Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral

Detalhes bibliográficos
Autor(a) principal: Pereira, Debora Dias [UNIFESP]
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/0013000006r44
Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6435317
https://repositorio.unifesp.br/handle/11600/52896
Resumo: Objectives: The objectives of this study were: compare pre and post-treatment, according to the Constraint-Induced Movement Therapy (CIT) assessment scales, in stroke patients regarding circadian preference, sleep quality, and risk of Obstructive Sleep Apnea Syndrome (OSAS). Methods: In a retrospective study of patients after stroke who underwent CIT only in the morning, between 2009 and 2016 in the AACD, three different approaches were divided: A- three groups, according to the circadian reference; B- in two groups depending on the risk of OSAS and C- three groups according to sleep quality. Subsequently, the difference in the functional capacity scores before and after treatment with CIT were recorded. Results: Fortythree patients, 56.93 ± 14.97 years old, 58.14% males, the Body Mass Index (BMI) was 30.33 ± 2.37 kg / m2, with rehabilitation performed 6.15 ± 4.26 years after stroke. The stroke was ischemic in 29 patients (67.44%) and hemorrhagic in 12 patients (32.56%). All CIT assessment scales improved after therapy in general. When we analyzed the circadian preferences, the evening patients (with discordant circadian preference) had less improvement after the rehabilitation than the other groups, as well as the bad sleepers had worse performance. Conclusions: Patients after stroke with discordant circadian preference had lower gain after CIT. Patients after stroke with poor sleep quality had lower improvement too. Our stroke population was relatively young, the type of stroke and it’s location were consistent with the literature and most part of them were obese. There was a long time between the event and the beginning of rehabilitation. There was no excessive daytime sleepiness in stroke patients after stroke even with poor sleep quality and higher risk of OSAS.
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spelling Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular CerebralEffect of circadian pattern in stroke patients in rehabilitationStrokeReinstatement By RetentionCircadian PreferenceSleepAcidente Vascular CerebralReabilitação Por ContençãoPreferência CircadianaSonoObjectives: The objectives of this study were: compare pre and post-treatment, according to the Constraint-Induced Movement Therapy (CIT) assessment scales, in stroke patients regarding circadian preference, sleep quality, and risk of Obstructive Sleep Apnea Syndrome (OSAS). Methods: In a retrospective study of patients after stroke who underwent CIT only in the morning, between 2009 and 2016 in the AACD, three different approaches were divided: A- three groups, according to the circadian reference; B- in two groups depending on the risk of OSAS and C- three groups according to sleep quality. Subsequently, the difference in the functional capacity scores before and after treatment with CIT were recorded. Results: Fortythree patients, 56.93 ± 14.97 years old, 58.14% males, the Body Mass Index (BMI) was 30.33 ± 2.37 kg / m2, with rehabilitation performed 6.15 ± 4.26 years after stroke. The stroke was ischemic in 29 patients (67.44%) and hemorrhagic in 12 patients (32.56%). All CIT assessment scales improved after therapy in general. When we analyzed the circadian preferences, the evening patients (with discordant circadian preference) had less improvement after the rehabilitation than the other groups, as well as the bad sleepers had worse performance. Conclusions: Patients after stroke with discordant circadian preference had lower gain after CIT. Patients after stroke with poor sleep quality had lower improvement too. Our stroke population was relatively young, the type of stroke and it’s location were consistent with the literature and most part of them were obese. There was a long time between the event and the beginning of rehabilitation. There was no excessive daytime sleepiness in stroke patients after stroke even with poor sleep quality and higher risk of OSAS.Objetivos: os objetivos do presente estudo foram: Comparar a variação pré e pós tratamento, segundo escalas de avaliação da Terapia de Contensão Induzida (TCI), em pacientes após Acidente Vascular Cerebral (AVC) segundo a preferência circadiana, comparar a variação pré e pós tratamento, segundo escalas de avaliação da TCI, em pacientes após AVC segundo a qualidade de sono e comparar a variação pré e pós tratamento, segundo escalas de avaliação da TCI, em pacientes após AVC segundo o risco de Apneia Obstrutiva do Sono (AOS). Métodos: em um estudo retrospectivo de pacientes após AVC que foram submetidos a TCI somente pela manhã, entre 2009 e 2016 na AACD, foram divididas três diferentes abordagens: A- três grupos, segundo a preferência circadiana; B- em dois grupos dependendo do risco de SAOS e C- três grupos segundo a qualidade do sono. Posteriormente, a diferença dos escores de capacidade funcional pré e pós tratamento com TCI foram anotados. Resultados: quarenta e três pacientes tinham idade média de 56,93 ± 14,97 anos, 58,14% eram do sexo masculino, o Índice de Massa Corpórea (IMC) foi de 30,33 ± 2,37 kg /m2, com reabilitação realizada em 6,15 ± 4,26 anos após o AVC. O AVC foi isquêmico em 29 pacientes (67,44%) e hemorrágico em 12 pacientes (32,56%). Todas as escalas de avaliação da TCI melhoraram após a terapia em geral. Quando analisamos as preferências circadianas, os pacientes vespertinos (com preferência