Clinical factors associated with the development of nonuse learned after stroke: a prospective study
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , , |
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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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 |