Stroke, not specified as haemorrhage or infarction
Conditions
Interventions
The subjects will be allocated randomly by lottery into 4 groups. The subjects allocated to I (43 subjects) group held conventional physiotherapy treatment (targeted exercises for the upper and lower
Other
E02.779
Sponsors
Sociedade Unificada de Ensino Augusto Motta
Sociedade Unificada de Ensino Augusto Motta
Eligibility
Age
30 Years to 80 Years
Inclusion criteria
Inclusion criteria: Medical diagnosis of strok; age between 30 and 80 years;hemiparesis; asymmetry in weight shift; must be able to cooperate with training; independent gait with or without auxiliary equipment running; standing for 5 minutes without support and without bracing.
Exclusion criteria
Exclusion criteria: Over 10 years post stroke; cognitive impairment; other neurologic disorders; orthopedic problems; hypertension or decompensated arrhythmia; neglect or apraxia; severe visual impairment uncorrected; dizziness; presence of metal implant; headache constant and no diagnosis; history of seizures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved motor function of the affected upper limb, measured by the Fugl Meyer scale. It will be considered a clinically important difference (CID) an average increase of 4.25 – 7.25 points in the Fugl Meyer scale (Page et al., 2012). | — |
Secondary
| Measure | Time frame |
|---|---|
| Level of asymmetry in weight-bearing between lower limbs detected by a posturographic examination. Will be considered a index less than 7% (on the average, the level of asymmetry after stroke range between 8 to 13% (Marigold and Eng, 2006; Genthon et al., 2008; Roerdink et al., 2009). Health related Quality of life, assessed by SIS 3.0.It will be considered for domains: strength: minimum score change (MDC): 24; average change (CID): 9.2; AVD: MDC: 17.3; CID: 5.9; Mobility: MDC: 15.1; CID: 4.5 and for hand function domain: MDC: 25.9; CID: 17.8 (Lin et al., 2010). Depression, measured by the Beck Depression Inventory. A difference of 5 points, a minimal clinically important difference detected will be considered; 10-19, a moderate difference and from 20 points will be considered a major clinically detected difference (Hiroe et al., 2004). Motivation, assessed by own questionnaire with the help of a visual scale and being considered a change of category as clinically relevant (no little, little, more or less, very or extremely motivated). Gait kinematics analysis performed by Qualysis ProReflex 240. Variables analyzed: cadence (number of steps per minute), stride length (the distance between successive points of heel contact of the paretic foot) and gait speed (travel speed) (DE SOUZA e RODACKI, 2012). Balance and fall risk measured by the Berg Balance Scale. Values below 45 points are characterized as impaired balance and an increased fall risk (BERG et al., 1992). Ability to modify gait in response to the demands of certain tasks using the scale Dynamic Gait Index (DGI). Values below 18 points indicate changes in the gait performance in the evaluated tasks (LANDERS et al., 2008). | — |
Countries
Brazil
Contacts
Public ContactZaira Hanschke
SOCIEDADE UNIFICADA DE ENSINO AUGUSTO MOTTA
Outcome results
None listed