circadiana discordante) tiveram menor melhora após a reabilitação do que os outros grupos, bem como os maus dormidores os quais tiveram pior desempenho. Conclusões: os pacientes após AVC com preferência circadiana discordante com o horário de atendimento tiveram menos ganho após TCI. Os pacientes após AVC com má qualidade do sono tiveram menor melhora após TCI. A população estudada foi relativamente jovem, o tipo de AVC, a localização foram compatíveis com a literatura mundial e a maioria está obesa. Houve um tempo longo entre o evento e o início da reabilitação. Não houve sonolência excessiva em pacientes após AVC mesmo com má qualidade de sono e risco de SAOS.Dados abertos - Sucupira - Teses e dissertações (2018)Associação Fundo de Incentivo à Pesquisa (AFIP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade Federal de São Paulo (UNIFESP)Coelho, Fernando Morgadinho Santos [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Pereira, Debora Dias [UNIFESP]2020-03-25T12:10:40Z2020-03-25T12:10:40Z2018-10-25info:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/publishedVersion49 p.application/pdfhttps://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6435317PEREIRA, Debora Dias. Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2018.2018 PEREIRA, DEBORA DIAS.Mestrado.pdfhttps://repositorio.unifesp.br/handle/11600/52896ark:/48912/0013000006r44porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-02T18:45:14Zoai:repositorio.unifesp.br/:11600/52896Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:01:28.389234Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
Effect of circadian pattern in stroke patients in rehabilitation
title Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
spellingShingle Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
Pereira, Debora Dias [UNIFESP]
Stroke
Reinstatement By Retention
Circadian Preference
Sleep
Acidente Vascular Cerebral
Reabilitação Por Contenção
Preferência Circadiana
Sono
title_short Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
title_full Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
title_fullStr Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
title_full_unstemmed Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
title_sort Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral
author Pereira, Debora Dias [UNIFESP]
author_facet Pereira, Debora Dias [UNIFESP]
author_role author
dc.contributor.none.fl_str_mv Coelho, Fernando Morgadinho Santos [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Pereira, Debora Dias [UNIFESP]
dc.subject.por.fl_str_mv Stroke
Reinstatement By Retention
Circadian Preference
Sleep
Acidente Vascular Cerebral
Reabilitação Por Contenção
Preferência Circadiana
Sono
topic Stroke
Reinstatement By Retention
Circadian Preference
Sleep
Acidente Vascular Cerebral
Reabilitação Por Contenção
Preferência Circadiana
Sono
description Objectives: The objectives of this study were: compare pre and post-treatment, according to the Constraint-Induced Movement Therapy (CIT) assessment scales, in stroke patients regarding circadian preference, sleep quality, and risk of Obstructive Sleep Apnea Syndrome (OSAS). Methods: In a retrospective study of patients after stroke who underwent CIT only in the morning, between 2009 and 2016 in the AACD, three different approaches were divided: A- three groups, according to the circadian reference; B- in two groups depending on the risk of OSAS and C- three groups according to sleep quality. Subsequently, the difference in the functional capacity scores before and after treatment with CIT were recorded. Results: Fortythree patients, 56.93 ± 14.97 years old, 58.14% males, the Body Mass Index (BMI) was 30.33 ± 2.37 kg / m2, with rehabilitation performed 6.15 ± 4.26 years after stroke. The stroke was ischemic in 29 patients (67.44%) and hemorrhagic in 12 patients (32.56%). All CIT assessment scales improved after therapy in general. When we analyzed the circadian preferences, the evening patients (with discordant circadian preference) had less improvement after the rehabilitation than the other groups, as well as the bad sleepers had worse performance. Conclusions: Patients after stroke with discordant circadian preference had lower gain after CIT. Patients after stroke with poor sleep quality had lower improvement too. Our stroke population was relatively young, the type of stroke and it’s location were consistent with the literature and most part of them were obese. There was a long time between the event and the beginning of rehabilitation. There was no excessive daytime sleepiness in stroke patients after stroke even with poor sleep quality and higher risk of OSAS.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-25
2020-03-25T12:10:40Z
2020-03-25T12:10:40Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6435317
PEREIRA, Debora Dias. Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2018.
2018 PEREIRA, DEBORA DIAS.Mestrado.pdf
https://repositorio.unifesp.br/handle/11600/52896
dc.identifier.dark.fl_str_mv ark:/48912/0013000006r44
url https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6435317
https://repositorio.unifesp.br/handle/11600/52896
identifier_str_mv PEREIRA, Debora Dias. Efeito Do Padrão Circadiano Na Reabilitação De Pacientes Após Acidente Vascular Cerebral. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2018.
2018 PEREIRA, DEBORA DIAS.Mestrado.pdf
ark:/48912/0013000006r44
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 49 p.
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
publisher.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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