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Id: biblio-1043080
Autor: Gaspari, Ana Paula; Cruz, Elaine Drehmer de Almeida; Batista, Josemar; Alpendre, Francine Taporosky; Zétola, Viviane; Lange, Marcos Christiano.
Título: Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC) / Predictors of prolonged hospital stay in a Comprehensive Stroke Unit / Predictores de una estancia hospitalaria prolongada en una Unidad Integral para Atención de Accidente Cerebrovascular
Fonte: Rev. latinoam. enferm. (Online);27:e3197, 2019. tab.
Idioma: pt.
Resumo: Objetivo analisar as complicações intra-hospitalares de internação prolongada em pacientes com AVC isquêmico ou ataque isquêmico transitório, internados na unidade de AVC de um hospital terciário. Método trata-se de um estudo correlacional avaliativo. Todos os pacientes com primeira incidência de acidente vascular cerebral isquêmico ou ataque isquêmico transitório admitidos foram analisados retrospectivamente. Durante a internação hospitalar, os fatores preditores de internação prolongada foram: 1) complicações clínicas (pneumonia, infecção do trato urinário, lesão por pressão e trombose venosa profunda), e 2) complicações neurológicas (acidente vascular cerebral isquêmico maligno e transformação hemorrágica sintomática). Resultados 353 pacientes receberam alta no período do estudo. A média de idade foi de 64,1±13,7 anos e 186 (52,6%) eram homens. O tempo médio de internação hospitalar foi de 13,7±14,3 dias. Pneumonia (25,3±28,8 dias, p<0,001), infecção do trato urinário (32,9±45,2 dias, p<0,001) e acidente vascular cerebral maligno (29,1±21,4 dias, p<0,001) aumentaram significativamente o tempo de permanência hospitalar em relação aos pacientes sem quaisquer complicações (11,2±7,1 dias). Conclusão este estudo mostrou que três complicações atrasaram a alta hospitalar em pacientes internados em uma unidade de AVC, duas delas evitáveis: pneumonia e infecção do trato urinário. Medidas mais intensas para evitá-las devem ser incluídas nos indicadores de desempenho para reduzir o tempo de permanência hospitalar nas unidades de AVC.

Objective to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital. Method this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed. During hospital stay, the predictors of long-term hospitalization considered were: 1) clinical complications (pneumonia, urinary tract infection, pressure damage and deep vein thrombosis), and 2) neurological complications (malignant ischemic stroke and symptomatic hemorrhagic transformation). Results 353 patients were discharged in the study period. Mean age was 64.1±13.7 years old and 186 (52.6%) were men. The mean time of hospital stay was 13.7±14.3 days. Pneumonia (25.3±28.8 days, p<0.001), urinary tract infection (32.9±45.2 days, p<0.001) and malignant stroke (29.1±21.4 days, p<0.001) increased significantly the length of hospital stay compared to patients without any complications (11.2±7.1 days). Conclusion this study showed that three complications delayed hospital discharge in patients admitted in a stroke unit, two preventable ones: pneumonia and urinary tract infection. More intense measures to avoid them should be included in the performance indicators to reduce the length of hospital stay in stroke units.

Objetivo Analizar las complicaciones intrahospitalarias de estancia hopitalaria prolongada en pacientes con accidente cerebrovascular isquémico o accidente isquémico transitorio, ingresados en la unidad de accidente cerebrovascular de un hospital terciario. Método Se trata de un estudio evaluativo correlacional. Todos los primeros pacientes con accidente cerebrovascular isquémico o ataque isquémico transitorio ingresados fueron analizados retrospectivamente. Durante la estancia hospitalaria, los factores predictivos de hospitalización prolongada considerados fueron: 1) complicaciones clínicas (neumonía, infección del tracto urinario, daño por presión y trombosis venosa profunda), y 2) complicaciones neurológicas (accidente cerebrovascular isquémico maligno y transformación hemorrágica sintomática). Resultados 353 pacientes fueron dados de alta en el período de estudio. La edad media fue de 64,1±13,7 años y 186 (52,6%) eran hombres. El tiempo medio de estancia hospitalaria fue de 13,7±14,3 días. La neumonía (25,3±28,8 días, p<0,001), la infección del tracto urinario (32,9±45,2 días, p<0,001) y el accidente cerebrovascular maligno (29,1±21,4 días, p<0,001) aumentado significativamente la duración de la estancia hospitalaria en comparación con los pacientes sin ninguna complicación (11.2±7.1 días). Conclusión Este estudio mostró que de las tres complicaciones retrasaron el alta hospitalaria en pacientes ingresados en una unidad de accidente cerebrovascular, dos eran prevenibles: la neumonía y la infección del tracto urinario. Las medidas más intensas para evitarlas deben incluirse en los indicadores de rendimiento para reducir la duración de la estancia hospitalaria en unidades de accidente cerebrovascular.
Descritores: Pneumonia/complicações
Infecções Urinárias/complicações
Ataque Isquêmico Transitório
Fatores Etários
Acidente Vascular Cerebral
Complicações do Diabetes
Reabilitação do Acidente Vascular Cerebral
Hospitalização
Tempo de Internação
Limites: Humanos
Masculino
Feminino
Idoso
Responsável: BR26.1 - Biblioteca Central


