Relationship between functionality and motor capacity of acute stroke patients

Authors

  • Tamires Cristine Bitencourt Universidade da Região de Joinville
  • Fabiane Maria Klitzke dos Santos
  • Antonio Vinicius Soares

DOI:

https://doi.org/10.34024/rnc.2020.v28.10241

Keywords:

Stroke, Paresis, Assessment, Neurological Rehabilitation

Abstract

Introduction. Stroke is the leading cause of death and disability in Brazil and it is importance that functional assessment and characterization of this patient in the acute phase is to assess the level of limitations and dependence of this patient. Objective. To analyze the relationship between functional independence and motor capacity of post-stroke hemiparetic patients in the acute phase. Method. Correlational Descriptive Study involving 24 hemiparetic patients in the first ten days of hospital admission. They were evaluated by the following instruments: Hand Movement Scale (HMS), Hand Grip Force Measurement (HGF) by Dynamometry, Trunk Control Test (TCT), Timed Up and Go (TUG), Gait Speed Test (GST), Barthel Index (BI) and the Stroke Specific Quality of Life Scale (SSQLS). For the Statistical analysis we used the Spearman Correlation Test with a significance level of 1% (p<0.01) and a descriptive analysis. Results. Functional independence demonstrated to be strongly correlated with trunk control, functional mobility, gait, and handgrip strength on the affected side. Conclusions. It is suggested that in the acute phase after a stroke, functional mobility, trunk control, gait speed and handgrip strength on the paretic side directly affect the functional independence of these individuals.

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References

Estrela TLRS, Assis SC, Daltro MCSL. Avaliação da funcionalidade de pacientes com sequelas de acidente vascular cerebral através da escala de Rankin. Fisioter Bras 2018;19:192-9. http://dx.doi.org/10.33233/fb.v19i5.2622

Marinho C, Monteiro M, Santos L, Oliveira-filho J, Pinto EB. Gait performance and quality of life in stroke survivors: a cross-sectional study. Rev Pesq Fisioterap 2018;8:79-87. http://dx.doi.org/10.17267/2238-2704rpf.v8i1.1777

Nave AH, Rackoll T, Grittner U, Bläsing H, Gorsler A, Nabavi DG, et al. Physical Fitness Training in Patients with Subacute Stroke (PHYS-STROKE): multicentre, randomised controlled, endpoint blinded trial. Rev Bras Atividade Fís e Saúde 2019;366:l5101. http://dx.doi.org/10.1136/bmj.l5101

Lamola G, Pisa U, Bertolucci F, Rossi B, Chisari C. Clinical Assessments for Predicting Functional Recovery after Stroke. Int J Neurorehabil 2015;2:1-7. http://dx.doi.org/10.4172/2376-0281.1000174

Bambirra C, Cecília M, Rodrigues B, Danielli CMFC, Rodrigues PF. Clinical evaluation of balance in hemiparetic adults: a systematic review. Fisioter Mov 2015;28:187-200. http://dx.doi.org/10.1590/0103-5150.028.001.AR03

Monteiro J, Silva B. Efetividade da reabilitação virtual no equilíbrio corporal e habilidades motoras de indivíduos com déficit neuromotor: uma revisão sistemática. Rev Bras Atividade Fís Saúde 2012;17:224-3. http://dx.doi.org/10.12820/rbafs.v.17n3p224-230

Musa KI, Keegan TJ. The change of Barthel Index scores from the time of discharge until 3-month postdischarge among acute stroke patients in Malaysia: A random intercept model. PloS One 2018;13:1-13. http://dx.doi.org/10.1371/journal.pone.0208594

Soares AV, Borges Junior NG, Domenech SC, Loch MSG. Deficits in upper limbs after stroke: influences of functional hemispheric asymmetries. Rev Neurocienc 2015;23:260-6. https://doi.org/10.4181/RNC.2015.23.02.992.7p

Soares AV, Kerscher C, Uhlig L, Domenech SC. Dinamometria de preensão manual como parâmetro de avaliação funcional do membro superior de pacientes hemiparéticos por acidente vascular cerebral. Fisioter Pesq 2011;18:359–64. http://dx.doi.org/10.1590/S1809-29502011000400011

Oliveira JS. Adaptação Cultural e Linguística do Trunk Control Test: avaliação das propriedades psicométricas (Dissertação). Portugal: Instituto Politécnico do Porto, 2015, 75p. https://recipp.ipp.pt/bitstream/10400.22/7863/1/DM_JustinaOliveira_2015.pdf

Persson CU, Danielsson A, Sunnerhagen KS, Grimby-ekman A, Hansson P. Timed Up & Go as a measure for longitudinal change in mobility after stroke – Postural Stroke Study in Gothenburg (POSTGOT). J Neuro Engin Rehabil 2014;11:1-7. http://dx.doi.org/10.1186/1743-0003-11-83

Peters DM, Fritz SL, Krotish DE. Assessing the Reliability and Validity of a Shorter Walk Test Compared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults. Res Report 2013;26:24-30. http://dx.doi.org/10.1519/JPT.0b013e318248e20d

Caneda MAG, Fernandes JG, Almeida AG, Mugnol FE. Confiabilidade de escalas de comprometimento neurológico em pacientes com acidente vascular cerebral. Arq Neuropsiquiatr 2006;64:690-7. http://dx.doi.org/10.1590/S0004-282X2006000400034

