Características de indivíduos com hemiparesia segundo a percepção sobre a dificuldade na subida de escadas

Introduction: climbing up and down stairs is entered directly into the Community ambulation and activities of daily living. In individuals with hemiparesis after stroke, this activity may be compromised due to deficits in components of body function and structures, activity and participation. Objective: To identify the characteristics of individuals with hemiparesis, according to the self-perception of difficulty climbing stairs and relate to components of body function and structures (BFS), activity and participation with the cadence of up / down stairs. Method: Twenty-five subjects (57.8±12.4 years) with chronic hemiparesis (57.8±42.7 months) were divided into two groups as perceived with and without difficulty climbing stairs by this particular question in the Stroke Specific Quality of Life Scale (SSQOL). In the BSF domain was rated lower limb motor impairment (Fugl-Meyer Scale), the activity domain, gait/mobility (gait speed, the Timed Up and Go-TUG) and balance (one-leg support and BERG) and participation domain the quality of life with SSQOL. Results: The group with self-perception without difficulty showed less motor impairment and higher levels of activity and participation. Strong correlations of the stair climbing cadence with the Fugl-Meyer Scale and TUG and between stair descent cadence with gait speed and TUG. Conclusion: Variables of body function andstructures , activity and participation are lower in the group with self-perceived difficulty in stair climbing and are correlated with the cadence of stair ascent and descent.

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Effect of Sit-to-Stand Training Combined with Taping on Spasticity, Strength, Gait Speed and Quality of Life in Patients with Stroke: A Randomized Controlled Trial

Life ◽

10.3390/life11060511 ◽

2021 ◽

Vol 11 (6) ◽

pp. 511

Author(s):

Tae-sung In ◽

Jin-hwa Jung ◽

Kyoung-sim Jung ◽

Hwi-young Cho

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Gait Speed ◽

Walking Speed ◽

Controlled Trial ◽

Muscle Stiffness ◽

Stroke Patients ◽

Sit To Stand ◽

Quality Of Life Scale

Background and Objectives: Spasticity is one of the factors that make it more difficult to control posture in stroke patients. Taping has been used to manage muscle stiffness in various musculoskeletal disorders. Recently, it has been used to decrease spasticity in stroke patients, but the effect of taping combined with therapeutic exercise is still unclear. The purpose of the present study was to determine whether the sit-to-stand (STS) training combined with taping improves the ankle spasticity, muscle strength, gait speed, and quality of life in stroke patients. Material and Methods: The study recruited 40 stroke patients, who were randomly divided into two groups: the taping and STS training (TSTS) group (n = 20) and the STS group (n = 20). The subjects in the TSTS group underwent STS training with Kinesio taping on the tibialis anterior, calf and ankle joint, whereas the subjects in the STS group underwent only STS training. All participants underwent 30 sessions of STS training (30 minutes, 5 days per week for 6 weeks). The present study evaluated the spasticity of ankle plantar flexors by the mean of the composite spasticity score; the muscle strength and gait speed were evaluated using the handheld dynamometer and the 10-meter walk test, respectively, and the quality of life was assessed using the stroke-specific quality of life scale. Result: The TSTS group and the STS group showed significant improvements in spasticity, muscle strength, walking speed, and quality of life after the intervention (p < 0.05). The level of improvement in the TSTS group was significantly higher in spasticity, muscle strength, and walking speed compared to the STS group (p < 0.05). Conclusions: The present study demonstrated that STS training is effective for decreasing spasticity in stroke patients and suggested that additional taping intervention further improved this effect. In addition, improvement of muscle strength and gait function was observed with a significant decrease of ankle spasticity.

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Specific health-related quality of life in Cerebrovascular accident survivors: associated factors

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2021-0407 ◽

2022 ◽

Vol 75 (3) ◽

Author(s):

Cleane Rosa Ribeiro da Silva ◽

Cláudia Jeane Lopes Pimenta ◽

Lia Raquel de Carvalho Viana ◽

Gerlania Rodrigues Salviano Ferreira ◽

Thaíse Alves Bezerra ◽

...

Keyword(s):

Quality Of Life ◽

Cerebrovascular Accident ◽

Motor Impairment ◽

Health Related Quality ◽

Work Activity ◽

Quality Of Life Scale ◽

Related Quality ◽

Health Related ◽

Specific Health

ABSTRACT Objectives: to identify factors associated with specific health-related quality of life in cerebrovascular accident, or stroke, survivors. Methods: cross-sectional study, carried out with 160 cerebrovascular accident survivors. Data were collected using the Barthel Index, Cerebrovascular Accident Specific Quality of Life Scale, and semi-structured instruments for sociodemographic and clinical data, analyzed by descriptive and inferential statistics. Results: health-related quality of life was associated with work activity (p=0.027), physical activity (p=0.007), functional capacity (p=0.001), presence of caregiver (<0.001), motor alteration (p = 0.001) and rehabilitation (p=0.003). The functionally dependent people were 14.61 times more likely to present low health-related quality of life, and those with motor impairment were 3.07 times more likely. Conclusions: it was evidenced that functional dependence and motor impairment increase the chance of low health-related quality of life in cerebrovascular accident survivors.

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Abstract TP144: The Relationship Between Gait Speed and Self-Reported Quality of Life in Stroke Survivors After Treatment With a Therapeutic Gait Device

Stroke ◽

10.1161/str.51.suppl_1.tp144 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Brianne Darcy ◽

Lauren Rashford ◽

Elizabeth Lundin ◽

Ryan Medas ◽

Stephen T Shultz ◽

...