  2 / 31 LILACS  
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Id: biblio-959245
Autor: Zhao, Fu-ying; Yue, Ying-ying; Li, Lei; Lang, Sen-yang; Wang, Ming-wei; Du, Xiang-dong; Deng, Yun-long; Wu, Ai-qin; Yuan, Yong-gui.
Título: Clinical practice guidelines for post-stroke depression in China
Fonte: Rev. bras. psiquiatr;40(3):325-334, July-Sept. 2018. tab, graf.
Idioma: en.
Projeto: Jiangsu Provincial Special Program of Medical Science.
Resumo: Post-stroke depression (PSD) is a very common complication that leads to increased physical disability, poor functional outcome, and higher mortality. Therefore, early detection and treatment are very important. Since there are currently no specific guidelines for this disorder in China, the purpose of this study was to develop PSD guidelines and provide suggestions for clinicians and related workers.
Descritores: Acidente Vascular Cerebral/psicologia
Transtorno Depressivo/diagnóstico
Transtorno Depressivo/terapia
-Psicoterapia
Fatores de Tempo
Índice de Gravidade de Doença
China/epidemiologia
Fatores de Risco
Guias de Prática Clínica como Assunto
Sobreviventes/psicologia
Depressão/etiologia
Transtorno Depressivo/tratamento farmacológico
Transtorno Depressivo/epidemiologia
Autorrelato
Reabilitação do Acidente Vascular Cerebral/normas
Antidepressivos/uso terapêutico
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: biblio-901766
Autor: Mesa Barrera, Yoany; Hernández Rodríguez, Tania Elena; Parada Barroso, Yanneris.
Título: Factores determinantes de la calidad de vida en pacientes sobrevivientes a un ictus / Decisive factors for the quality of life of patients who survived an ictus
Fonte: Rev. habanera cienc. méd;16(5):735-750, set.-oct. 2017.
Idioma: es.
Resumo: Introducción: Las enfermedades cerebrovasculares (ECV) son causa de afectación de la calidad de vida (CV) y de discapacidad; los factores asociados a una afectación de la CV varían entre un estudio y otro, teniendo en cuenta el uso de instrumentos de medición de la calidad de vida (escalas) adaptadas a determinadas áreas geográficas. Objetivo: Determinar aquellos factores más influentes en la afectación de la calidad de vida en pacientes que han sufrido un ictus, a través de los resultados expuestos en la literatura. Material y Métodos: Se consultaron un total de 53 fuentes de información, entre ellas 47 artículos de revistas científicas, 2 tesis doctorales, así como informes estadísticos y se tuvo acceso a los principales gestores de la red informática. Desarrollo:Se consideraron conceptos sobre la calidad de vida relacionada con la salud en pacientes sobrevivientes a un ictus, los factores asociados a su afectación, la valoración de las escalas de calidad de vida para el ictus y la importancia de realizar estudios con un enfoque más integral. Conclusiones: Independientemente de la existencia de un grupo de variables comunes, imprescindibles en todo estudio relacionado con la calidad de vida en pacientes sobrevivientes a un ictus, cada grupo investigador debe tener en cuenta aquellos elementos que más se ajusten según sus objetivos para iniciar el proceso de investigación(AU)

