Avaliação da quantidade e qualidade do uso do membro superior parético em contexto domiciliar em indivíduos vítimas de avc através da escala motor Activity Log

• Author(s): Diz, Elisabete ; Gomes, Maria José ; Galvão, Ana Maria
• Date: 2014
• Persistent ID: http://hdl.handle.net/10198/9687
• Origin: Biblioteca Digital do IPB
• Subject(s): Reabilitação; Membro superior parético; Motor Activity Log
• Document Type: Journal article
• Language: Portuguese
• Contributor(s): Biblioteca Digital do IPB

Description

Stroke is one of the main causes of mortality and morbidity worldwide. In the specific case of Portugal, stroke is still the leading cause of death, being responsible for the high rate of disability and functional dependence of the adult population. Is estimated that over 80% of the patients with a history of stroke suffer from hemiparesis and 70% of those who initially have paresis of the upper extremity suffer permanent residual disabilities. Analyze the relationship between the side of the brain, the duration of the stroke and the hand-gripping strength with the amount and quality of use of the paretic upper limb. We developed a descriptive study with a quantitative approach against non-probabilistic sample. The instruments for collecting data were a socio-demographic survey, the Modified Ashworth Scale, a handgrip dynamometer (dynatest) and MAL-30 Scale. From our 84 patients sample 66.7% were male, the average age was 66.77 years (SD = 11.18). Stroke occurred on average 34.45 months ago (a = 28.96) and 42.9% have had his dominant hand affected. There was a correlation between the subscales and handgrip strength on the affected side (CCS = 0.523, p = 0.000 for the QL and CCS = 0528, p = 0.000 for QT). By using the T-Test we concluded that the average value on both scales was different according to whether or not the affected hand is the dominant one. Based on these results, we believe the MAL-30 is a valid and useful tool for assessing the motor performance of the paretic upper limb of stroke victims.