Clinical factors associated with the development of nonuse learned after stroke: a prospective study

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorFederal University of Triângulo Mineiro-
Autor(es): dc.contributorUniversity of Alabama-
Autor(es): dc.creatorMolle Da Costa, Rafael Dalle-
Autor(es): dc.creatorLuvizutto, Gustavo José-
Autor(es): dc.creatorMartins, Laís Geronutti-
Autor(es): dc.creatorThomaz De Souza, Juli-
Autor(es): dc.creatorRegina Da Silva, Taís-
Autor(es): dc.creatorAlvarez Sartor, Lorena Cristina-
Autor(es): dc.creatorWinckler, Fernanda Cristina-
Autor(es): dc.creatorModolo, Gabriel Pinheiro-
Autor(es): dc.creatorMolle, Evelin Roberta Da Silva Dalle-
Autor(es): dc.creatorDos Anjos, Sarah M-
Autor(es): dc.creatorBazan, Silméia Garcia Zanati-
Autor(es): dc.creatorCuadrado, Luís Martin-
Autor(es): dc.creatorBazan, Rodrigo-
Data de aceite: dc.date.accessioned2025-08-21T18:36:40Z-
Data de disponibilização: dc.date.available2025-08-21T18:36:40Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2019-10-03-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1080/10749357.2019.1631605-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/228694-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/228694-
Descrição: dc.descriptionBackground: 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.-
Descrição: dc.descriptionDepartment of rehabilitation Center Botucatu Medical School-
Descrição: dc.descriptionDepartment of Applied Physical Therapy Federal University of Triângulo Mineiro-
Descrição: dc.descriptionDepartment of Internal Medicine Botucatu Medical School-
Descrição: dc.descriptionDepartment of Neurology Psychology and Psychiatry Botucatu Medical School-
Descrição: dc.descriptionDepartment of Medicine University of Alabama-
Descrição: dc.descriptionDepartment of rehabilitation Center Botucatu Medical School-
Descrição: dc.descriptionDepartment of Internal Medicine Botucatu Medical School-
Descrição: dc.descriptionDepartment of Neurology Psychology and Psychiatry Botucatu Medical School-
Formato: dc.format511-517-
Idioma: dc.languageen-
Relação: dc.relationTopics in Stroke Rehabilitation-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectacute stroke-
Palavras-chave: dc.subjectcerebrovascular accident-
Palavras-chave: dc.subjectlearned nonuse-
Palavras-chave: dc.subjectrehabilitation-
Palavras-chave: dc.subjectStroke-
Palavras-chave: dc.subjectupper extremity-
Título: dc.titleClinical factors associated with the development of nonuse learned after stroke: a prospective study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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