Introduction: Cerebrovascular diseases (CVD) are a cause of affectedness related to quality of life (QL), and disability; the factors related to an affectedness of the quality of life vary from one study to another, considering the use of tools to measure the quality of life (scales) adapted to particular geographic areas. Objective:To determine those factors that influence the most in the affectedness related to the quality of life of patients who have suffered an ictus, through the results presented in the literature on this topic. Material and methods:A total of 53 sources of information were consulted, among them 47 articles from scientific journals, 2 PhD thesis, and statistical reports. Also, it was possible to have access to the main managers of computing networks. Development:Concepts of the health-related quality of life of those patients who survived an ictus were considered, as well as the factors associated with their affectedness, the scales for quality of life assessment of patients with ictus, and the importance to conduct studies with a more integral approach. Conclusions:Independently of the existence of a group of common variables, which are essential in any study related to the quality of life of patients who survive an ictus, each research group has to keep in mind those elements that adapt most to the objectives in order to begin a research process(AU)
Descritores: Qualidade de Vida/psicologia
Sobreviventes/psicologia
Efeito Idade
Reabilitação do Acidente Vascular Cerebral/métodos
Limites: Humanos
Masculino
Feminino
Responsável: CU1.1 - Biblioteca Médica Nacional


  4 / 31 LILACS  
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Id: lil-727055
Autor: Lima, Renata C. M; Nascimento, Lucas R; Michaelsen, Stella M; Polese, Janaine C; Pereira, Natália D; Teixeira-Salmela, Luci F.
Título: Influences of hand dominance on the maintenance of benefits after home-based modified constraint-induced movement therapy in individuals with stroke
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;18(5):435-444, 12/09/2014. tab, graf.
Idioma: en.
Resumo: 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. .
Descritores: Acidente Vascular Cerebral/fisiopatologia
Extremidade Superior/fisiopatologia
Terapia por Exercício
Reabilitação do Acidente Vascular Cerebral/métodos
Lateralidade Funcional
-Método Simples-Cego
Serviços de Assistência Domiciliar
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Responsável: BR1.1 - BIREME


  5 / 31 LILACS  
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Id: lil-767070
Autor: Martins, Júlia C; Aguiar, Larissa T; Lara, Eliza M; Teixeira-Salmela, Luci F; Faria, Christina D. C. M.
Título: Assessment of grip strength with the modified sphygmomanometer test: association between upper limb global strength and motor function
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(6):498-506, Nov.-Dec. 2015. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background: Grip strength, commonly evaluated with the handgrip dynamometer, is a good indicator of upper limb (UL) function in stroke subjects and may reflect the global strength deficits of the whole paretic UL. The Modified Sphygmomanometer Test (MST) also provides objective and adequate measures at low-cost. Objective: To assess whether grip strength values obtained by using the MST and those obtained by using a handgrip dynamometer would present similar correlations with the global strength and motor function of the paretic UL in subjects with stroke, both in the subacute and chronic phases. Method: Measures of grip strength (MST and handgrip dynamometer), UL global strength (MST and hand-held dynamometer), and UL motor function (Fugl-Meyer motor assessment scale) were obtained with 33 subacute and 44 chronic stroke subjects. Pearson and Spearman correlation coefficients were calculated and Stepwise multiple regression analyses were performed to investigate predictor variables of grip strength (α=0.05). Results: Significant correlations of similar magnitude were found between measures of global strength of the paretic UL and grip strength assessed with both the MST (0.66≤r≤0.78) and handgrip dynamometer (0.66≤r≤0.78) and between UL motor function and grip strength assessed with both the MST (0.50≤rs≤0.51) and hand-held dynamometer (0.50≤rs≤0.63) in subacute and chronic stroke subjects. Only global strength remained as a significant predictor variable of grip strength for the MST (0.43≤R2≤0.61) and for the handgrip dynamometer (0.44≤R2≤0.61) for both stroke subgroups. Conclusion: Grip strength assessed with the MST could be used to report paretic UL global strength.
Descritores: Força da Mão/fisiologia
Esfigmomanômetros/normas
Acidente Vascular Cerebral/fisiopatologia
Extremidade Superior/fisiopatologia
Força Muscular/fisiologia
Reabilitação do Acidente Vascular Cerebral/métodos
-Reabilitação do Acidente Vascular Cerebral/normas
Limites: Humanos
Responsável: BR1.1 - BIREME


