Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia

Martins, Eliane; Barbosa, Paulo Henrique Ferreira de Araujo; Menezes, Lidiane Teles de; Sousa, Pedro Henrique Côrtes de; Costa, Alessandro Martins da

doi:10.1590/s1809-29502011000300005

Cited by 9 publications

(23 citation statements)

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“…Much as the relationship between weight bearing distribution and stability during standing has been studied for healthy and unhealthy subjects [11,16,19,[21][22][23][24][25][26][27][28], this association continues unclear.…”

Section: Introductionmentioning

confidence: 99%

Could be the predominantly-used hemibody related to the weight bearing distribution modified by the chronic hemiparesis after stroke?

2015

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Since the first Broca publications issued from 1970s, lateralized functions in the human brain have urged the researchers to postulate hypothesis based in the right-left asymmetries and, according to some theories, the lateralization of the voluntary motor control could represent a solution to avoid redundant process optimizing space and time. Supported by this idea, the clinicians and researchers tend to concept that the chronic hemiplegic stroke patients learn to use predominantly the non-affected hemibody after stroke in which is more convenient to execute their daily life activities, modifying their natural preference in some cases. Although could seems reasonable conceptualize the non-affected side as the predominantly-used hemibody for motor tasks after stroke (convenience hypothesis), evidences point to exist also hemiplegic patients that developed a predominantly use of the affected side. To float an idea, in terms of weight bearing distribution during upright position, the researchers have found patients overloading the non-affected hemibody, as expected; but also patients overloading the affected hemibody, not presenting necessarily Pusher's syndrome cases. Given the evidences, we could propose a severity-modulated predominance hypothesis which complements the convenience hypothesis. According to our complementary hypothesis, the severity of the motor disability presented in the hemiparesis condition (light, moderate and heavy severity) could determine a predominant use defined by preference (light to moderate severity) or convenience (moderate to heavy severity). In this hypothesis, we postulate ideas from a rehabilitation perspective to be incorporated in treatment programs.

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Section: Introductionmentioning

confidence: 99%

Could be the predominantly-used hemibody related to the weight bearing distribution modified by the chronic hemiparesis after stroke?

2015

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“…Although sophisticated and extremely accurate technologies are available to measure weight-bearing distribution during standing, alternative devices that are easy to use and inexpensive are recommended for practical physiotherapy; noting that their psychometric proprieties must be tested for specific populations (Hurkmans et al, 2003;Martins et al, 2011bMartins et al, , 2012.…”

Section: Introductionmentioning

confidence: 99%

Reliability of the measures of weight-bearing distribution obtained during quiet stance by digital scales in subjects with and without hemiparesis

Araujo-Barbosa

Menezes

Costa

et al. 2014

Physiotherapy Theory and Practice

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Described as an alternative way of assessing weight-bearing asymmetries, the measures obtained from digital scales have been used as an index to classify weight-bearing distribution. This study aimed to describe the intra-test and the test/retest reliability of measures in subjects with and without hemiparesis during quiet stance. The percentage of body weight borne by one limb was calculated for a sample of subjects with hemiparesis and for a control group that was matched by gender and age. A two-way analysis of variance was used to verify the intra-test reliability. This analysis was calculated using the differences between the averages of the measures obtained during single, double or triple trials. The intra-class correlation coefficient (ICC) was utilized and data plotted using the Bland-Altman method. The intra-test analysis showed significant differences, only observed in the hemiparesis group, between the measures obtained by single and triple trials. Excellent and moderate ICC values (0.69-0.84) between test and retest were observed in the hemiparesis group, while for control groups ICC values (0.41-0.74) were classified as moderate, progressing from almost poor for measures obtained by a single trial to almost excellent for those obtained by triple trials. In conclusion, good reliability ranging from moderate to excellent classifications was found for participants with and without hemiparesis. Moreover, an improvement of the repeatability was observed with fewer trials for participants with hemiparesis, and with more trials for participants without hemiparesis.

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“…O AVC pode desencadear alterações do controle motor, caracterizadas por uma alteração postural, que são observadas principalmente por assimetrias na distribuição do suporte de peso. Vários estudos foram realizados com o objetivo de avaliar o comportamento destas variáveis (5) (6) (7) . Essas assimetrias podem ocasionar uma distribuição no suporte de peso em pé no lado não parético maior, para a maioria dos pacientes com hemiparesia, porém, o lado parético pode também ser sobrecarregado, assim como, distribuições simétricas no suporte de peso em pé poderão ser adotadas por este grupo (8)(7) (9) .…”

Section: Introductionunclassified

“…A razão de simetria foi originalmente proposta como sendo calculada a partir do registro obtido em duas balanças antropométricas digitais dispostas paralelamente, estando o sujeito na posição ortostática com um pé em cada balança (7) .…”

Section: Introductionunclassified

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Atividade simpática, parassimpática e metabólica influenciadas pelo comportamento da distribuição do suporte de peso em pé adquirido na condição de hemiparesia crônica

Ramos¹

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Atividade simpática, parassimpática e metabólica influenciada pelo comportamento da distribuição do suporte de peso em pé adquirido na condição de hemiparesia crônica Brasília -DF, 2015 GABRIELLY CRAVEIRO RAMOS Atividade simpática, parassimpática e metabólica influenciada pelo comportamento da distribuição do suporte de peso em pé adquirido na condição de hemiparesia crônica AGRADECIMENTOSA Deus, maravilhoso, que na sua perfeição foi abrindo portas e desenrolando os problemas encontrados na confecção desta pesquisa.Aos voluntários, seres pacientes e fantásticos, por estarem sempre disponíveis para a pesquisa.As Instituições e seus responsáveis, onde este trabalho foi realizado. Ao Fernando Veras, Divaina e Husys. (n=7), assimétricos com sobrecarga no hemicorpo não predominantemente usado (HNPU, n=7) e assimétricos com sobrecarga no hemicorpo predominantemente usado (HPU, n=5). Os controles foram aleatoriamente separados para compor o subgrupo referência (n=7). Para caracterizar a resposta da atividade simpática e parassimpática sobre a VFC foram realizados cálculos das funções derivadas da VFC no domínio do tempo e de frequência nas posturas supino, sentado e em pé, com duração de 5 minutos em cada postura e com intervalo de 2 minutos de repouso entre elas. Por fim, extraiu-se de amostras de sangue colhidas por sujeito o nível de nitrato sérico. Resultados: Os testes estatísticos não detectaram correlação significativa do RMSSD (parassimpático) com idade e valores de RS; embora o RMSSD do subgrupo simétrico tenha apresentado uma tendência ao aumento na postura em pé (0,05

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Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia

Cited by 9 publications

References 28 publications

Could be the predominantly-used hemibody related to the weight bearing distribution modified by the chronic hemiparesis after stroke?

Could be the predominantly-used hemibody related to the weight bearing distribution modified by the chronic hemiparesis after stroke?

Reliability of the measures of weight-bearing distribution obtained during quiet stance by digital scales in subjects with and without hemiparesis

Atividade simpática, parassimpática e metabólica influenciadas pelo comportamento da distribuição do suporte de peso em pé adquirido na condição de hemiparesia crônica

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