Relation between functional independence and motor impairments in hemiparetic post-stroke patients
DOI:
https://doi.org/10.34024/rnc.2007.v15.8707Keywords:
Hemiplegia, Stroke, Physical Therapy, EvaluationAbstract
Objective: The purpose of this study is to verify the correlation between functional independence and motor impairments in hemiparetic post-stroke patients. Method: Twenty-three stroke patients were randomly selected. The exclusion criteria were severe cognitive dysfunction, comprehension aphasia and impossibility of participating. Before the patients signed the Consent Form, they were submitted to the Functional Independence Measure (FIM). The questionnaire has been applied with the caregivers for those who had expression aphasia. The categories were divided in 6 domains: take care of yourself, sphincter control, transference, locomotion, communication and social cognition. We evaluated the correlation of FIM with gender, hemiparetic side, and brachial, crural or combined impaired predomination. Results: Gender was correlated with sphincter control and social cognition. The women presented more Social Cognition than men did (p=0.01) and the men presented a tendency in more sphincter control than women did (p=0.06). Comparing impairment predomination, we observed that there was less crural one that brachial and combined (p=0.01) related to communication. Conclusion: There was a correlation between motor and functional impairment and the FIM communication item, and there was less crural impairment than the other predominancies.
Metrics
References
Neto AC. Acidente Vascular Cerebral – Neurology, v8, São Paulo: Revinter. 2001, p1-13.
Fuscaldi L, Silva CS, Augusto AC, Souza AC, Goular F, Lima MR. Fortalecimento muscular e condicionamento físico em hemiplégicos. Acta Fisiatr 2000; 7(3):108-118.
Umphred D. A Fisioterapia Neurológica. 2° edição. São Paulo: Editora Manole,1994, p615-656.
Moura RMF, Lima RCM, Lage DC, Amaral EAA. Efeitos do treinamento aeróbio na qualidade de vida e na capacidade funcional de indivíduos hemiparéticos crônicos. Acta Fisiatr 2005; 12(3): 8-13.
Riberto M, Miyazaki MH, Filho DJ, Sakamoto H, Battistella LR. Reprodutibilidade da versão brasileira da Medida de Independência Funcional. Acta Fisiatr 2001; 1(8):45-52.
Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR. Validação da Versão Brasileira da Medida de Independência Funcional. Acta Fisiatr 2004; 2(11):72-76.
Riberto M, Pinto PPN, Sakamoto H, Battistella LR. Independência funcional de pacientes com lesão medular Acta Fisiatr 2005; 12(2): 61-66.
Haaland KY, Harrington DL. Limb-sequencing déficits after left but not right hemisphere damage.Brain and Cognition 2004; 24: 104-122.
Sabate M, Gonzalez B, Rodriguez M. Brain lateralization of motor imagery: motor planning asymmetry as a cause of movement lateralization. Neuropsychologia 2004; 42: 1041-1049.
Luft AR, Walter S, Forrester L, Smith GV, Whitall J, Macko RF, et al. Lesion location alters brain activation in chronically impaired stroke survivors. Neuroimage 2004; 21:924-935.
Harris JE, Eng JJ. Individuals with dominant hand affected following stroke demostrate less impairment than those with the nondominant hand affected. Neurorehabil S Jouvet Neural Repair 2006; 20(3): 380-389.
