Please use this identifier to cite or link to this item: http://hdl.handle.net/1822/57794

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dc.contributor.authorCarvalho, Raquelpor
dc.contributor.authorAzevedo, Elsapor
dc.contributor.authorMarques, Paulo César Gonçalvespor
dc.contributor.authorDias, Nunopor
dc.contributor.authorCerqueira, João Josépor
dc.date.accessioned2019-01-04T10:41:51Z-
dc.date.issued2018-
dc.identifier.citationCarvalho R, Azevedo E, Marques P, Dias N, Cerqueira JJ. Physiotherapy based on problem‐solving in upper limb function and neuroplasticity in chronic stroke patients: A case series. J Eval Clin Pract. 2018;1–9. https:// doi.org/10.1111/jep.12921por
dc.identifier.issn1356-1294por
dc.identifier.urihttp://hdl.handle.net/1822/57794-
dc.description.abstractRationale, aims, and objectives: Upper limb recovery is one of the main concerns of stroke neurorehabilitation. Neuroplasticity might underlie such recovery, particularly in the chronic phase. The purpose of this study was to assess the effect of physiotherapy based on problem-solving in recovering arm function in chronic stroke patients and explore its neuroplastic changes. Methods: A small sample research design with a n of 3 using a pre-post test design was carried out. Neuroplasticity and function were assessed by using functional magnetic resonance imaging (during motor imagery and performance), action research arm test, motor assessment scale, and Fugl-Meyer assessment scale, at 3 sequential time periods: baseline(m0before a 4-week period without physiotherapy), pre-treatment(m1), and post-treatment(m2). Minimal clinical important differences and a recovery score were assessed. Assessors were blinded to moment assignment. Patients(1) underwent physiotherapy sessions, 50minutes, 5days/week for 4weeks. Four control subjects served as a reference for functional magnetic resonance imaging changes. Results: All patients recovered more than 20% after intervention. Stroke patients had similar increased areas as healthy subjects during motor execution but not during imagination at baseline. Consequently, all patients increased activity in the contralateral precentral area after intervention. Conclusions: This study indicates that 4weeks of physiotherapy promoted the recovery of arm function and neuroplasticity in all chronic stroke patients. Future research is recommended to determine the efficacy of this therapy.eng
dc.language.isoengpor
dc.publisherJohn Wiley & Sonspor
dc.rightsembargoedAccess (1 Year)por
dc.subjectAdultpor
dc.subjectAgedpor
dc.subjectFemalepor
dc.subjectHumanspor
dc.subjectMagnetic Resonance Imagingpor
dc.subjectMalepor
dc.subjectMiddle Agedpor
dc.subjectNeuronal Plasticitypor
dc.subjectPhysical Therapy Modalitiespor
dc.subjectRecovery of Functionpor
dc.subjectStrokepor
dc.subjectUpper Extremitypor
dc.subjectStroke Rehabilitationpor
dc.subjectarmpor
dc.subjectBobath conceptpor
dc.subjectneuroplasticitypor
dc.subjectphysiotherapypor
dc.subjectrehabilitationpor
dc.titlePhysiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case seriespor
dc.typearticlepor
dc.peerreviewedyespor
degois.publication.firstPage552-560por
degois.publication.lastPage560por
degois.publication.issue3por
degois.publication.volume24por
dc.identifier.doi10.1111/jep.12921por
dc.date.embargo2020-01-01-
dc.identifier.pmid29691951por
dc.description.publicationversioninfo:eu-repo/semantics/publishedVersionpor
dc.subject.wosScience & Technologypor
sdum.journalJournal of Evaluation in Clinical Practicepor
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