  6 / 31 LILACS  
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Id: lil-792723
Autor: Prakash, V; Shah, Manushi A; Hariohm, K.
Título: Family's presence associated with increased physical activity in patients with acute stroke: an observational study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(4):306-311, July-Aug. 2016. tab.
Idioma: en.
Resumo: ABSTRACT Background: Inherent differences in organization of stroke care and rehabilitation practices in various settings influence the activity levels of patients in the hospital. The majority of published studies have been carried out in developed countries such as the United States, United Kingdom, Australia, Switzerland and Belgium; however, data from developing countries are scarce. Objective: To measure the amount and nature of physical activity of patients admitted to medical wards of Indian hospitals and to assess the association between family presence and the patient and between the patient’s functional status and their physical activity level. Method: This is an observational behavioral mapping study. A trained physical therapist recorded the patients’ (N=47) physical activity level through direct observation in the ward using a predetermined observation scheme. Results: Participants were found inactive and alone for 19% (inter quartile range [IQR] 12-36%) and 15% (IQR 10-19%) of the time during the day, respectively. They spent 46% (IQR 31-55%) of the time in therapeutic activities and 31% (IQR 22-34%) of the time in non-therapeutic activities. The family was present with patients 50% of the time during the day. Family presence with the patient and the patient’s moderate dependence in daily activities are positively associated with their activity levels. Conclusion: Patients with stroke admitted to Indian hospitals spent less time being inactive and alone and more time with family participating in therapeutic activities. The presence of family members with the patients during hospital stay may be a significant resource for encouraging patients to be more active.
Descritores: Exercício Físico/fisiologia
Acidente Vascular Cerebral/fisiopatologia
Reabilitação do Acidente Vascular Cerebral
-Modalidades de Fisioterapia/normas
Hospitalização
Limites: Humanos
Responsável: BR1.1 - BIREME


  7 / 31 LILACS  
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Id: lil-792716
Autor: Carvalho-Pinto, Bárbara P. B; Faria, Christina D. C. M.
Título: Health, function and disability in stroke patients in the community
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(4):355-366, July-Aug. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background Stroke patients commonly have impairments associated with reduction in functionality. Among these impairments, the motor impairments are the most prevalent. The functional profile of these patients living in the community who are users of the primary health-care services in Brazil has not yet been established Objective To describe the functional profile of stroke patients who are users of the primary health-care services in Brazil, looking at one health-care unit in the city of Belo Horizonte, Brazil. Method From medical records and home visits, data were collected regarding health status, assistance received following the stroke, personal and environmental contextual factors, function and disability, organized according to the conceptual framework of the International Classification of Functioning, Disability and Health (ICF). Test and instruments commonly applied in the assessment of stroke patients were used. Results Demographic data from all stroke patients who were users of the health-care unit (n=44, age: 69.23±13.12 years and 67±66.52 months since the stroke) participated of this study. Most subjects presented with disabilities, as changes in emotional function, muscle strength, and mobility, risks of falling during functional activities, negative self-perception of quality of life, and perception of the environment factors were perceived as obstacles. The majority of the patients used the health-care unit to renew drug prescriptions, and did not receive any information on stroke from health professionals, even though patients believed it was important for patients to receive information and to provide clarifications. Conclusion Stroke patients who used primary health-care services in Brazil have chronic disabilities and health needs that require continuous health attention from rehabilitation professionals. All of these health needs should be considered by health professionals to provide better management as part of the integral care of stroke patients, as recommended by the clinical practice guidelines for stroke rehabilitation.
Descritores: Pessoas com Deficiência
Acidente Vascular Cerebral/fisiopatologia
Reabilitação do Acidente Vascular Cerebral/normas
-Qualidade de Vida
Brasil
Atividades Cotidianas
Limites: Humanos
Idoso
Responsável: BR1.1 - BIREME


