Assessing motor impairment after stroke: a pilot reliability study.

Collin, Christine; Wade, Derick T

doi:10.1136/jnnp.53.7.576

Cited by 694 publications

(472 citation statements)

References 9 publications

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“…Trunk impairment was evaluated by shortening and elongation of the trunk appropriately, with selected movements for both upper and lower parts, and movements without compensation [29]. TIS evaluates static and dynamic sitting balance and coordination.…”

Section: Discussionmentioning

confidence: 99%

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Keser

Kırdı²,

Meriç³

et al. 2013

JRRD

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Abstract-This study compared trunk exercises based on the Bobath concept with routine neurorehabilitation approaches in multiple sclerosis (MS). Bobath and routine neurorehabilitation exercises groups were evaluated. MS cases were divided into two groups. Both groups joined a 3 d/wk rehabilitation program for 8 wk. The experimental group performed trunk exercises based on the Bobath concept, and the control group performed routine neurorehabilitation exercises. Additionally, both groups performed balance and coordination exercises. All patients were evaluated with the Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), International Cooperative Ataxia Rating Scale (ICARS), and Multiple Sclerosis Functional Composite (MSFC) before and after the physiotherapy program. In group analysis, TIS, BBS, ICARS, and MSFC scores and strength of abdominal muscles were significantly different after treatment in both groups (p < 0.05). When the groups were compared, no significant differences were found in any parameters (p > 0.05). Although trunk exercises based on the Bobath concept are rarely applied in MS rehabilitation, the results of this study show that they are as effective as routine neurorehabilitation exercises. Therefore, trunk exercises based on the Bobath concept can be beneficial in MS rehabilitation programs.

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Section: Discussionmentioning

confidence: 99%

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Keser

Kırdı²,

Meriç³

et al. 2013

JRRD

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“…Instrumentos de avaliação: Avaliaram-se no ombro com H/P a presença ou ausência de dor, os graus de força muscular dos movimentos de elevação, protusão, flexão e abdução do ombro (zero a 5) 23 , e a capacidade de realizar ativamente os movimentos funcionais básicos (mudança de decúbito dorsal para lateral, da posição deitado para sentado e a manutenção da postura sentada) 24 . Para as variáveis passar para o decúbito lateral, passar para sentado e manter-se sentado adotou-se a seguinte escala de escores: (0) Não realiza o movimento/não mantém a posição; (1) Realiza o movimento com dificuldade/mantém a posição com dificuldade; (2) Realiza o movimento/ mantém-se na posição.…”

Section: Métodounclassified

Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico

Horn

Fontes

Carvalho

et al. 2003

Arq. Neuro-Psiquiatr.

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Álvaro Nagib Atallah 4a , Marcia Maiumi Fukujima 4a , Gilmar Fernandes do Prado 4a RESUMO -Contexto: Ombro doloroso é freqüente em pacientes com hemiplegia/hemiparesia (H/P) por acidente vascular encefálico (AVE), dificultando a recuperação neuromotora gerando incapacidade funcional. Objetivo: Estudar tratamento fisioterapêutico para a prevenção da dor no ombro com H/P em pacientes com AVE na fase sub-aguda, e analisar desfechos secundários (força muscular do ombro acometido e movimentos funcionais ativos básicos). Método: Estudaram-se 21 pacientes (12 homens, 9 mulheres; idades 26 a 87 anos) com H/P. O tratamento fisioterapêutico consistiu de 30 minutos diários de cinesioterapia, desde as 48 horas após o AVE até a alta hospitalar. Os pacientes foram avaliados antes e após o tratamento em relação à presença ou ausência de dor no ombro H/P, à força dos diversos grupos musculares do ombro e quanto aos movimentos funcionais de transferência e manutenção postural básica. Resultados: Nenhum paciente apresentava dor no ombro H/P na alta (p<0,001). A força muscular aumentou significativamente em relação à elevação, protusão, abdução e flexão do ombro (p<0,001). Houve melhora dos movimentos funcionais: decúbito dorsal para lateral, decúbito lateral para sentado e manter-se sentado (p<0,001). Conclusão: A cinesioterapia na fase aguda do AVE preveniu a dor no ombro H/P e favoreceu a recuperação motora.PALAVRAS-CHAVE: acidente vascular cerebral, fisioterapia, ombro doloroso.Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke Kinesiotherapy prevents shoulder pain in hemiplegic/paretic patients on sub-acute stage post-stroke ABSTRACT -Background: Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery. Purpose: To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility. Method: Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements. Results: No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral...

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“…Candidate determinants for development of a prediction model included the following: (1) (11) sensory deficit in the arm as determined by the Thumb-Finding Test (0 to 3 points); 17 (12) Orpington Prognostic Score (1.6 to 6.8 points); (13) homonymous hemianopia 18 (noϭ0/yesϭ1); (14) inattention (1 if Ͼ2 omissions on the letter-cancellation test); 18 (15) conjugate gaze 19 (noϭ0/yesϭ1); (16) social support (noϭ0/yesϭ1); (17) type of (additional) therapy (air splint, arm, or leg training; 0 to 2) 8 ; and (18) severity and extent of paresis of upper and lower extremity motor function in arm and leg as assessed by the Motricity Index (MI) 20 and motor parts of the Fugl-Meyer (FM) score. 21 In the MI, muscle strength was measured for upper extremity (MI arm, 0 to 100) in which 100 points represents normal strength and lower extremity (MI leg, 0 to 100) separately, whereas FM motor scores were subdivided into FM arm score (including wrist, 0 to 52), FM hand score (0 to 14 points), and FM leg score (0 to 34 points) in which the maximum score represents no synergism.…”

Section: Independent Variablesmentioning

confidence: 99%

Probability of Regaining Dexterity in the Flaccid Upper Limb

Kwakkel

Kollen

Grond

et al. 2003

Stroke

1,153

449

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Background and Purpose-To improve the accuracy of early postonset prediction of motor recovery in the flaccid hemiplegic arm, the effects of change in motor function over time on the accuracy of prediction were evaluated, and a prediction model for the probability of regaining dexterity at 6 months was developed. Methods-In 102 stroke patients, dexterity and paresis were measured with the Action Research Arm Test, Motricity Index, and Fugl-Meyer motor evaluation. For model development, 23 candidate determinants were selected. Logistic regression analysis was used for prognostic factors and model development. Results-At 6 months, some dexterity in the paretic arm was found in 38%, and complete functional recovery was seen in 11.6% of the patients. Total anterior circulation infarcts, right hemisphere strokes, homonymous hemianopia, visual gaze deficit, visual inattention, and paresis were statistically significant related to a poor arm function. Motricity Index leg scores of at least 25 points in the first week and Fugl-Meyer arm scores of 11 points in the second week increasing to 19 points in the fourth week raised the probability of developing some dexterity

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Assessing motor impairment after stroke: a pilot reliability study.

Cited by 694 publications

References 9 publications

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Comparing routine neurorehabilitation program with trunk exercises based on Bobath concept in multiple sclerosis: Pilot study

Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico

Probability of Regaining Dexterity in the Flaccid Upper Limb

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