Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/57794 |
Resumo: | Rationale, aims, and objectives: Upper limb recovery is one of the main concerns of stroke neurorehabilitation. Neuroplasticity might underlie such recovery, particularly in the chronic phase. The purpose of this study was to assess the effect of physiotherapy based on problem-solving in recovering arm function in chronic stroke patients and explore its neuroplastic changes. Methods: A small sample research design with a n of 3 using a pre-post test design was carried out. Neuroplasticity and function were assessed by using functional magnetic resonance imaging (during motor imagery and performance), action research arm test, motor assessment scale, and Fugl-Meyer assessment scale, at 3 sequential time periods: baseline(m0before a 4-week period without physiotherapy), pre-treatment(m1), and post-treatment(m2). Minimal clinical important differences and a recovery score were assessed. Assessors were blinded to moment assignment. Patients(1) underwent physiotherapy sessions, 50minutes, 5days/week for 4weeks. Four control subjects served as a reference for functional magnetic resonance imaging changes. Results: All patients recovered more than 20% after intervention. Stroke patients had similar increased areas as healthy subjects during motor execution but not during imagination at baseline. Consequently, all patients increased activity in the contralateral precentral area after intervention. Conclusions: This study indicates that 4weeks of physiotherapy promoted the recovery of arm function and neuroplasticity in all chronic stroke patients. Future research is recommended to determine the efficacy of this therapy. |
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Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case seriesAdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuronal PlasticityPhysical Therapy ModalitiesRecovery of FunctionStrokeUpper ExtremityStroke RehabilitationarmBobath conceptneuroplasticityphysiotherapyrehabilitationScience & TechnologyRationale, aims, and objectives: Upper limb recovery is one of the main concerns of stroke neurorehabilitation. Neuroplasticity might underlie such recovery, particularly in the chronic phase. The purpose of this study was to assess the effect of physiotherapy based on problem-solving in recovering arm function in chronic stroke patients and explore its neuroplastic changes. Methods: A small sample research design with a n of 3 using a pre-post test design was carried out. Neuroplasticity and function were assessed by using functional magnetic resonance imaging (during motor imagery and performance), action research arm test, motor assessment scale, and Fugl-Meyer assessment scale, at 3 sequential time periods: baseline(m0before a 4-week period without physiotherapy), pre-treatment(m1), and post-treatment(m2). Minimal clinical important differences and a recovery score were assessed. Assessors were blinded to moment assignment. Patients(1) underwent physiotherapy sessions, 50minutes, 5days/week for 4weeks. Four control subjects served as a reference for functional magnetic resonance imaging changes. Results: All patients recovered more than 20% after intervention. Stroke patients had similar increased areas as healthy subjects during motor execution but not during imagination at baseline. Consequently, all patients increased activity in the contralateral precentral area after intervention. Conclusions: This study indicates that 4weeks of physiotherapy promoted the recovery of arm function and neuroplasticity in all chronic stroke patients. Future research is recommended to determine the efficacy of this therapy.info:eu-repo/semantics/publishedVersionJohn Wiley & SonsUniversidade do MinhoCarvalho, RaquelAzevedo, ElsaMarques, Paulo César GonçalvesDias, NunoCerqueira, João José20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/57794engCarvalho R, Azevedo E, Marques P, Dias N, Cerqueira JJ. Physiotherapy based on problem‐solving in upper limb function and neuroplasticity in chronic stroke patients: A case series. J Eval Clin Pract. 2018;1–9. https:// doi.org/10.1111/jep.129211356-129410.1111/jep.1292129691951info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:19:45Zoai:repositorium.sdum.uminho.pt:1822/57794Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:12:44.208829Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
title |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
spellingShingle |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series Carvalho, Raquel Adult Aged Female Humans Magnetic Resonance Imaging Male Middle Aged Neuronal Plasticity Physical Therapy Modalities Recovery of Function Stroke Upper Extremity Stroke Rehabilitation arm Bobath concept neuroplasticity physiotherapy rehabilitation Science & Technology |
title_short |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
title_full |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
title_fullStr |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
title_full_unstemmed |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
title_sort |
Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series |
author |
Carvalho, Raquel |
author_facet |
Carvalho, Raquel Azevedo, Elsa Marques, Paulo César Gonçalves Dias, Nuno Cerqueira, João José |
author_role |
author |
author2 |
Azevedo, Elsa Marques, Paulo César Gonçalves Dias, Nuno Cerqueira, João José |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Carvalho, Raquel Azevedo, Elsa Marques, Paulo César Gonçalves Dias, Nuno Cerqueira, João José |
dc.subject.por.fl_str_mv |
Adult Aged Female Humans Magnetic Resonance Imaging Male Middle Aged Neuronal Plasticity Physical Therapy Modalities Recovery of Function Stroke Upper Extremity Stroke Rehabilitation arm Bobath concept neuroplasticity physiotherapy rehabilitation Science & Technology |
topic |
Adult Aged Female Humans Magnetic Resonance Imaging Male Middle Aged Neuronal Plasticity Physical Therapy Modalities Recovery of Function Stroke Upper Extremity Stroke Rehabilitation arm Bobath concept neuroplasticity physiotherapy rehabilitation Science & Technology |
description |
Rationale, aims, and objectives: Upper limb recovery is one of the main concerns of stroke neurorehabilitation. Neuroplasticity might underlie such recovery, particularly in the chronic phase. The purpose of this study was to assess the effect of physiotherapy based on problem-solving in recovering arm function in chronic stroke patients and explore its neuroplastic changes. Methods: A small sample research design with a n of 3 using a pre-post test design was carried out. Neuroplasticity and function were assessed by using functional magnetic resonance imaging (during motor imagery and performance), action research arm test, motor assessment scale, and Fugl-Meyer assessment scale, at 3 sequential time periods: baseline(m0before a 4-week period without physiotherapy), pre-treatment(m1), and post-treatment(m2). Minimal clinical important differences and a recovery score were assessed. Assessors were blinded to moment assignment. Patients(1) underwent physiotherapy sessions, 50minutes, 5days/week for 4weeks. Four control subjects served as a reference for functional magnetic resonance imaging changes. Results: All patients recovered more than 20% after intervention. Stroke patients had similar increased areas as healthy subjects during motor execution but not during imagination at baseline. Consequently, all patients increased activity in the contralateral precentral area after intervention. Conclusions: This study indicates that 4weeks of physiotherapy promoted the recovery of arm function and neuroplasticity in all chronic stroke patients. Future research is recommended to determine the efficacy of this therapy. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018 2018-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/57794 |
url |
http://hdl.handle.net/1822/57794 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Carvalho R, Azevedo E, Marques P, Dias N, Cerqueira JJ. Physiotherapy based on problem‐solving in upper limb function and neuroplasticity in chronic stroke patients: A case series. J Eval Clin Pract. 2018;1–9. https:// doi.org/10.1111/jep.12921 1356-1294 10.1111/jep.12921 29691951 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
John Wiley & Sons |
publisher.none.fl_str_mv |
John Wiley & Sons |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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