Clinical factors associated with the development of nonuse learned after stroke: a prospective study

Detalhes bibliográficos
Autor(a) principal: Molle Da Costa, Rafael Dalle [UNESP]
Data de Publicação: 2019
Outros Autores: Luvizutto, Gustavo José, Martins, Laís Geronutti [UNESP], Thomaz De Souza, Juli [UNESP], Regina Da Silva, Taís [UNESP], Alvarez Sartor, Lorena Cristina [UNESP], Winckler, Fernanda Cristina [UNESP], Modolo, Gabriel Pinheiro [UNESP], Molle, Evelin Roberta Da Silva Dalle [UNESP], Dos Anjos, Sarah M, Bazan, Silméia Garcia Zanati [UNESP], Cuadrado, Luís Martin [UNESP], Bazan, Rodrigo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1080/10749357.2019.1631605
http://hdl.handle.net/11449/228694
Resumo: Background: Upper extremity impairment is present in most of people with stroke. The use of the affected upper extremity can be impacted not only by physical impairment but also by abehavioral phenomenon called learned nonuse. Objective: The aim of this study was to evaluate which clinical factors in the acute phase are associated with the development of learned nonuse in the upper extremity after stroke. Methods: This cohort study included 38 patients with ischemic stroke. Hospital discharge data were collected for clinical aspects, scales of severity, incapacity and autonomy, as well as for neuromuscular and sensory evaluations. At 90 days after hospital discharge, the score on the Motor Activity Log scale for detecting learned nonuse was obtained, and life quality was evaluated by the EuroQol. The individuals with and without learned nonuse were compared by attest for univariate analysis, and ageneralized linear model was employed to find possible predictors, which were considered significant p <0.05. Results: In the statistical model, age (p=.006), severity at discharge (p=.036), handgrip strength (p=.000), altered sensitivity (p=.011), incapacity at discharge (p=.009) and autonomy at discharge (p=.011) were found to be associated with learned nonuse. In relation to quality of life, mobility, personal care, usual activities, anxiety, depression and perception had lower mean values in the learned nonuse group. Conclusion: Age, severity of stroke, incapacity and neuromuscular and sensory compromises are associated with upper extremity learned nonuse in stroke patients.
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spelling Clinical factors associated with the development of nonuse learned after stroke: a prospective studyacute strokecerebrovascular accidentlearned nonuserehabilitationStrokeupper extremityBackground: Upper extremity impairment is present in most of people with stroke. The use of the affected upper extremity can be impacted not only by physical impairment but also by abehavioral phenomenon called learned nonuse. Objective: The aim of this study was to evaluate which clinical factors in the acute phase are associated with the development of learned nonuse in the upper extremity after stroke. Methods: This cohort study included 38 patients with ischemic stroke. Hospital discharge data were collected for clinical aspects, scales of severity, incapacity and autonomy, as well as for neuromuscular and sensory evaluations. At 90 days after hospital discharge, the score on the Motor Activity Log scale for detecting learned nonuse was obtained, and life quality was evaluated by the EuroQol. The individuals with and without learned nonuse were compared by attest for univariate analysis, and ageneralized linear model was employed to find possible predictors, which were considered significant p <0.05. Results: In the statistical model, age (p=.006), severity at discharge (p=.036), handgrip strength (p=.000), altered sensitivity (p=.011), incapacity at discharge (p=.009) and autonomy at discharge (p=.011) were found to be associated with learned nonuse. In relation to quality of life, mobility, personal care, usual activities, anxiety, depression and perception had lower mean values in the learned nonuse group. Conclusion: Age, severity of stroke, incapacity and neuromuscular and sensory compromises are associated with upper extremity learned nonuse in stroke patients.Department of rehabilitation Center Botucatu Medical SchoolDepartment of Applied Physical Therapy Federal University of Triângulo MineiroDepartment of Internal Medicine Botucatu Medical SchoolDepartment of Neurology Psychology and Psychiatry Botucatu Medical SchoolDepartment of Medicine University of AlabamaDepartment of rehabilitation Center Botucatu Medical SchoolDepartment of Internal Medicine Botucatu Medical SchoolDepartment of Neurology Psychology and Psychiatry Botucatu Medical SchoolUniversidade Estadual Paulista (UNESP)Federal University of Triângulo MineiroUniversity of AlabamaMolle Da Costa, Rafael Dalle [UNESP]Luvizutto, Gustavo JoséMartins, Laís Geronutti [UNESP]Thomaz De Souza, Juli [UNESP]Regina Da Silva, Taís [UNESP]Alvarez Sartor, Lorena Cristina [UNESP]Winckler, Fernanda Cristina [UNESP]Modolo, Gabriel Pinheiro [UNESP]Molle, Evelin Roberta Da Silva Dalle [UNESP]Dos Anjos, Sarah MBazan, Silméia Garcia Zanati [UNESP]Cuadrado, Luís Martin [UNESP]Bazan, Rodrigo [UNESP]2022-04-29T08:28:06Z2022-04-29T08:28:06Z2019-10-03info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article511-517http://dx.doi.org/10.1080/10749357.2019.1631605Topics in Stroke Rehabilitation, v. 26, n. 7, p. 511-517, 2019.1945-51191074-9357http://hdl.handle.net/11449/22869410.1080/10749357.2019.16316052-s2.0-85067891737Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengTopics in Stroke Rehabilitationinfo:eu-repo/semantics/openAccess2024-08-16T15:45:41Zoai:repositorio.unesp.br:11449/228694Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:45:41Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Clinical factors associated with the development of nonuse learned after stroke: a prospective study