Keyword(s):

Quality Of Life ◽

Gait Speed ◽

Stroke Survivors ◽

Walking Ability ◽

Quality Of Life Scale ◽

Life Scale ◽

The Mean ◽

The Relationship

Introduction: In stroke survivors, variables associated with lower quality of life (QOL) include hemiplegia, lower functional status, degree of walking ability, speed of gait, and overall walking dysfunction. The iStride TM Gait Solution, a home-use gait treatment device, has been shown to improve gait speed and other functional parameters in stroke survivors. This analysis discusses the relationship found between gait speed parameters and self-reported QOL after treatment with the iStride TM Gait Solution. Methods: Nineteen subjects were treated with the iStride TM device in their home environment for a targeted 12 sessions over four weeks. QOL was measured using the Stroke Specific Quality of Life Scale (SS-QOL) and gait speed was measured using the 10 Meter Walk Test (10MWT) at comfortable pace. Outcome measures were assessed at baseline and one-week post-treatment. Results: Results showed a statistically significant improvement from baseline to one-week follow-up for 10MWT (p=0.0001) and SS-QOL (p=0.007). The relationship between these variables appeared to be more dependent on the % improvement of gait speed and the ending gait speed being above the mean baseline speed (0.575 m/s) than the absolute improvement in gait speed. For example, subjects starting below the mean gait speed improved 23 points (14.8%) on SS-QOL (gait speed improvement = 0.22m/s) compared to 11.7 points (8%) on SS-QOL (gait speed improvement = 0.33 m/s). In addition, subjects that improved from the home ambulator category to limited community ambulator improved an average of 15.3 points (10.2%) on SS-QOL while subjects improving from limited community ambulator to full community ambulator improved only 4.8 points (4.6%) SS-QOL, despite a 0.16 m/s larger gait speed improvement. Conclusions: The results of this analysis indicate that larger gains in QOL may be achieved by focusing on patients reaching a gait speed above approximately 0.575 m/s. Our findings also support the importance of helping home ambulator stroke survivors achieve limited community ambulator status. These findings may guide clinicians who desire to improve the QOL of their patients to select effective treatment methods targeting gait speed improvement.

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Quality of life and associated factors in non-institutionalized elderly: a cross-section study

Research Society and Development ◽

10.33448/rsd-v10i2.12645 ◽

2021 ◽

Vol 10 (2) ◽

pp. e42310212645

Author(s):

Michele Natara Portilio ◽

Maitê Piazza Willig ◽

Tiago Cadore da Motta ◽

Maete Cavalheiro ◽

Lilian Rigo

Keyword(s):

Quality Of Life ◽

Oral Health ◽

The Elderly ◽

Social Activities ◽

Self Perception ◽

Institutionalized Elderly ◽

Elderly Individuals ◽

Quality Of Life Scale ◽

Adjusted Model

The aim this study was to analyze the quality of life (QoL) and its the association with sociodemographic and oral health data in non-institutionalized elderly individuals. This is a cross-sectional study with a sample of 225 elderly individuals aged 60 years or older from a city in Southern Brazil. For data collection, we used the quality of life scale (WHOQOL-OLD), the Geriatric Oral Health Assessment Index (GOHAI), as well as questions about sociodemographic and oral health conditions. QoL presented a mean of 62.73. Sociodemographic variables were tested in a linear regression model, and those that remained associated in the final adjusted model were: age (β = -0.25; 95% confidence interval, CI: -0.40; -0.14), daily independence (β = -0.32; 95% CI: -7.71; -3.57), and participation in social activities (β = -0.12; 95% CI: -4.31; -0.21). The elderly individuals’ oral characteristics were compared, and the following remained associated in the adjusted model: time of last visit to the dentist (β = -0.34; 95% CI: -9.50; -4.65) and oral self-perception (β = 0.30; 95% CI: 0.53; 1.18).The findings of this study showed that, being older, being dependent in life and non-participating in social activities, as well as no visiting the dentist last year were predictors of a worst QoL for the elderly, however, good self-perception of oral health was a predictor of better QoL.

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Similar effects of two modified constraint-induced therapy protocols on motor impairment, motor function and quality of life in patients with chronic stroke

Neurology International ◽

10.4081/ni.2015.5430 ◽

2015 ◽

Vol 7 (1) ◽

Cited By ~ 9

Author(s):

Wilma Costa Souza ◽

Adriana B. Conforto ◽

Marco Orsini ◽

Annette Stern ◽

Charles André

Keyword(s):

Quality Of Life ◽

Motor Function ◽

Real World ◽

Controlled Trial ◽

Motor Impairment ◽

Chronic Stroke ◽

Quality Of Life Scale ◽

Life Scale ◽

Treatment Measures

Modified constraint-induced movement therapy (CIMT) protocols show motor function and real-world arm use improvement. Meanwhile it usually requires constant supervision by physiotherapists and is therefore more expensive than customary care. This study compared the preliminary efficacy of two modified CIMT protocols. A two-group randomized controlled trial with pre and post treatment measures and six months follow-up was conducted. Nineteen patients with chronic stroke received 10 treatment sessions distributed three to four times a week over 22 days. CIMT3h_direct group received 3 hours of CIMT supervised by a therapist (n=10) while CIMT1.5h_direct group had 1.5 hours of supervised CIMT+1.5 hours home exercises supervised by a caregiver (n=9). Outcome measures were the Fugl-Meyer Assessment, the Motor Activity Log, and the Stroke Specific Quality of Life Scale. The modified CIMT protocols were feasible and well tolerated. Improvements in motor function, real-world arm use and quality of life did not differ significantly between treated groups receiving either 3 or 1.5 hours mCIMT supervised by a therapist.

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