Introduction: To facilitate the command to the learner, therapist can use verbal cues for guidance: internal focus (own body) and external focus (consequence of movement in the environment). Objective: To examine the effects of different attentional focus on upper limb motor performance in post-stroke. Methods: Randomized controlled trial with 2 groups. Study realized at Integrated Clinic of the Faculty of Health Science at Trairi (Santa Cruz, Rio Grande do Norte, Brazil). Twelve participants allocated into 2 groups. Two motor tasks were used: task 1, reach-point; task 2, reach-grasp-fit, with the paretic extremity, using verbal commands directed by a trained therapist. In the first phase, Group 1 received commands with internal focus, while Group 2 was instructed with commands with external focus. After 1 week, the command type was changed between groups. The variables collected was movement time, velocity and number of peaks velocity Results: Both attentional focus promoted significant differences in movement time and velocity, however, only Internal Focus provided significant results in both tasks of the same variables. Discussion: The benefits of 1 attentional focus on the other are not fully confirmed. However, not receiving any kind of attention guidance compromises motor performance. The results support the hypothesis that the benefits of the External Focus are accentuated when preceded by the Internal Focus. Clinical Trial Registration: Research Ethics Committee of the Faculty of Helth Science at Trairi (Facisa - UFRN)- Number CAAE 2.625.609, approved on April 13, 2018; Brazilian Registry of Clinical Trials - RBR-4995cr approved on July 4, 2019 retrospectively registered ( http://www.ensaiosclinicos.gov.br/rg/RBR-4995cr/ ).
Background: Reach-grasp movements are motor components commonly affected after stroke and directly related to the independence of these individuals. Evaluations of these activities can be performed using clinical instruments and assessed by detailed and costly kinematic analyses. The aim of this study was to develop an analysis of reach-grasp movements in post-stroke patients using a simple, inexpensive, and manageable instrument. Results:A Mann-Whitney test was used to compare paretic and non-paretic limb motor performance. A statistically significant difference was found between the variables of total time (p = 0.02) and speed to reach target 3 (p = 0.04) for task 1, while in task 2 significance was found only in the aspect of speed to reach target 2 (p = 0.04). The correlation between clinical tests and variables of tasks was then performed using Spearman's rank correlation coefficient. At task 1, when compared with the REACH instrument, the close target sub-item; there was a high positive correlation between the parameters of total time (p = 0.028), target velocity 3 (p = 0.028), and target acceleration 3 (p = 0.028). Another instrument that showed a high positive correlation with the target time 3 (p = 0.01) and target acceleration 3 (p = 0.028) variables was the Box and Block Test. When correlated, the data between the task 2 variables and clinical instruments did not present statistically significant data. Conclusion:Our instrument-the Temporal Data Acquisition Instrument-TDAIfulfilled the expected objectives and can be used as an option to evaluate the movements of reach and grasp of upper limb post-stroke, using an easy and fast application, without the need for calibration. retrospectively registered (http:// www.ensai oscli nicos .gov.br/rg/RBR-4995c r/)
INTRODUÇÃO: A realização de duas tarefas de forma simultânea exige a capacidade de concentrar atenção e executar duas tarefas ao mesmo tempo. Em indivíduos com Doença de Parkinson as interferências podem ser ainda maiores, visto que esses indivíduos necessitam de um grau maior de atenção apenas para executar uma tarefa única, como no caso, a marcha. OBJETIVO: Analisar a interferência da dupla tarefa na marcha de pacientes com DP. MATERIAIS E MÉTODOS: Estudo observacional de caráter transversal, de natureza quantitativa. Cinco indivíduos com Doença de Parkinson, de ambos os sexos, participaram do grupo experimental; e cinco indivíduos saudáveis fizeram parte do grupo controle. Os participantes tiveram a marcha avaliada com e sem interferência cognitiva, utilizando: Escala de Equilíbrio de Berg; Índice Dinâmico da Marcha; teste de mobilidade funcional (Time Up and Go Test), Esteira Ergométrica e o Stroop Test adaptado para analfabetos. RESULTADOS: Quando comparados Grupo Experimental e Grupo Controle foram encontradas diferenças estatisticamente significantes nas condições de marcha com interferência de dupla tarefa (Dupla Tarefa Número e Dupla Tarefa Cor) nas variáveis de quantidade de acertos e amplitude de movimento. CONCLUSÃO: A dupla tarefa em pacientes com DP, interfere principalmente na função cognitiva, enquanto a função motora da marcha permanece parcialmente preservada.
Background: One of the main symptom present in post-stroke subjects is chronic pain. Chronic pain and physical dependence can decrease the level of social participation of these population. Objective: characterize the correlation between pain and the social participation of post-stroke individuals living in the region of Trairi Potiguar. This is a cross-sectional and observational study, approved by the institution’s research ethics committee (#2.622.853). Methods: Thirty-four participants were assessed by McGill Pain Questionnaire (MPQ), LIFE-H 3.1, Functional Independence Measure (FIM), Mini-Mental State Examination (MMSE), Fugl-Meyer Scale (FMS) and Nottingham Sensory Assessment (NSA). Spearman correlation test were performed in the statistical analyse. Results: The following scores were reported in median (1ºQ/3ºQ): FIM (65: 0/116), MMSE (18: 0/23.75), FMS (21: 0/88), NSA (45,5: 0/238), LIFE-H total (338: 0/757) and MPQ (0: 0/0.75). A moderate positive correlation between the sensory domain of the MPQ (pain) with the subdomains of nutrition (rs=0.5913, p=0.0002) and mobility (rs=0.5083, p=0.0021) of LIFE -H were founded. Conclusions: There are presence of pain in this population, but no correlation was found between pain and social participation in post-stroke individuals.
Introduction: Meditation is a technique that can be used in the rehabilitation of post-stroke individuals, helping to reduce stress and mental fatigue. Objective: To assess whether mindfulness meditation can influence the reduction of stress and improve the well-being of post-stroke patients. Methodology: This pilot study included post-chronic stroke individuals who understood simple commands and had a mobile cell phone. The intervention protocol was performed remotely and consisted of conducting guided meditation. Assessments were made before starting the program (T0), after four weeks (T4) and at the end of eight weeks (T8) using the following instruments: WHO well-being index (WHO-5), Numerical pain scale (END), Perceived Stress Scale, Modified Rankin Scale and Focused Rankin Assessment, Post-Stroke Self-Efficacy Scale (SSEQ-B), Functional Independence Measure (MIF), Participant’s Weekly Report, Participant’s Final Report and attendance. Results: Of the 12 patients contacted, only two completed the study. P1 obtained a total of 24 points in WHO-5 in (T0), (T4) and (T8) and 31 points for perceived stress in (T0), 27 points in (T4) and 30 points in (T8). The Numerical Pain Scale (END) obtained a zero score in all evaluations. P2, obtained a total of 15 points in WHO-5 in the period (T0) and 16 points in (T4 and T8). For the Perceived Stress Scale, it obtained 31 points in (T0) and 30 points in (T4) and (T8). At END he obtained a zero score in all evaluations. Conclusion: Mindfulness meditation did not demonstrate any benefits regarding the variables analyzed. However, some limitations need to be recognized, such as the low adherence of individuals to this type of intervention, since only 16.67% of the contacted participants completed the program.
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