title Clinical factors associated with the development of nonuse learned after stroke: a prospective study
spellingShingle Clinical factors associated with the development of nonuse learned after stroke: a prospective study
Molle Da Costa, Rafael Dalle [UNESP]
acute stroke
cerebrovascular accident
learned nonuse
rehabilitation
Stroke
upper extremity
title_short Clinical factors associated with the development of nonuse learned after stroke: a prospective study
title_full Clinical factors associated with the development of nonuse learned after stroke: a prospective study
title_fullStr Clinical factors associated with the development of nonuse learned after stroke: a prospective study
title_full_unstemmed Clinical factors associated with the development of nonuse learned after stroke: a prospective study
title_sort Clinical factors associated with the development of nonuse learned after stroke: a prospective study
author Molle Da Costa, Rafael Dalle [UNESP]
author_facet Molle Da Costa, Rafael Dalle [UNESP]
Luvizutto, Gustavo José
Martins, Laís Geronutti [UNESP]
Thomaz De Souza, Juli [UNESP]
Regina Da Silva, Taís [UNESP]
Alvarez Sartor, Lorena Cristina [UNESP]
Winckler, Fernanda Cristina [UNESP]
Modolo, Gabriel Pinheiro [UNESP]
Molle, Evelin Roberta Da Silva Dalle [UNESP]
Dos Anjos, Sarah M
Bazan, Silméia Garcia Zanati [UNESP]
Cuadrado, Luís Martin [UNESP]
Bazan, Rodrigo [UNESP]
author_role author
author2 Luvizutto, Gustavo José
Martins, Laís Geronutti [UNESP]
Thomaz De Souza, Juli [UNESP]
Regina Da Silva, Taís [UNESP]
Alvarez Sartor, Lorena Cristina [UNESP]
Winckler, Fernanda Cristina [UNESP]
Modolo, Gabriel Pinheiro [UNESP]
Molle, Evelin Roberta Da Silva Dalle [UNESP]
Dos Anjos, Sarah M
Bazan, Silméia Garcia Zanati [UNESP]
Cuadrado, Luís Martin [UNESP]
Bazan, Rodrigo [UNESP]
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
Federal University of Triângulo Mineiro
University of Alabama
dc.contributor.author.fl_str_mv Molle Da Costa, Rafael Dalle [UNESP]
Luvizutto, Gustavo José
Martins, Laís Geronutti [UNESP]
Thomaz De Souza, Juli [UNESP]
Regina Da Silva, Taís [UNESP]
Alvarez Sartor, Lorena Cristina [UNESP]
Winckler, Fernanda Cristina [UNESP]
Modolo, Gabriel Pinheiro [UNESP]
Molle, Evelin Roberta Da Silva Dalle [UNESP]
Dos Anjos, Sarah M
Bazan, Silméia Garcia Zanati [UNESP]
Cuadrado, Luís Martin [UNESP]
Bazan, Rodrigo [UNESP]
dc.subject.por.fl_str_mv acute stroke
cerebrovascular accident
learned nonuse
rehabilitation
Stroke
upper extremity
topic acute stroke
cerebrovascular accident
learned nonuse
rehabilitation
Stroke
upper extremity
description Background: Upper extremity impairment is present in most of people with stroke. The use of the affected upper extremity can be impacted not only by physical impairment but also by abehavioral phenomenon called learned nonuse. Objective: The aim of this study was to evaluate which clinical factors in the acute phase are associated with the development of learned nonuse in the upper extremity after stroke. Methods: This cohort study included 38 patients with ischemic stroke. Hospital discharge data were collected for clinical aspects, scales of severity, incapacity and autonomy, as well as for neuromuscular and sensory evaluations. At 90 days after hospital discharge, the score on the Motor Activity Log scale for detecting learned nonuse was obtained, and life quality was evaluated by the EuroQol. The individuals with and without learned nonuse were compared by attest for univariate analysis, and ageneralized linear model was employed to find possible predictors, which were considered significant p <0.05. Results: In the statistical model, age (p=.006), severity at discharge (p=.036), handgrip strength (p=.000), altered sensitivity (p=.011), incapacity at discharge (p=.009) and autonomy at discharge (p=.011) were found to be associated with learned nonuse. In relation to quality of life, mobility, personal care, usual activities, anxiety, depression and perception had lower mean values in the learned nonuse group. Conclusion: Age, severity of stroke, incapacity and neuromuscular and sensory compromises are associated with upper extremity learned nonuse in stroke patients.
publishDate 2019
dc.date.none.fl_str_mv 2019-10-03
2022-04-29T08:28:06Z
2022-04-29T08:28:06Z
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://dx.doi.org/10.1080/10749357.2019.1631605
Topics in Stroke Rehabilitation, v. 26, n. 7, p. 511-517, 2019.
1945-5119
1074-9357
http://hdl.handle.net/11449/228694
10.1080/10749357.2019.1631605
2-s2.0-85067891737
url http://dx.doi.org/10.1080/10749357.2019.1631605
http://hdl.handle.net/11449/228694
identifier_str_mv Topics in Stroke Rehabilitation, v. 26, n. 7, p. 511-517, 2019.
1945-5119
1074-9357
10.1080/10749357.2019.1631605
2-s2.0-85067891737
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Topics in Stroke Rehabilitation
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 511-517
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1808128149387476992