  8 / 31 LILACS  
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Id: lil-778379
Autor: Borstad, Alexandra; Nichols-Larsen, Deborah S.
Título: The Brief Kinesthesia test is feasible and sensitive: a study in stroke
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(1):81-86, Jan.-Feb. 2016. tab, graf.
Idioma: en.
Projeto: OSU CCTS.
Resumo: BACKGROUND: Clinicians lack a quantitative measure of kinesthetic sense, an important contributor to sensorimotor control of the hand and arm. OBJECTIVES: The objective here was to determine the feasibility of administering the Brief Kinesthesia Test (BKT) and begin to validate it by 1) reporting BKT scores from persons with chronic stroke and a healthy comparison group and 2) examining the relationship between the BKT scores and other valid sensory and motor measures. METHOD: Adults with stroke and mild to moderate hemiparesis (N=12) and an age-, gender-, and handedness-matched healthy comparison group (N=12) completed the BKT by reproducing three targeted reaching movements per hand with vision occluded. OTHER MEASURES: the Hand Active Sensation Test (HASTe), Touch-Test(tm) monofilament aesthesiometer, 6-item Wolf Motor Function Test (Wolf), the Motor Activity Log (MAL), and the Box and Blocks Test (BBT). A paired t-test compared BKT scores between groups. Pearson product-moment correlation coefficients assessed the relationship between BKT scores and other measures. RESULTS: Post-stroke participants performed more poorly on the BKT than comparison participants with their contralesional and ipsilesional upper extremity. The mean difference for the contralesional upper extremity was 3.7 cm (SE=1.1, t=3.34; p<0.008). The BKT score for the contralesional limb was strongly correlated with the MAL-how much (r=0.84, p=0.001), the MAL-how well (r=0.76, p=0.007), Wolf (r=0.69, p=0.02), and the BBT (r=0.77, p=0.006). CONCLUSIONS: The BKT was feasible to administer and sensitive to differences in reaching accuracy between persons with stroke and a comparison group. With further refinement, The BKT may become a valuable clinical measure of post-stroke kinesthetic impairment.
Descritores: Paresia/fisiopatologia
Recuperação de Função Fisiológica/fisiologia
Acidente Vascular Cerebral/fisiopatologia
Reabilitação do Acidente Vascular Cerebral/normas
Cinestesia
-Cinestesia/fisiologia
Limites: Humanos
Adulto
Idoso
Responsável: BR1.1 - BIREME


  9 / 31 LILACS  
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Id: biblio-828291
Autor: Aguiar, Larissa T; Martins, Júlia C; Lara, Eliza M; Albuquerque, Julianna A; Teixeira-Salmela, Luci F; Faria, Christina D. C. M.
Título: Dynamometry for the measurement of grip, pinch, and trunk muscles strength in subjects with subacute stroke: reliability and different number of trials
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(5):395-404, Sept.-Oct. 2016. tab.
Idioma: en.
Resumo: ABSTRACT Background Muscle strength is usually measured in individuals with stroke with Portable dynamometers (gold standard). However, no studies have investigated the reliability, the standard error of measurement (SEM) and the minimal detectable difference (MDD95%) of the dynamometry for the measurement of hand grip, pinch grip and trunk strength in subjects with subacute stroke. Objective 1) To investigate the intra and inter-rater reliability, the SEM and the MDD95% of the portable dynamometers for the measurement of grip, pinch and trunk strength in subjects with subacute stroke, and 2) to verify whether the use of different number of trials (first trial and the average of the first two and three trials) affected the results. Method 32 subjects with subacute stroke (time since stroke onset: 3.6 months, SD=0.66 months) were evaluated. Hand grip, 3 pinch grips (i.e. pulp-to-pulp/palmar/lateral) and 4 trunk muscles (i.e. flexors, extensors, lateral flexors and rotators) strength were bilaterally assessed (except trunk flexors/extensors) with portable dynamometry by two independent examiners over two sessions (1-2 weeks apart). One-way ANOVAs and intraclass correlation coefficients (ICC2,k) were used for analysis (α=0.05). SEM and MDD95% were also calculated. Results For all muscular groups and sources of outcome values, including one trial, after familiarization, similar results were found (0.01≤F≤0.08; 0.92≤p≤0.99) with significant and adequate values of intra-rater (0.64≤ICC≤0.99; 0.23≤95%CI≤0.99) and inter-rater (0.66≤ICC≤0.99; 0.25≤95%CI≤0.99) reliability. SEM and MDD95% were considered low (0.39≤EPM≤2.21 Kg; 0.96≤MMD95%≤6.12 Kg) for all outcome scores. Conclusion Only one trial, following familiarization, demonstrated adequate intra-rater and inter-rater reliability of the portable dynamometers for the measurement of hand grip, pinch grip and trunk strength in subjects with subacute stroke.
Descritores: Músculo Esquelético/fisiologia
Força da Mão/fisiologia
Acidente Vascular Cerebral/fisiopatologia
Força Muscular/fisiologia
Reabilitação do Acidente Vascular Cerebral/normas
-Reprodutibilidade dos Testes
Acidente Vascular Cerebral/complicações
Extremidade Superior/fisiologia
Extremidade Superior/patologia
Limites: Humanos
Responsável: BR1.1 - BIREME


