Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals

ABSTRACT Motor impairment and mobility limitations are frequently observed in post-stroke individuals and are associated with functional dependence and low perceived quality of life. Therefore, evaluating the association between motor impairment and the biomechanical strategies used by post-stroke i...

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Main Authors: Luma Amendoeira Almeida Lima, Larissa Tavares Aguiar, Christina Danielli Coelho de Morais Faria
Format: Article
Language:English
Published: Universidade de São Paulo 2023-08-01
Series:Fisioterapia e Pesquisa
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502023000100215&tlng=en
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author Luma Amendoeira Almeida Lima
Larissa Tavares Aguiar
Christina Danielli Coelho de Morais Faria
author_facet Luma Amendoeira Almeida Lima
Larissa Tavares Aguiar
Christina Danielli Coelho de Morais Faria
author_sort Luma Amendoeira Almeida Lima
collection DOAJ
description ABSTRACT Motor impairment and mobility limitations are frequently observed in post-stroke individuals and are associated with functional dependence and low perceived quality of life. Therefore, evaluating the association between motor impairment and the biomechanical strategies used by post-stroke individuals in performing mobility activities is necessary. This study aimed to evaluate the correlation between lower limb motor impairment assessed by the motor section of the Fugl-Meyer assessment (FMA) scale and the mobility of post-stroke individuals considering the biomechanical strategies assessed by the timed “up and go” assessment of biomechanical strategies (TUG-ABS). This exploratory cross-sectional study included 100 individuals in the chronic phase after stroke with a mean age of 55.02±12.57 years. The FMA was used to assess lower limb motor impairment and the TUG-ABS to assess mobility during the following activities performed sequentially: changing from sitting to standing position, walking, turning 180°, and changing from standing to sitting position. Spearman’s correlation was used to evaluate the relationship between variables (α=5%). Lower limb motor impairment and mobility considering the biomechanical strategies adopted by post-stroke individuals in the aforementioned activities (changing from sitting to standing position, walking, turning 180°, and changing from standing to sitting position) showed a significant (p<0.001), positive correlation of moderate magnitude (rs=0.60). This indicates that motor impairment is an important outcome to be considered during the rehabilitation of post-stroke individuals with mobility limitations, as assessed by the TUG-ABS.
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spelling doaj.art-0a0970c07ba346d599cfe9b6d5b6ed812023-08-29T07:44:08ZengUniversidade de São PauloFisioterapia e Pesquisa2316-91172023-08-013010.1590/1809-2950/e22013423enRelationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individualsLuma Amendoeira Almeida Limahttps://orcid.org/0000-0002-7861-9263Larissa Tavares Aguiarhttps://orcid.org/0000-0002-6503-774XChristina Danielli Coelho de Morais Fariahttps://orcid.org/0000-0001-9784-9729ABSTRACT Motor impairment and mobility limitations are frequently observed in post-stroke individuals and are associated with functional dependence and low perceived quality of life. Therefore, evaluating the association between motor impairment and the biomechanical strategies used by post-stroke individuals in performing mobility activities is necessary. This study aimed to evaluate the correlation between lower limb motor impairment assessed by the motor section of the Fugl-Meyer assessment (FMA) scale and the mobility of post-stroke individuals considering the biomechanical strategies assessed by the timed “up and go” assessment of biomechanical strategies (TUG-ABS). This exploratory cross-sectional study included 100 individuals in the chronic phase after stroke with a mean age of 55.02±12.57 years. The FMA was used to assess lower limb motor impairment and the TUG-ABS to assess mobility during the following activities performed sequentially: changing from sitting to standing position, walking, turning 180°, and changing from standing to sitting position. Spearman’s correlation was used to evaluate the relationship between variables (α=5%). Lower limb motor impairment and mobility considering the biomechanical strategies adopted by post-stroke individuals in the aforementioned activities (changing from sitting to standing position, walking, turning 180°, and changing from standing to sitting position) showed a significant (p<0.001), positive correlation of moderate magnitude (rs=0.60). This indicates that motor impairment is an important outcome to be considered during the rehabilitation of post-stroke individuals with mobility limitations, as assessed by the TUG-ABS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502023000100215&tlng=enStrokeMobility LimitationLower Extremity
spellingShingle Luma Amendoeira Almeida Lima
Larissa Tavares Aguiar
Christina Danielli Coelho de Morais Faria
Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals
Fisioterapia e Pesquisa
Stroke
Mobility Limitation
Lower Extremity
title Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals
title_full Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals
title_fullStr Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals
title_full_unstemmed Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals
title_short Relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post-stroke individuals
title_sort relationship between lower limb motor impairment and biomechanical strategies used during mobility activities in post stroke individuals
topic Stroke
Mobility Limitation
Lower Extremity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502023000100215&tlng=en
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