. Participants were instructed to walk under four experimental conditions: (1) comfortable speed, (2) maximum speed (simple verbal command), (3) maximum speed (modified verbal command--"catch a bus") and (4) maximum speed (verbal command + demonstration). Participants walked three times in each condition and the mean time to cover the intermediate 10 meters of a 14-meter corridor was registered to calculate the gait speed (m/s). Repeated-measures ANOVAs, followed by planned contrasts, were employed to investigate differences between the conditions (α=5%). Means, standard deviations and 95% confidence intervals (CI) were calculated. The mean values for the four conditions were: (1) 0.74m/s (2) 0.85 m/s (3) 0.93 m/s (4) 0.92 m/s, respectively, with significant differences between the conditions (F=40.9 p<0.001). Comfortable speed was significantly slower than the maximum speed, indicating that the participants were able to increase speeds when required. Significant differences were observed between the second condition with the third (p=0.002 95%CI=-0.13 to -0.03) and the fourth conditions (p=0.004 95%CI=-0.12 to -0.02) with no differences between the third and fourth conditions (p=1.00 95%CI=-0.04 to 0.05). The results indicated that simple verbal commands were not sufficient to capture maximum gait speed with chronic stroke subjects. Thus, for clinical assessments and research purposes, where measurements of the maximum gait speed are necessary, modified verbal commands or demonstration strategies could be employed by physical therapists to ensure accurate information.
Publisher: Elsevier BV
Date: 04-2018
Publisher: Informa UK Limited
Date: 27-02-2022
DOI: 10.1080/09638288.2022.2043458
Abstract: To investigate the feasibility, safety, and effects of dual task (DT) in a mixed physical exercise protocol on mobility under DT in stroke survivors. Twenty-six chronic mild-impaired stroke survivors (age 51.57 ± 12.55 men= 13, women= 13) were randomly assigned into Experimental Group participating in a 15-week mixed (aerobic and resistance exercises performing a cognitive DT condition simultaneously) physical exercise protocol (30 sessions, 2x/week, duration of 60-90 min), and Control Group engaged in the same protocol without DT. Feasibility and outcome measures were assessed before and after the intervention and in a 5-week follow-up. DT physical exercise protocol was viable and safe. This protocol also improved mobility and gait when performed under DT, which was not found in the control group. DT does not influence aerobic resistance, strength, and balance responsiveness. It does not present any improvement in cognition, self-efficacy for falls, and quality of life. The results indicate that mixed physical exercise under DT is feasible and safe for mild-impaired stroke survivors. Stroke survivors demonstrate more significant improvement in the mobility performance under DT when submitted to a DT mixed physical exercise protocol than the standard physical exercise intervention. Brazilian clinical trials registry (RBR-4mvzz6) WHO trial record (U1111-1198-7173)IMPLICATIONS FOR REHABILITATIONDT training can be prescribed by using clear and precise parameters for stroke survivors.Physical Exercise without DT requirements did not improve mobility performing and cognitive tasks simultaneously in stroke survivors.Clinicians are encouraged to incorporate DT requirements into the exercise routines to enhance mobility under DT to mild-moderate stroke survivors.
Publisher: Elsevier BV
Date: 10-2021
DOI: 10.1016/J.JBMT.2021.06.018
Abstract: Step quantification is a good way to characterize the mobility and functional status of in iduals with some functional disorder. Therefore, a validation study may lead to the feasibility of devices to stimulate an increase in the number of steps and physical activity level of in iduals with Parkinson's Disease (PD). To investigate the validity of mHealth devices to estimate the number of steps in in iduals with PD and compare the estimate with a standard criterion measure. An observational study in a university laboratory with 34 in iduals with idiopathic PD. The number of steps was measured using mHealth devices (Google Fit, Health, STEPZ, Pacer, and Fitbit INC®), and compared against a criterionstandard measure during the Two-Minute Walk Test using habitual speed. Our s le was 82% men with a Hoehn and Yahr mean of 2.3 ± 1.3 and mean walking speed of 1.2 ± 0.2 m/s. Positive and statistically significant associations were found between Google Fit (r = 0.92 p < 0.01), STEPZ (r = 0.91 p < 0.01), Pacer (r = 0.77 p < 0.01), Health (r = 0.54 p < 0.01), and Fitbit Inc® (r = 0.82 p < 0.01) with the criterion-standard measure. GoogleFit, STEPZ, Fitbit Inc.®, Pacer, and Health are valid instruments to measure the number of steps over a given period of time with moderate to high correlation with the criterion-standard in in iduals with PD. This result shows that technology such as smartphone applications and activity monitor can be used to assess the number of steps in in iduals with PD, and allows the possibility of using this technology for assessment and intervention purposes.
Publisher: Springer Science and Business Media LLC
Date: 09-02-2022
DOI: 10.1007/S10072-022-05939-7
Abstract: To determine whether minute ventilation-to-carbon dioxide production (VE/VCO Regression analysis of cross-sectional data from 50 in iduals between 1 and 4 years post-stroke was carried out to investigate the prediction of energy expenditure during stair ascent/descent. In addition, discriminant analysis was carried out to investigate the discrimination between walking abilities for energy expenditure: community (walking speed ≥ 0.8 m/s) and non-community (walking speed < 0.8 m/s) walkers. Oxygen pulse and rate pressure product were retained in the model. Oxygen pulse alone explained 70% of the variance in energy expenditure during stair ascent/descent. By adding rate pressure product, 79% of the variance was explained. Energy expenditure was able to discriminate the community from the non-community walkers, with a cutoff value of 13.8 ml∙kg Oxygen pulse and rate pressure product significantly predicted energy expenditure during stair ascent/descent in in iduals with chronic stroke. Energy expenditure during stair ascent/descent discriminated community from non-community walkers.
Publisher: Elsevier BV
Date: 07-2016
DOI: 10.1016/J.JPHYS.2016.05.014
Abstract: After stroke, does respiratory muscle training increase respiratory muscle strength and/or endurance? Are any benefits carried over to activity and/or participation? Does it reduce respiratory complications? Systematic review of randomised or quasi-randomised trials. Adults with respiratory muscle weakness following stroke. Respiratory muscle training aimed at increasing inspiratory and/or expiratory muscle strength. Five outcomes were of interest: respiratory muscle strength, respiratory muscle endurance, activity, participation and respiratory complications. Five trials involving 263 participants were included. The mean PEDro score was 6.4 (range 3 to 8), showing moderate methodological quality. Random-effects meta-analyses showed that respiratory muscle training increased maximal inspiratory pressure by 7 cmH2O (95% CI 1 to 14) and maximal expiratory pressure by 13 cmH2O (95% CI 1 to 25) it also decreased the risk of respiratory complications (RR 0.38, 95% CI 0.15 to 0.96) compared with no/sham respiratory intervention. Whether these effects carry over to activity and participation remains uncertain. This systematic review provided evidence that respiratory muscle training is effective after stroke. Meta-analyses based on five trials indicated that 30minutes of respiratory muscle training, five times per week, for 5 weeks can be expected to increase respiratory muscle strength in very weak in iduals after stroke. In addition, respiratory muscle training is expected to reduce the risk of respiratory complications after stroke. Further studies are warranted to investigate whether the benefits are carried over to activity and participation. PROSPERO (CRD42015020683). [Menezes KKP, Nascimento LR, Ada L, Polese JC, Avelino PR, Teixeira-Salmela LF (2016) Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review.Journal of Physiotherapy62: 138-144].
Publisher: Informa UK Limited
Date: 02-2022
DOI: 10.1080/09593985.2022.2031364
Abstract: To investigate the association between arterial stiffness and functional capacity in in iduals with chronic stroke and compare the arterial stiffness between in iduals with better and poor functional capacity. Cross-sectional study. In iduals after chronic stroke have their arterial stiffness index evaluated by augmentation index heart rate adjusted for 75 bpm (AIx@75), assessed by Mobil-O-Graph® device (IEM, Stolberg, Germany), in percent, on the paretic upper limb. Functional capacity was assessed with the Duke Activity Status Index (DASI) in metabolic equivalent (METS). The in iduals were assigned into two groups: better (DASI ≥ 31.95) and poor (DASI < 31.95) functional capacity. Pearson's correlation and t test were used for analysis. Twenty-eight in iduals (arterial stiffness 23.8 ± 10% and functional capacity 29 ± 19 METS) were included. The association between arterial stiffness and functional capacity was negative and statistically significant, with moderate magnitude (r = -0.53, p < .001). In iduals who had better functional capacity have lower arterial stiffness indices (AIx@75 = 17.4% versus 27.4% in better and lower functional capacity, respectively) (p = .01). Arterial stiffness of the paretic upper limb has a negative association with functional capacity.
Publisher: Elsevier BV
Date: 12-2022
Publisher: Elsevier BV
Date: 03-2014
DOI: 10.1016/J.JPHYS.2013.12.002
Abstract: Does electrical stimulation increase strength after stroke and are any benefits maintained beyond the intervention period or carried over to activity? Systematic review with meta-analysis of randomised or controlled trials. Adults who have had a stroke. Cyclical electrical stimulation applied in order to increase muscle strength. Strength measures had to be representative of maximum voluntary contraction and were obtained as continuous measures of force or torque, or ordinal measures such as manual muscle tests. Activity was measured using direct measures of performance that produced continuous or ordinal data, or with scales that produced ordinal data. Sixteen trials representing 17 relevant comparisons were included in this systematic review. Effect sizes were calculated as standardised mean differences because various muscles were studied and different outcome measures were used. Overall, electrical stimulation increased strength by a standardised mean difference (SMD) of 0.47 (95% CI 0.26 to 0.68) and this effect was maintained beyond the intervention period (SMD 0.33, 95% CI 0.07 to 0.60). Electrical stimulation also improved activity (SMD 0.30, 95% CI 0.05 to 0.56) and this effect was also maintained beyond the intervention period (SMD 0.38, 95% CI 0.09 to 0.66). Cyclical electrical stimulation increases strength and improves activity after stroke. These benefits were maintained beyond the intervention period with a small-to-moderate effect size. The sustained effect on activity suggests that the benefits were incorporated into daily life. Review registration: PROSPERO (CRD42013003895).
Publisher: Springer Science and Business Media LLC
Date: 20-10-2020
Publisher: Springer Science and Business Media LLC
Date: 09-2020
Publisher: Springer Science and Business Media LLC
Date: 15-04-2023
DOI: 10.1186/S13643-023-02231-3
Abstract: To investigate the usefulness and performance metrics of three freely-available softwares (Rayyan®, Abstrackr® and Colandr®) for title screening in systematic reviews. In this methodological study, the usefulness of softwares to screen titles in systematic reviews was investigated by the comparison between the number of titles identified by software-assisted screening and those by manual screening using a previously published systematic review. To test the performance metrics, sensitivity, specificity, false negative rate, proportion missed, workload and timing savings were calculated. A purposely built survey was used to evaluate the rater's experiences regarding the softwares’ performances. Rayyan® was the most sensitive software and raters correctly identified 78% of the true positives. All three softwares were specific and raters correctly identified 99% of the true negatives. They also had similar values for precision, proportion missed, workload and timing savings. Rayyan®, Abstrackr® and Colandr® had 21%, 39% and 34% of false negatives rates, respectively. Rayyan presented the best performance (35/40) according to the raters. Rayyan®, Abstrackr® and Colandr® are useful tools and provided good metric performance results for systematic title screening. Rayyan® appears to be the best ranked on the quantitative and on the raters’ perspective evaluation. The most important finding of this study is that the use of software to screen titles does not remove any title that would meet the inclusion criteria for the final review, being valuable resources to facilitate the screening process.
Publisher: Elsevier BV
Date: 02-2019
DOI: 10.1016/J.APMR.2018.09.115
Abstract: To examine whether high-intensity home-based respiratory muscle training, that is, with higher loads, delivered more frequently and for longer duration, than previously applied, would increase the strength and endurance of the respiratory muscles, reduce dyspnea and respiratory complications, and improve walking capacity post-stroke. Randomized trial with concealed allocation, blinded participants and assessors, and intention-to-treat analysis. Community-dwelling patients. Patients with stroke, who had respiratory muscle weakness (N=38). The experimental group received 40-minute high-intensity home-based respiratory muscle training, 7 days per week, for 8 weeks, progressed weekly. The control group received a sham intervention of similar dose. Primary outcome was inspiratory muscle strength (via maximal inspiratory pressure), whereas secondary outcomes were expiratory muscle strength (maximal expiratory pressure), inspiratory muscle endurance, dyspnea (Medical Research Council score), respiratory complications (hospitalizations), and walking capacity (6-minute walk test). Outcomes were measured at baseline, after intervention, and 1 month beyond intervention. Compared to the control, the experimental group increased inspiratory (27cmH High-intensity home-based respiratory muscle training was effective in increasing strength and endurance of the respiratory muscles and reducing dyspnea for people with respiratory muscle weakness post-stroke, and the magnitude of the effect was higher, than that previously reported in studies, which applied standard protocols.