Quinn TJ, Langhorne P, Stott DJ. Barthel Index for Stroke Trials. Stroke 2011;42:1146-51.

http://dx.doi.org/10.1161/STROKEAHA.110.598540

Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke 1999;30:1362-9. http://dx.doi.org/10.1161/01.STR.30.7.1362

Lima RCM, Teixeira-Salmela LF, Magalhaes LC, Gomes-Neto M. Propriedades psicométricas da versão brasileira da escala de qualidade de vida específica para acidente vascular encefálico: aplicação do modelo Rasch. Rev Bras Fisioter 2008;12:149-56. http://dx.doi.org/10.1590/S1413-35552008000200012

Thrift AG, Cadilhac DA, Thayabaranathan T, Howard G, Howard VJ, Rothwell PM, et al. Global stroke statistics. Int J Stroke 2014;9:6-18. http://dx.doi.org/10.1177/1747493016676285

Medeiros CSP, Pacheco TBFP, Cavalcanti FAC, Cacho RO, Bezerra AMSB. Level of motor, sensory and functional impairment from stroke at admission and hospital discharge in Brazil. Brain Injury 2019;33:1430-5. http://dx.doi.org/10.1080/02699052.2019.1642515

Moreira RNTL, Andrade AS, Ribeiro KSQS, Nascimento J, Brito GEG. Qualidade de vida em indivíduos acometidos por Acidente Vascular Cerebral. Rev Neurocienc 2015;23:530–7.

https://doi.org/10.34024/rnc.2015.v23.7976

Maenza C, Good DC, Winstein CJ, Wagstaff DA, Sainburg RL. Functional Deficits in the Less-Impaired Arm of Stroke Survivors Depend on Hemisphere of Damage and Extent of Paretic Arm Impairment. Am Soc Neurorehabil Neural Repair 2019;34:39-50. http://dx.doi.org/10.1177/1545968319875951

Nakao S, Takata S, Uemura H, Kashihara M, Osawa T, Komatsu K, et al. Relationship between Barthel Index scores during the acute phase of rehabilitation and subsequent ADL in stroke patients. J Med Invest 2010;57:81-8. http://dx.doi.org/10.2152/jmi.57.81

Feigin VL, Krishnamurthi R, Bhattacharjee R, Parmar P, Theadom A, Hussein T, et al. New Strategy to Reduce the Global Burden of Stroke. Stroke 2015;46:1740-7.

http://dx.doi.org/10.1161/STROKEAHA.115.008222

Schlemmer GBV, Machado AS, Santos TD, Tavares DI, Müller M, Pereira MB, et al. Correlação entre qualidade de vida e independência funcional de idosos institucionalizados. Rev Kairós Gerontol 2018;21:411-26. http://dx.doi.org/10.23925/2176-901X.2018v21i1p411-426

Iddagoda MT, Inderjeeth CA, Chan K, Raymond WD. Prognostication accuracy of final destination in poststroke patients requiring transitional care. Australasian J Ageing 2019;00:1–7. http://dx.doi.org/10.1111/ajag.12742

Lee EH, Kim JW, Kang HJ, Kim SW, Kim JT, Park MS, et al. Association between Anxiety and Functional Outcomes in Patients with Stroke: A 1-Year Longitudinal Study. Psychiatry Investig 2017;1–21. http://dx.doi.org/10.30773/pi.2019.0188

Eraifej J, Clark W, France B, Desando S, Moore D. Effectiveness of upper limb functional electrical stimulation after stroke for the improvement of activities of daily living and motor function: a systematic review and meta-analysis. Syst Rev 2017;6:40. http://dx.doi.org/10.1186/s13643-017-0435-5

Silva SM, Carlos J, Corrêa F, Silva C Da, Fernanda P, Corrêa FI. Relação entre a força de preensão manual e capacidade funcional após Acidente Vascular Cerebral. Rev Neurocienc 2014;23:74-80. https://doi.org/10.34024/rnc.2015.v23.8052

Hafsteinsdottir TB, Rensink M, Schuurmans M. Clinimetric properties of the Timed Up and Go test for patients with stroke: a systematic review. Stroke Rehabilitation 2014;21:197-210. http://dx.doi.org/10.1310/tsr2103-197

Ricci NA, Ferrarias GP, Molina KI, Dib PM, Alouche SR. Velocidade de marcha e autoeficácia em quedas em indivíduos com hemiparesia após Acidente Vascular Encefálico. Fisioter Pesq 2015;22:191-6. http://dx.doi.org/10.590/1809-2950/14484522022015

Reis C, Faro A. Repercussões Psicológicas Após Um Acidente Vascular Cerebral (AVC): Uma Revisão De Literatura. Psicologia, Saúde & Doenças 2019;20:16-32. http://dx.doi.org/10.15309/19psd200102

Published

2020-07-14

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Section

Artigos Originais

How to Cite

1.
Bitencourt TC, Klitzke dos Santos FM, Soares AV. Relationship between functionality and motor capacity of acute stroke patients . Rev Neurocienc [Internet]. 2020 Jul. 14 [cited 2025 Dec. 15];28:1-18. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/10241
Received 2020-02-03
Accepted 2020-06-29
Published 2020-07-14