ORCID Profile
0000-0002-0104-1547
Current Organisation
Universidade Federal de Minas Gerais
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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: 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: Elsevier BV
Date: 11-2020
Publisher: Informa UK Limited
Date: 21-06-2018
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: 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: Wiley
Date: 08-02-2019
DOI: 10.1002/PMRJ.12008
Abstract: The ABILOCO is a self-reported questionnaire, specific for in iduals with stroke, for the assessment of ability of locomotion. The ABILOCO has been investigated using the Rasch model and has shown satisfactory measurement properties. However, its test-retest reliability has not been investigated. To investigate the test-retest reliability, that is, agreement, systematic and random variability of the ABILOCO Questionnaire in in iduals with chronic stroke. A test-retest reliability study. Research laboratory. Thirty-one in iduals (21 men and 10 women mean age, 60 years), who had poststroke hemiparesis. Not applicable. The ABILOCO was applied twice, on two occasions, 5 to 7 days apart. Test-retest reliability was investigated, as follows: agreement by the calculation of intraclass correlation coefficients (ICCs) systematic variability by the change in the mean random variability by the standard error of measurement (SEM) and smallest real difference (SRD). Two outliers were identified in the s le. The ICC values for the whole s le were 0.76 (CI 95% 0.56 to 0.88), whereas the SEM (SEM%) and SRD (SRD%) were 0.55 (21%) and 1.52 (58%), respectively. The ABILOCO showed to be reliable to be applied within clinical and research contexts for the assessment of changes in locomotion ability of a group of in iduals with chronic stroke. However, it appears to be less suitable to detect changes at in idual levels. III.
Publisher: Elsevier BV
Date: 09-2019
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: 30-11-2018
DOI: 10.11606/ISSN.2238-6149.V29I3P230-236
Abstract: A Modified Gait Efficacy scale (mGES) avalia a percepção do in íduo sobre o seu nível de confiança na marcha, em circunstâncias desafiadoras. Para sua aplicação na população brasileira, é necessário que seja realizada a sua adaptação transcultural. Este estudo objetivou realizar a adaptação transcultural do mGES para uso no Brasil. O processo de adaptação seguiu diretrizes padronizadas, sendo realizado em cinco etapas: tradução, retrotradução, síntese das traduções, avaliação pelo comitê de especialistas e teste da versão pré final. A versão pré final foi aplicada em 12 in íduos pós-Acidente Vascular Encefálico (AVE), que foram indagados sobre como interpretaram cada item. O processo de adaptação seguiu todas as recomendações propostas, sendo necessárias apenas pequenas alterações em três itens, para possibilitar melhor compreensão. Resultados satisfatórios foram obtidos no teste da versão pré final, uma vez que não houve nenhum problema quanto à redação e clareza dos itens ou ao objetivo da escala. A versão final da mGES-Brasil demonstrou satisfatório grau de equivalência semântica, conceitual e cultural, em relação à versão original, e pode, ser utilizada em contextos clínicos e de pesquisa no Brasil, para avaliar o nível de confiança na marcha de in íduos pós-AVE.
Publisher: Elsevier BV
Date: 04-2021
Publisher: Medical Journals Sweden AB
Date: 2017
Abstract: To establish the deficits of motor coordination of the lower limbs after stroke, in comparison with healthy controls, and to investigate whether the magnitude of the deficits would be influenced by the levels of motor recovery. Cross-sectional study. Chronic stroke patients and healthy subjects. Lower-limb motor coordination of both stroke and healthy volunteers was measured using the Lower Extremity Motor Coordination Test (LEMOCOT). The motor coordination deficits of the participants with stroke were analysed all together and separated, according to their levels of motor recovery, measured using the Fugl-Meyer lower-limb motor section scores. Ninety-seven in iduals with chronic stroke, 55 men, mean age 58 years, were evaluated. Motor coordination was significantly impaired on both paretic (mean: -22 touches 95% confidence interval (95% CI) -24 to -19 deficit: 61%) and non-paretic (mean -6 touches 95% CI -8 to -4 deficit: 17%) lower limbs. Significant differences in the LEMOCOT scores were found between the levels of motor recovery (p < 0.01), except between the participants with marked and moderate impairments. Motor coordination of the lower limbs is significantly impaired after stroke, but the deficits of the non-paretic lower limb (17%) appear not to be clinically relevant. These findings suggest that interventions prescribed to improve motor coordination after stroke should focus on the paretic lower limb and/or include bilateral activities.
No related grants have been discovered for Iza Faria-Fortini.