Motor And Sensory Effects Of Ipsilesional Upper Extremity Hypothermia And Contralesional Sensory Training For Chronic Stroke Patients

dc.creatorLima
dc.creatorNubia Maria; Menegatti
dc.creatorKarina Candido; Yu
dc.creatorErica; Sacomoto
dc.creatorNatalia Yumi; Oberg
dc.creatorTelma Dagmar; Honorato
dc.creatorDonizeti Cesar
dc.date2015-FEB
dc.date2016-06-07T13:36:45Z
dc.date2016-06-07T13:36:45Z
dc.date.accessioned2018-03-29T01:52:02Z
dc.date.available2018-03-29T01:52:02Z
dc.identifier
dc.identifierMotor And Sensory Effects Of Ipsilesional Upper Extremity Hypothermia And Contralesional Sensory Training For Chronic Stroke Patients. Maney Publishing, v. 22, p. 44-55 FEB-2015.
dc.identifier1074-9357
dc.identifierWOS:000355015400010
dc.identifier10.1179/1074935714Z.0000000023
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/25776120
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/244361
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1308059
dc.descriptionAs hypothermia by immersion can reduce the sensory nerve conduction velocity, this study hypothesized that the reduction of sensory input to the ipsilesional upper extremity (UE) using cryotherapy would reduce the inhibitory activity of the contralesional hemisphere in chronic stroke subjects. Objective: In this study, hypothermia was applied by immersing the ipsilesional UE in association with sensory training of the contralesional UE of stroke patients to assess the immediate (e.g. sensorimotor function, hemodynamics, and levels of comfort) and long-term (sensory and motor performances of the UEs) effects. Methods: The sample included 27 stroke patients allocated into group 1 (n=14), which received conventional physiotherapy for the affected UE, and group 2 (n=13), which underwent 10 sessions of immersion hypothermia of the ipsilesional wrist and hand. Assessments were performed pre- and post-treatment and at follow-up using esthesiometry, the Fugl-Meyer Assessment (FMA), the Nottingham Sensory Assessment, functional tests, tactile and weight discrimination, motor sequence, level of comfort, and hemodynamic parameters. Results: The immediate effects of hypothermia using immersion of the ipsilesional UE in association with sensory training of the contralesional UE were hemodynamic stability during and after hypothermia, the absence of sensory abnormalities in the contralesional UE, hypoesthesia in the ipsilesional extremity (dermatomes C6 and C8) (P<0.05), the maintenance of acceptable levels of comfort, and good patient compliance to the technique. The long-term effects included significant increases in scores on tests performed without functional vision, in scores on blindfolded functional tests, and in tactile localization and joint position sense for the contralesional hand in group 2 as well as the maintenance of these gains at long-term follow-up (5 weeks). Improvement was also found in the tactile function of the C6 and C7 dermatomes of the contralesional hand (P<0.05). Conclusions: The use of immersion hypothermia on the ipsilesional UE in association with sensory training of the contralesional UE improved motor function and sensitivity in the contralesional UE of individuals with chronic stroke. Immersion hypothermia of the ipsilesional UE in chronic stroke patients is a safe, practical, inexpensive, and easily applied technique.
dc.description22
dc.description1
dc.description
dc.description44
dc.description55
dc.description
dc.description
dc.description
dc.languageen
dc.publisherMANEY PUBLISHING
dc.publisher
dc.publisherLEEDS
dc.relationTOPICS IN STROKE REHABILITATION
dc.rightsembargo
dc.sourceWOS
dc.subjectTranscranial Magnetic Stimulation
dc.subjectNerve-conduction-velocity
dc.subjectSkin Temperature
dc.subjectInterhemispheric Interactions
dc.subjectIntramuscular Temperature
dc.subjectCryotherapy Modalities
dc.subjectSomatosensory Cortex
dc.subjectContralateral Hand
dc.subjectRecovery
dc.subjectIce
dc.titleMotor And Sensory Effects Of Ipsilesional Upper Extremity Hypothermia And Contralesional Sensory Training For Chronic Stroke Patients
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución