Relationship between usual physical, cognitive and social activities and functional recovery at hospital discharge after acute stroke.

OBJECTIVE: To assess the relationship between lifestyle prior to the event and functional recovery at hospital discharge after acute stroke. DESIGN: Cohort study. PATIENTS: A sample of 191 patients with first stroke episode (87.4% ischaemic). METHODS: Severity of the event at admission was measured by the Modified National Institutes of Health Stroke Scale. The Frenchay Activity Index was used to evaluate the patients' previous lifestyles. Functional recovery was assessed using the Modified Rankin scale on discharge from hospital. A Rankin score < or = 2 was the main outcome. RESULTS: At discharge, 37.2% of the patients were functionally independent. A receiver operating characteristic curve analysis established a value of > or = 18 on the Frenchay Activity Index scale as the best cut-off point to predict favourable outcome (specificity 62%; 95% confidence interval (CI) 54-69% and a sensibility of 60%; 95% CI 49-69%) with an area under the curve of 0.65 (95% CI 0.57-0.71). There was a positive association between Frenchay Activity Index > or = 18 and a Rankin score < or = 2, after controlling for potential confounders (odds ratio 2.62; 95% CI 1.21-5.66; p = 0.001). CONCLUSION: This result emphasizes the protective effect of mental, physical and social activity for the prevention of functional damage after an acute cerebrovascular event.

Desenvolvimento, confecção e avaliação dos efeitos e segurança de um protótipo de órtese de quadril utilizado na reabilitação funcional de paciente submetido a artroplastia de Girdlestone / Development, manufacturing and evaluation of effects and safety of a hip orthosis prototype used in the functional rehabilitation of a patient undergoing Girdlestone arthroplasty

A Artroplastia de Ressecção tipo Girdlestone (ARG) é um procedimento que altera o estilo de vida do indivíduo gerando fadiga precoce, instabilidade articular, distúrbio da marcha e discrepância de membros. Como medida auxiliar no processo de reabilitação podem ser utilizadas órteses. Contudo, não há no mercado nacional dispositivos adequados, sendo necessária a importação com custo elevado. Assim, este estudo desenvolveu e avaliou os efeitos e a segurança de um protótipo de órtese de quadril em uma paciente feminina submetida à ARG. O modelo proposto melhorou o desempenho físico e a funcionalidade e promoveu o alívio de dores osteomusculares. (AU)

Girdlestone resection arthroplasty (GRA) is a procedure that changes one's lifestyle, leading to early fatigue, joint instability, gait disorder and limb discrepancy. Orthoses can be used as an aid in the rehabilitation process. However, there are no adequate devices available in Brazil and the imported ones are high-cost. Thus, this study developed and evaluated the effects and safety of a hip orthosis prototype in a woman who underwent GRA. The proposed model improved physical performance and functionality and provided relief of musculoskeletal pain. (AU)

Estimulaçäo elétrica transcutânea: estudo de seu efeito sobre o músculo esquelético sadio, através da análise eletromiográfica / Transcutaneous electrical stimulation: study of your effects on the healthy skeletal muscle, through the analyse of the electromyography

Pesquisa apresentada como conteúdo de monografia, para conclusäo do Curso de graduaçäo em Fisioterapia da Universidade Federal de Santa Maria, onde através da análise do sinal eletromiográfico bruto, procurou-se determinar os efeitos da estimulaçäo elétrica sobre o músculo esquelético humano sadio. Pesquisa financiada pelo CNPq e FAPERGS