Performance and capacity-based measures of locomotion, compared to impairment-based measures, best predicted participation in individuals with hemiparesis due to stroke

Faria‐Fortini, Iza; Basílio, Marluce Lopes; Scianni, Aline Alvim; Faria, Christina Danielli Coelho de Morais; Teixeira-Salmela, Luci Fuscaldi

doi:10.1080/09638288.2017.1312570

Cited by 41 publications

(46 citation statements)

References 42 publications

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“…However, the effect size was not significant and the change between the scores was below 30%. Different factors are indicated as barriers to social participation 3,4,25 . Therefore, the restrictions in participation should not be analyzed from a single therapeutic approach, but rather, they should involve proposals that encompass the dynamic interactions between the individual and their environment 35 .…”

Section: Discussionmentioning

confidence: 99%

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Use of client-centered virtual reality in rehabilitation after stroke: a feasibility study

Aramaki

Sampaio

Cavalcanti

et al. 2019

Arq. Neuro-Psiquiatr.

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Patient-centered virtual reality (VR) programs could assist in the functional recovery of people after a stroke. Objectives: To analyze the feasibility of a rehabilitation protocol using client-centered VR and to evaluate changes in occupational performance and social participation. Methods: This was a mixed methods study. Ten subacute and chronic stroke patients participated in the rehabilitation program using games in non-immersive VR for 40 minutes/day, three days/week, for 12 weeks. Sociodemographic information was collected and the outcome variables included were the Canadian Occupational Performance Measure (COPM) and the Participation Scale. A field diary was used to record the frequency of attendance and adherence of participants and an interview was conducted at the end of program. Results: There were significant and clinically-relevant statistical improvements in the COPM performance score (p < 0.001; CI = 1.29 − 4.858) and in the COPM satisfaction score (p < 0.001; CI = 1.37 − 5.124), with a difference greater than 4.28 points for performance and 4.58 points for satisfaction. The change in the scores for participation was statistically significant (p = 0.046), but there was no clinical improvement (dcohen = −0.596, CI = −1.862 − 0.671). The majority of participants reported more than 75% consecutive attendance of sessions and there was 100% adherence to the program. In the interviews, the participants described their post-stroke difficulties; how the video game motivated their engagement in rehabilitation; and the improvement of occupational performance and social participation after participating in the program. Conclusions: VR is a viable tool for the rehabilitation of stroke patients with functional gains, mainly regarding occupational performance and performance satisfaction.

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Section: Discussionmentioning

confidence: 99%

“…A stroke is a sudden syndrome, characterized by sensory, motor, and cognitive-perceptual alterations 1 . These alterations are associated with disability, limitations in activities of daily life (ADL) and restrictions in social participation, with loss of autonomy and independence 3,4 .…”

mentioning

confidence: 99%

Use of client-centered virtual reality in rehabilitation after stroke: a feasibility study

Aramaki

Sampaio

Cavalcanti

et al. 2019

Arq. Neuro-Psiquiatr.

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“…Recovery of locomotion, that is, the ability to effectively move in the environment, is a major goal for both patients and rehabilitation professionals . Greater locomotion ability may lead to greater independence and community participation, because performance and capacity‐based measures of locomotion have been shown to be the best predictors of participation …”

Section: Introductionmentioning

confidence: 99%

“…3,4 Greater locomotion ability may lead to greater independence and community participation, 4 because performance and capacity-based measures of locomotion have been shown to be the best predictors of participation. 5 It is important that the evaluation of ability of locomotion after stroke be based upon valid and reliable measures.…”

Section: Introductionmentioning

confidence: 99%

Test‐Retest Reliability of the ABILOCO Questionnaire in Individuals with Stroke

Menezes

Avelino

Faria‐Fortini

et al. 2019

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Background The ABILOCO is a self‐reported questionnaire, specific for individuals 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. Objective To investigate the test‐retest reliability, that is, agreement, systematic and random variability of the ABILOCO Questionnaire in individuals with chronic stroke. Design A test‐retest reliability study. Setting Research laboratory. Participants Thirty‐one individuals (21 men and 10 women; mean age, 60 years), who had poststroke hemiparesis. Intervention Not applicable. Main Outcome Measurement 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). Results Two outliers were identified in the sample. The ICC values for the whole sample 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. Conclusion 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 individuals with chronic stroke. However, it appears to be less suitable to detect changes at individual levels. Level of Evidence III.

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“…Walking is a basic task that most humans are able to learn with the development of motor coordination during early childhood. Moving from location to location is a fundamental aspect of dayto-day living for most people, and mobility is a measure of quality of life [11].…”

Section: Locomotion In Humansmentioning

confidence: 99%

Corticospinal Excitability During Locomotion in Humans

Kogan¹

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The coordination between signals from cortical structures and spinal segmental pathways responsible for the control of locomotion remains a contentious issue in human motor control. The signals are known to be integrated, but the nature of these neural calculations is unknown. To understand these interactions in humans, noninvasive cortical stimulation techniques can be combined with detailed analyses of muscle activity patterns in locomotor tasks. Firstly, I would like to thank my family and friends, both near and far, for their support throughout my time here in West Virginia. This work could not have been conducted without the help of my lab mate Matthew Boots, who helped run all the experiments conducted for this work and was instrumental during the development of the experimental set up. Thank you also to the Neural Engineering Laboratory's technicians, Sarah Freeman and Neha Lal for their support. And of course, thank you to all my participants without whom this work would not have been possible. Thank you to Bradley Pollard, Erienne Olesh, and Russell Hardesty of the Neural Engineering Research Laboratory for their help in setting up my experiment, discussing analysis strategies, and reviewing endless figures. Thank you to Dr. Yu Gu and the entire WVU Sample Return Robot team. Your mentorship and friendship has been irreplaceable, and working with this team is an experience I will build on throughout my career. I feel lucky to have worked with you all.

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Performance and capacity-based measures of locomotion, compared to impairment-based measures, best predicted participation in individuals with hemiparesis due to stroke

Cited by 41 publications

References 42 publications

Use of client-centered virtual reality in rehabilitation after stroke: a feasibility study

Use of client-centered virtual reality in rehabilitation after stroke: a feasibility study

Test‐Retest Reliability of the ABILOCO Questionnaire in Individuals with Stroke

Corticospinal Excitability During Locomotion in Humans

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