Publisher: Elsevier BV
Date: 04-2021
Publisher: FapUNIFESP (SciELO)
Date: 2017
DOI: 10.1590/1413-81232017221.14262015
Abstract: Abstract This article aimed to determine the recruitment rate of chronic stroke survivors to cross-sectional studies and to determine their retention at the two days of assessments. Participants after six months of a unilateral stroke were screened for eligibility and invited to participate in two cross-sectional studies, by telephone. The number of people who were screened, eligible, and successfully recruited was recorded. Retention at the two days of assessments was also recorded. From a list of 654 in iduals, 87 were ineligible. Of the 567 left, 216 had wrong contact numbers, 144 refused to participate, and 12 had died. A total of 165 subjects participated in both studies. Out of the 56 who agreed to attend to the second day of assessment, eight did not return. The results showed that in iduals with chronic stroke had low rates of recruitment and retention.
Publisher: Elsevier BV
Date: 07-2023
Publisher: FapUNIFESP (SciELO)
Date: 10-2014
Publisher: Universidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA)
Date: 30-06-2019
DOI: 10.11606/ISSN.2317-0190.V26I2A165643
Abstract: O treinamento voltado para profissionais poderia ser uma abordagem simples e eficaz para aumentar o uso da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) como uma ferramenta para a prática dos profissionais. Nesse caso, o treinamento pode ser crucial para seu uso correto como uma classificação, além de mostrar sua utilidade na prática clínica diária, principalmente em equipes multidisciplinares. Objetivo: O objetivo do presente estudo foi verificar o impacto de um curso de formação em CIF no conhecimento de fisioterapeutas e terapeutas ocupacionais. Métodos: Estudo experimental que utilizou questionário estruturado para avaliar o conhecimento dos profissionais sobre a CIF antes e depois de participar de um curso de treinamento. Os dados dos dois momentos foram comparados com o percentual de acertos e o teste do qui-quadrado (α = 0,05). Resultados: foram investigados 434 profissionais, com tempo de graduação de 9,3 ± 7,2 anos. Observou-se que o curso foi eficaz, pois houve maior percentual de respostas corretas no pós-curso além disso, a análise estatística mostrou uma diferença significativa entre os dois momentos do curso na maioria das perguntas (18,91 c2 ,90, p ,01). Conclusões: O curso de treinamento foi capaz de aumentar significativamente o nível de conhecimento desses profissionais, que atualmente são capazes de entender e usar a CIF, contudo a ausência de um período de follow up não permite a mensuração do conteúdo retido pelos participantes.
Publisher: Elsevier BV
Date: 07-2019
DOI: 10.1016/J.JBMT.2019.01.011
Abstract: To examine the validity of the GT3X Thirty-seven stroke survivors walked along a straight, 10 metre hallway over 5 min at their fastest speeds, wearing the GT3X The mean estimated steps measured by the GT3X The GT3X
Publisher: Elsevier BV
Date: 05-2017
Publisher: Informa UK Limited
Date: 07-07-2021
DOI: 10.1080/09638288.2021.1942242
Abstract: To identify the short-term effects of robotic-assisted gait training (RAGT) on walking distance, gait speed and functionality of cerebral palsy (CP) patients, and to verify if the effects of RAGT are maintained in the long term. A systematic literature review was performed in PubMed, PEDro, CINAHL, and LILACS databases. Studies were included considering: (1) population (CP in iduals) (2) study design (experimental studies) (3) type of intervention (RAGT) (4) outcome (gait parameters and function) and (5) period (short and long term). This systematic review included seven articles in meta-analysis. Only walking distance, thru six minutes walking test, increased statistically after RAGT. However, RAGT demonstrated large clinical effects differences (minimal clinically important difference - MCID) in gait speed and Gross Motor Function Measure score (dimensions D and E), for CP population. After RAGT intervention, differences in short term (comparison 1) were maintained in long term (comparison 2) for all outcomes. Gait speed results were not significant. Evidence from the present study demonstrated that RAGT can be an important intervention to improve gait parameters and functionality, in children with CP, that are maintained over long-term.Implications for RehabilitationRobotic-assisted gait training (RAGT) is a beneficial treatment for children with cerebral palsy (CP).RAGT improvements in walking distance are maintained over the long-term in children with CP.RAGT demonstrated large clinical effect differences in gait speed and functionality in CP population.
