The spasticity in the motor and functional disability in adults with post-stroke hemiparetic

Abstract Introduction: Spasticity acts as a limiting factor in motor and functional recovery after Stroke, impairing the performance of daily living activities. Objective: To analyze the influence of spasticity on main muscle groups and to associate it with motor impairment and functional level...

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Main Authors: Roberta de Oliveira Cacho, Enio Walker Azevedo Cacho, Anderson Barbosa Loureiro, Gabriele Natane de Medeiros Cirne, Silvana Alves Pereira, Rodrigo Pegado de Abreu Freitas, Núbia Maria Freire Vieira Lima, Guilherme Borges
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400745&lng=en&tlng=en
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author Roberta de Oliveira Cacho
Enio Walker Azevedo Cacho
Anderson Barbosa Loureiro
Gabriele Natane de Medeiros Cirne
Silvana Alves Pereira
Rodrigo Pegado de Abreu Freitas
Núbia Maria Freire Vieira Lima
Guilherme Borges
author_facet Roberta de Oliveira Cacho
Enio Walker Azevedo Cacho
Anderson Barbosa Loureiro
Gabriele Natane de Medeiros Cirne
Silvana Alves Pereira
Rodrigo Pegado de Abreu Freitas
Núbia Maria Freire Vieira Lima
Guilherme Borges
author_sort Roberta de Oliveira Cacho
collection DOAJ
description Abstract Introduction: Spasticity acts as a limiting factor in motor and functional recovery after Stroke, impairing the performance of daily living activities. Objective: To analyze the influence of spasticity on main muscle groups and to associate it with motor impairment and functional level of chronic hemiparetic patients after stroke. Methods: Twenty-seven chronic hemiparetic patients of both sexes were selected at the Physical Therapy and Occupational Therapy Service of the Unicamp Clinics Hospital. Assessments were carried out in two sessions, in the first one the motor impairment (Fugl-Meyer Assessment - FM) and functional impairment (Barthel Index - BI) were evaluated, and in the second, the degree of spasticity of the main muscle groups (Modified Ashworth Scale - MAS). Results: A negative correlation was detected between upper limb spasticity and motor and functional impairment. No muscle group evaluated in the lower limbs showed correlation between muscle tone and the level of impairment of the lower extremity on FM and the functional level measured by BI. Conclusion: Spasticity has been shown to be a negative influence factor in the level of motor and functional impairment of the upper limbs of chronic hemiparetic patients after stroke.
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spelling doaj.art-e077742f7bd94ea6941f86f3c7ca6d842022-12-22T00:27:07ZengEditora ChampagnatFisioterapia em Movimento1980-591830474575210.1590/1980-5918.030.004.ao09S0103-51502017000400745The spasticity in the motor and functional disability in adults with post-stroke hemipareticRoberta de Oliveira CachoEnio Walker Azevedo CachoAnderson Barbosa LoureiroGabriele Natane de Medeiros CirneSilvana Alves PereiraRodrigo Pegado de Abreu FreitasNúbia Maria Freire Vieira LimaGuilherme BorgesAbstract Introduction: Spasticity acts as a limiting factor in motor and functional recovery after Stroke, impairing the performance of daily living activities. Objective: To analyze the influence of spasticity on main muscle groups and to associate it with motor impairment and functional level of chronic hemiparetic patients after stroke. Methods: Twenty-seven chronic hemiparetic patients of both sexes were selected at the Physical Therapy and Occupational Therapy Service of the Unicamp Clinics Hospital. Assessments were carried out in two sessions, in the first one the motor impairment (Fugl-Meyer Assessment - FM) and functional impairment (Barthel Index - BI) were evaluated, and in the second, the degree of spasticity of the main muscle groups (Modified Ashworth Scale - MAS). Results: A negative correlation was detected between upper limb spasticity and motor and functional impairment. No muscle group evaluated in the lower limbs showed correlation between muscle tone and the level of impairment of the lower extremity on FM and the functional level measured by BI. Conclusion: Spasticity has been shown to be a negative influence factor in the level of motor and functional impairment of the upper limbs of chronic hemiparetic patients after stroke.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400745&lng=en&tlng=enStrokeHemiparesisSpasticity
spellingShingle Roberta de Oliveira Cacho
Enio Walker Azevedo Cacho
Anderson Barbosa Loureiro
Gabriele Natane de Medeiros Cirne
Silvana Alves Pereira
Rodrigo Pegado de Abreu Freitas
Núbia Maria Freire Vieira Lima
Guilherme Borges
The spasticity in the motor and functional disability in adults with post-stroke hemiparetic
Fisioterapia em Movimento
Stroke
Hemiparesis
Spasticity
title The spasticity in the motor and functional disability in adults with post-stroke hemiparetic
title_full The spasticity in the motor and functional disability in adults with post-stroke hemiparetic
title_fullStr The spasticity in the motor and functional disability in adults with post-stroke hemiparetic
title_full_unstemmed The spasticity in the motor and functional disability in adults with post-stroke hemiparetic
title_short The spasticity in the motor and functional disability in adults with post-stroke hemiparetic
title_sort spasticity in the motor and functional disability in adults with post stroke hemiparetic
topic Stroke
Hemiparesis
Spasticity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400745&lng=en&tlng=en
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