Confiabilidade da versão brasileira do Wolf Motor Function Test em adultos com hemiparesia

Pereira, Natália Duarte; Michaelsen, Stella Maris; Menezes, Isabella; Ovando, Angélica Cristiane; Lima, Ronaldo Cintra; Teixeira-Salmela, Luci Fuscaldi

doi:10.1590/s1413-35552011000300013

Cited by 35 publications

(28 citation statements)

References 29 publications

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“…Um cronômetro é utilizado para mensurar a evolução funcional do membro superior parético. A escolha do teste foi determinada por ser uma escala de fácil aplicação e amplamente utilizada nos estudos com TCI (7) . (8) .…”

Section: Avaliação De Atividades Motoras E Do Desempenho Físicounclassified

Terapia Por Contensão Induzida Na Funcionalidade Do Membro Superior Após Avc: Relato De Caso

Gazzola¹,

Marques²,

Neto³

2016

ACS

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ResumoIntrodução: A Terapia por Contensão Induzida é aplicada para promover ganhos físicos e funcionais em indivíduos que sofreram acidente vascular cerebral e que apresentam como quadro clínico a hemiparesia. Abstract Introduction:The Constraint-Induced Movement Therapy is applied to promote physical and functional gains in patients who have experienced stroke and who presented with clinical hemiparesis. Case Report: The patient is a 66-year-old man with a 9-month history of chronic ischemic stroke. The patient was evaluated before and after intervention (after 10 days of Constraint-Induced Movement Therapy) using Fugl-Meyer Motor Assessment and Wolf Motor Function Test. We used an adapted Taub's protocol for implanting a modified Constraint-Induced Movement Therapy with a 3-hour session for 10 days. The patient used a sling in the contralateral limb. The motor performance improved significantly (p = 0.016) after being measured using the Fugl-Meyer Motor Assessment. The Wolf Motor Function Test showed a significant time reduction (p <0.0001) of the performance of motor activities as well as the improved functionality after treatment. Conclusion: The modified Constraint-Induced Movement Therapy resulted in improved motor performance and functional capacity by performing activities of daily living using the paretic upper limb.Descriptors: Paresis; Rehabilitation; Stroke. IntroduçãoO Acidente Vascular Cerebral (AVC) é uma das principais causas neurológicas que resultam em deficiência e morte. Este cenário tende a crescer com o aumento da expectativa de vida e do número de fatores de risco nesses indivíduos. Uma das principais características é a perda total ou parcial da função motora do membro superior, com complicada recuperação total da funcionalidade, sendo observada em apenas 5% dos casos (1) . A espasticidade, que está presente no lado parético da maioria desses pacientes, consiste em um aumento da resistência à movimentação passiva, impossibilitando a movimentação ativa, decorrente do aumento da excitabilidade que leva à hiperreflexia, causando desordens funcionais e incapacidades motoras (2) . Na reabilitação de pacientes com AVC são necessários avanços no tratamento, conhecimento dos resultados terapêuticos e dos mecanismos da reorganização encefálica, em respostas aos variados tipos de intervenções (3) . A Terapia por Contensão Induzida (TCI) é uma técnica voltada para a correção de disfunções motoras leves ou moderadas no

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Section: Avaliação De Atividades Motoras E Do Desempenho Físicounclassified

Terapia Por Contensão Induzida Na Funcionalidade Do Membro Superior Após Avc: Relato De Caso

Gazzola¹,

Marques²,

Neto³

2016

ACS

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“…Based on these results, they established specific guidelines for test performance. In evaluations of the paretic upper limb, in which the individuals should perform the proposed tasks in the shortest possible time 20,21 , the demonstration of the activity in maximum speed by the therapist has been shown to be an efficient method to assess individuals' capacity 22 . Although commands with additional information appeared to facilitate the understanding and optimize motor performance during task execution, studies which evaluated the effects of different instructions for the assessment of maximum gait speed in individuals with hemiparesis were not found.…”

Section: Introductionmentioning

confidence: 99%

Different instructions during the ten-meter walking test determined significant increases in maximum gait speed in individuals with chronic hemiparesis

Nascimento¹,

Caetano²,

Freitas³

et al. 2012

Rev. bras. fisioter.

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“…The MAL is a scale presented as a structured interview, subdivided in two domains: "How Often" (HO) and "How Well" (HW) regarding the use of the AUL outside therapeutic environment 15 . Both domains are scored from 0 to 5 points.…”

mentioning

confidence: 99%

“…The WMFT measures the performance time and functional ability during the execution of the 15 functional tasks 15 . For this research only the performance time portion of the test was used.…”

mentioning

confidence: 99%

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Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

Oliveira

Freitas

Garcia

et al. 2015

Arq. Neuro-Psiquiatr.

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Objective To determine if the original protocol of Constraint-Induced Movement Therapy (CIMT), is adequate to reverse the nonuse of the affected upper limb (AUL) in patients with Cerebral Palsy (CP) in adulthood. Method The study included 10 patients diagnosed with CP hemiparesis had attended the adult protocol CIMT, from January/August 2009/2014. Results Average age 24.6 (SD 9.44); MAL average pretreatment How Often (HO) = 0.72 and How Well (HW) = 0.68 and post-treatment HO = 3.77 and HW = 3.60 (p ≤ 0.001) and pretreatment WMFT average = 21.03 and post-treatment average = 18.91 (p = 0.350). Conclusion The constraint-induced movement therapy is effective to reverse the nonuse learn of the AUL in adult patients with CP.

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Confiabilidade da versão brasileira do Wolf Motor Function Test em adultos com hemiparesia

Abstract: Background: The Wolf Motor Function Test (WMFT) evaluates the upper limb (UL) performance of adults with hemiparesis by combining

Cited by 35 publications

References 29 publications

Terapia Por Contensão Induzida Na Funcionalidade Do Membro Superior Após Avc: Relato De Caso

Terapia Por Contensão Induzida Na Funcionalidade Do Membro Superior Após Avc: Relato De Caso

Different instructions during the ten-meter walking test determined significant increases in maximum gait speed in individuals with chronic hemiparesis

Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

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