Publisher: Elsevier BV
Date: 02-2012
DOI: 10.1016/J.CLINBIOMECH.2011.08.003
Abstract: There are robust clinical paradigms against the prescription of walking sticks for people with stroke. However, there is little information on the biomechanics of gait with and without these devices to guide clinical practice. Therefore, this study investigated how the use of walking sticks (canes or crutches) affected both the kinematics and kinetics of gait in people with chronic stroke after their walking had stabilized. Nineteen people with chronic stroke walked at both comfortable and fast speeds. A 3-D motion analysis system and one force platform were used to obtain kinematic and kinetic data of the paretic lower limb during four conditions: With and without walking sticks, and at comfortable and fast speeds. Outcomes included linear kinematics (walking speeds) and angular kinematics (maximum joint angles), power, and work of the paretic hip, knee and ankle joints in the saggital plane. The use of walking sticks resulted in increases in speed during both fast (P<0.001) and comfortable (P=0.001) walking, but did not result in changes in maximum joint angles. This also led to increases in ankle plantar flexion (P<0.01), knee extension (P<0.01), and hip flexion (P<0.001) power generation, but did not result in changes in work. There were no greater changes as a result of using walking sticks during fast versus comfortable walking for any outcome. INTERPRETATIN: The outcomes with the use of walking sticks were beneficial, which suggests that the prescription of these devices is not detrimental to walking that was stabilized in people with stroke.
Publisher: Elsevier BV
Date: 10-2021
DOI: 10.1016/J.JBMT.2021.06.006
Abstract: The tip pinch is one of the most delicate and precise movement of the hand, and it is used to manipulate small objects, commonly observed in the activities of daily living of any in iduals. In iduals with Parkinson Disease (PD) with impaired manual dexterity, manipulative skills, and hand weakness have an important barrier for activities of daily life. However, the dynamometer usually used for measuring the tip pinch have a high cost, so, validate a sphygmomanometer can make this assessment more accessible. To investigate the validity of the modified sphygmomanometer test in the evaluation of tip pinch strength when compared to the gold standard. 50 in iduals with idiopathic PD took part in the study. The muscle strength of tip pinch on the dominant and non-dominant side was measured by the modified sphygmomanometer test and the gold standard, the dynamometer. Concurrent validity was analyzed using Pearson's correlation coefficient. 50 in iduals diagnosed with idiopathic PD, mean age of 67 ± 8.0 years, 68% male, mean time of diagnosis in months of 84 ± 66 and Hoehn and Yahr mean of 2.5 ± 0.6. There was a significant correlation of moderate magnitude between the modified sphygmomanometer test and the dynamometer in dominant side (r = 0.44 p < 0.01) and non-dominant side (r = 0.48 p < 0.01). The modified sphygmomanometer test showed adequate validity for assessing the muscle strength of the tip pinch in in iduals with PD.
Publisher: FapUNIFESP (SciELO)
Date: 06-2019
DOI: 10.1590/1809-2950/18032126022019
Abstract: RESUMO O objetivo do estudo foi verificar se existem diferenças na força muscular dos membros inferiores (MMII) e na habilidade de locomoção de in íduos pós-acidente vascular encefálico (AVE) crônico, classificados como deambuladores comunitários ou não comunitários. Foi realizado um estudo transversal em 60 in íduos pós-AVE crônico, ididos em deambuladores comunitários (n=33) e não comunitários (n=27) pela velocidade de marcha. A força muscular de sete grupos musculares bilaterais de MMII foi avaliada por meio do teste do esfigmomanômetro modificado e habilidade de locomoção pelo ABILOCO. Estatísticas descritivas foram utilizadas para caracterizar a amostra, e o teste t de Student para amostras independentes, a fim de comparar os dois grupos de in íduos pós-AVE. Observou-se que os deambuladores comunitários apresentaram maiores valores de força muscular para a maioria dos grupos musculares de MMII (−0,973≥t≥−3,189 p≤0,04), e na habilidade de locomoção (t=−2,841 p=0,006). Os in íduos pós-AVE crônico deambuladores comunitários possuem maior força muscular de MMII e mais habilidade de locomoção em comparação aos deambuladores não comunitários. Sugere-se que a avaliação fisioterapêutica de in íduos pós-AVE inclua, além da mensuração da força muscular de MMII e seu tratamento, a mensuração da percepção da habilidade de locomoção, para análises da evolução do paciente e da eficácia da conduta terapêutica.
Publisher: Universidade Federal de Sao Paulo
Date: 09-2014
Publisher: Elsevier BV
Date: 12-2023
Publisher: Elsevier BV
Date: 05-2019
Publisher: Society of Physical Therapy Science
Date: 2016
DOI: 10.1589/JPTS.28.1208
No related grants have been discovered for Janaine Cunha Polese.