  10 / 31 LILACS  
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Id: biblio-849025
Autor: Tarallo, Fernanda Botta; Silva, Jéssica Santos; Santos, Mayara Luz Alcantara; Castro, Pedro Claudio Gonsales; Moreira, Maria Cecília dos Santos.
Título: Comparação da pontuação obtida por videogame com variáveis biomecânicas em pacientes pós-acidente vascular encefálico / Comparison of scores obtained in videogame with biomechanical variables in stroke
Fonte: Acta fisiátrica;23(3):140-144, set. 2016. ilus.
Idioma: en; pt.
Resumo: A realidade virtual (RV) promove treinamento intensivo de uma mesma tarefa, possibilitando a aprendizagem motora, podendo influenciar a retomada do controle postural (CP) em indivíduos com acidente vascular encefálico (AVE). Videogames (jogos de vídeo) com plataforma de equilíbrio são utilizados como forma de intervenção e, ao final dos jogos, uma pontuação é fornecida, porém não há evidências de que ela possa ser utilizada como parâmetro de quantificação do CP. Objetivo: Verificar se há correlação entre a pontuação obtida por um jogo de videogame e variáveis estabilométricas. Métodos: Nove indivíduos com histórico de AVE realizaram um protocolo experimental utilizando o jogo Penguim Slide do Nintendo Wii como intervenção. Coletou-se a pontuação obtida na primeira e na última sessão. Utilizou-se a plataforma de força AMTI 2.0, com frequência de aquisição de 200 Hz para as avaliações pré e pós-intervenção. Os voluntários foram posicionados de olhos abertos (OA) e fechados (OF) na postura ereta durante 1 minuto, com um pé em cada plataforma. Utilizando o Software Matlab® 7.0, obtiveram-se as variáveis do centro de pressão (COP): área COP total (ACOPt), área COP nos eixos médio-lateral (ACOPx) e ântero-posterior (ACOPy) e velocidade média do COP (VCOP). O teste de Wilcoxon pareado (p < 0,05), de natureza não paramétrica, foi utilizado para comparar os resultados da pontuação do jogo Penguim Slide e os dados obtidos pela plataforma de força nas condições OA e OF. As análises foram feitas com auxílio do software R. Resultados: Comparação inicial e final da pontuação (p = 0,003). Comparação inicial e final de OA: ACOPt (p = 0,91), ACOPx (p = 0,57), ACOPy (p = 0,49), VCOP (p = 0,09). Comparação inicial e final de OF: ACOPt (p = 0,73), ACOPx (p = 1,0), ACOPy (p = 0,73), VCOP (p = 0,73). Conclusão: A RV não proporcionou aos indivíduos aprimoramento do CP, porém a pontuação no jogo Penguim Slide aumentou significativamente. Desse modo, não houve correlação entre a pontuação obtida por um jogo de videogame e variáveis estabilométricas

Virtual reality (VR) promotes intensive training of a single task, enabling the motor learning, thereby affecting the recovery of postural control (PC) in individuals with stroke. Video game with balance platform are used as a form of intervention and, at the end of the game, a score is provided, but there is no evidence that it can be used as a quantitative parameter of PC. Objective: To determine whether there is a correlation between the score obtained by a video game and stabilometric variables. Methods: Nine individuals with stroke participated in an experimental protocol using the game Penguin Slide as intervention. The score was collected in the first and last sessions. The 2.0 AMTI force platform was used, with an acquisition frequency of 200Hz for evaluating before and after intervention. The volunteers were positioned with open eyes (OE) and closed eyes (CE) in the upright position for 1 minute, with one foot on each platform. Using the Matlab software, the variables of center of pressure (COP) were obtained: total COP area (ACOPt), COP area on the mediolateral (ACOPx) and anteroposterior (ACOPy) axis, average speed of COP (VCOP). The non-parametric paired Wilcoxon test (p < 0.05) was used to compare the initial and final results of Penguin Slide game score and the pre and post intervention data obtained by the force platform in the OE and CE conditions. The analysis were done with the software R. Results: Comparison of initial and final score (p = 0.003). In OE condition, the initial and final comparison: ACOPt (p = 0.91), ACOPx (p = 0.57), ACOPy (p = 0.49), VCOP (p = 0.09). In CE condition, the initial and final comparison: ACOPt (p = 0.73) ACOPx (p = 1.0), ACOPy (p = 0.73) VCOP (p = 0.73). Conclusion: The VR did not provide PC improvement of the patients despite the score of the Penguin Slide game have increased significantly at the end of the protocol. Thus, there was no correlation between the score obtained by video game and the stabilometric variables
Descritores: Jogos de Vídeo
Equilíbrio Postural
Reabilitação do Acidente Vascular Cerebral
-Epidemiologia Experimental
Realidade Virtual
Limites: Humanos
Responsável: BR1.1 - BIREME



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