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- ItemAcesso aberto (Open Access)Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico(Academia Brasileira de Neurologia - ABNEURO, 2003-09-01) Horn, Agnes Irna [UNIFESP]; Fontes, Sissy Veloso [UNIFESP]; Carvalho, Sebastião Marcos Ribeiro de [UNIFESP]; Silvado, Rubens Augusto Brazil; Barbosa, Pedro Marco Karan; Durigan Jr, Alcides; Atallah, Álvaro Nagib [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Marília; Faculdade de Medicina de MaríliaBACKGROUND: Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery. PURPOSE: To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility. METHOD: Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements. RESULTS: No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral recumb, from lateral recumb to a seated position and in keeping the seated position (p<0.001). CONCLUSION: Kinesiotherapy in acute phase of stroke prevented shoulder pain.
- ItemAcesso aberto (Open Access)Tradução e adaptação cultural do Modified-University of California at Los Angeles Shoulder Rating Scale para a língua portuguesa(Sociedade Brasileira de Reumatologia, 2006-08-01) Oku, Elaine Cristina [UNIFESP]; Andrade, Ana Paula [UNIFESP]; Stadiniky, Simone Pivaro; Carrera, Eduardo Frota [UNIFESP]; Tellini, Giany Gonze [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Lar Escola São Francisco Centro de Reabilitação Ambulatório de Fisioterapia do OmbroOBJECTIVES: the aims of this study were to translate into Brazilian-Portuguese the Modified - University of California at Los Angeles Shoulder Rating Scale and to cross-culturally adapt it to the Brazilian environment. METHODS: the scale was translated to Portuguese and back translated into English according to internationally recommended process described by Guillemin et al(28). The translated and revised version was administered to two groups (patients between 45 and 75 years old and health professionals) to evaluate the comprehension level of the items. If 15% or more of health professionals or patients reported difficulty in understanding, that item was reformulated and reapplied. RESULTS: we did three applications. Each group had 20 consecutive people, totalizing 120 people. To obtain the final Brazilian version, we modified five items in the pain parameter and four in the function parameter. Beyond these alterations, we identified problems about the structure suggesting that we need to continue the validity and possible modifications of this scale.