Treinamento da função bilateral de membros superiores em indivíduo com hemiparesia – estudo de caso

Farias, Nayara Correa; Michaelsen, Stella Maris; Rodrigues, Letí­cia Cardoso

doi:10.5585/conssaude.v11n3.3263

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Another study that corroborates the results of this research is that of Farias, Michaelsen and Rodrigues, 20 in the pilot study conducted with an individual with stroke in its subacute phase, who underwent training based on symmetrical and asymmetrical bilateral activities for the upper limbs, held every day of the week in a total of ten sessions, where each intervention lasted 60 minutes. After the training period, an improvement in short-term bilateral upper limb function can be observed in the performance of daily living activities.…”

Section: Discussionsupporting

confidence: 77%

Untitled

2020

JNSK

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The stroke is the acute onset of neurological clinical manifestations, which may be ischemic or hemorrhagic, leading to several related signs and symptoms the affected areas. Aimed to evaluate the function of the paretic upper limb before and after a neuromuscular physical therapy rehabilitation program. It is a multiple case study, cross-sectional and quantitative. The sample consisted of three participants characterized as participants P1, P2 and P3. Steps have been taken before and after a neuromuscular based intervention program and used the following data collection instruments: a clinical, sociodemographic and inspection of member form; the Mini-Mental State Examination; the modified Ashworth scale; the Fugl-Meyer Scale and the Arm Motor Ability Test. The neuromuscular program was performed 2 times per week for fifty minutes totaling ten sessions and consisted of: 1) Guidelines and general care; 2) specific skills training for upper limb, and 3) application of Kinesio Taping®. It was observed cognitive preservation and tonus ranging between normal and slightly hypertonic. Two participants reported pain: P2 on the handle and P3 on the shoulder. All showed improvement of motor function. In the assessment of functional ability and movement quality all participants showed improvement. All showed gains for functionality, quality of movement and functional ability, as well as decreased pain, which showed that the program had effectively on the rehabilitation process.

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Section: Discussionsupporting

confidence: 77%

Untitled

2020

JNSK

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“…The evaluations were also videotaped, so that the functional ability scores or the qualitative scores were also analyzed after the completion of the evaluations. The test was always initiated with the examiner explaining and demonstrating the execution of all of the tasks, but no information regarding the speed of execution was provided 24 , 25 . The evaluations of the subjects'performances were carried out by a physical therapist, who was blinded the group and the time of the evaluations.…”

Section: Methodsmentioning

confidence: 99%

Influences of hand dominance on the maintenance of benefits after home-based modified constraint-induced movement therapy in individuals with stroke

Lima¹,

Nascimento²,

Michaelsen³

et al. 2014

Braz. J. Phys. Ther.

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Objective:To investigate the influence of hand dominance on the maintenance of gains after home-based modified constraint-induced movement therapy (mCIMT). Method:Aprevious randomized controlled trial was conducted to examine the addition of trunk restraint to the mCIMT. Twenty-two chronic stroke survivors with mild to moderate motor impairments received individual home-based mCIMT with or without trunk restraints, five times per week, three hours daily over two weeks. In this study, the participants were separated into dominant group, which had their paretic upper limb as dominant before the stroke (n=8), and non-dominant group (n=14) for analyses. The ability to perform unimanual tasks was measured by the Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL), whereas the capacity to perform bimanual tasks was measured using the Bilateral Activity Assessment Scale (BAAS). Results:Analysis revealed significant positive effects on the MAL amount of use and quality of the movement scales, as well as on the BAAS scores after intervention, with no differences between groups. Both groups maintained the bimanual improvements during follow-ups (BAAS-seconds 0.1, 95% CI -10.0 to 10.0), however only the dominant group maintained the unilateral improvements (MAL-amount of use: 1.5, 95% CI 0.7 to 2.3; MAL-quality: 1.3, 95% CI 0.5 to 2.1). Conclusions:Upper limb dominance did not interfere with the acquisition of upper limb skills after mCIMT. However, the participants whose paretic upper limb was dominant demonstrated better abilities to maintain the unilateral gains. The bilateral improvements were maintained, regardless of upper limb dominance.

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“…The use of instruments, such as the BAAS, may help capture differences in the performance of bimanual activities, after CIMT. There is evidence that bilateral UL training could favor improvements of the paretic UL in performing unimanual tasks (Farias et al, 2012;Waller & Whitall, 2008;Lin, Wu, Chang, Wu, & Chen, 2010;vanDelden, Peper, Beek, & Kwakkel, 2012). Thus, the present findings were clinically relevant, since they showed that unilateral training led to improvements of the UL ability to perform bimanual tasks.…”

Section: Discussionmentioning

confidence: 99%

“…Scores range between 0 to 65 and higher scores indicated better quality of movement in bimanual tasks. Test-retest reliability coefficients of 0.99 were reported for the total scores (Michaelsen, Vargas, & Braga, 2007;Farias, Michaelsen, & Rodrigues, 2012).…”

Section: Bilateral Activity Assessment Scalementioning

confidence: 99%

Addition of trunk restraint to home-based modified constraint-induced movement therapy does not bring additional benefits in chronic stroke individuals with mild and moderate upper limb impairments: A pilot randomized controlled trial

Lima

Michaelsen

Nascimento

et al. 2014

NRE

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BACKGROUND: People with stroke excessively move their trunk, when reaching and grasping objects. OBJECTIVE: To determine if the addition of trunk restraint to modified constraint-induced movement therapy (mCIMT) was better than mCIMT alone in improving strength, function, and quality of life after stroke. METHODS: A pilot randomized double-blinded clinical trial was conducted. Twenty-two participants with chronic stroke were randomly assigned to an experimental group that received mCIMT plus trunk restraint, or a control group (only mCIMT). Primary outcomes were the amount of use and quality of movement of the paretic upper limb (UL), determined by the Motor Activity Log (MAL) scores. Secondary outcomes included the observed performance of the paretic UL during unimanual and bimanual tasks, kinematics of reaching, strength, and quality of life. RESULTS: Both groups demonstrated significant improvements in the MAL scores and in the time to perform bimanual activities immediately after the interventions. However, no between-group differences were observed. CONCLUSIONS: The addition of trunk restraint to mCIMT resulted in no additional benefits, compared with mCIMT alone with stroke individuals with mild to moderate impairments. Unimanual and bimanual improvements were observed after mCIMT, regardless of trunk restraint, and the intervention did not adversely affect their reaching patterns.

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Treinamento da função bilateral de membros superiores em indivíduo com hemiparesia – estudo de caso

Cited by 5 publications

References 17 publications

Untitled

Untitled

Influences of hand dominance on the maintenance of benefits after home-based modified constraint-induced movement therapy in individuals with stroke

Addition of trunk restraint to home-based modified constraint-induced movement therapy does not bring additional benefits in chronic stroke individuals with mild and moderate upper limb impairments: A pilot randomized controlled trial

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