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Background: Dyke-Davidoff-Masson syndrome (DDMS) was first described by CG Dyke, LM Davidoff and CB Masson in 1933 with the help of advances in neuroimaging and electroencephalogram studies, it is characterized by cerebral hemiatrophy, contralateral hemiplegia or hemiparesis, cranial vault thickening, facial asymmetry, seizures, intellectual disability and behavioral changes. MRI is the key imaging modality that confirms clinical suspicion of DDMS. Two clinical cases are described. Case No. 1: 9 years old male patient, with epileptic seizures since the age of 8 months, focal tonic seizures of the left arm with impaired awareness, difficult to control, with poor adherence to treatment, poor language, poor impulse control, hyperactive behavior and intellectual disability. Facial asymmetry and right hemiparesis. Case No. 2: 8 years old female patient, with epileptic seizures since the age of 7 months, focal, tonic seizures in the left arm, with impaired awareness. She presents learning disorder and ADHD, facial asymmetry, left hemiparesis and left hemihypotrophy. Conclusions: DDMS is a rare neurological disorder that leads to uncontrolled seizures and a spectrum of disabilities, due to its rarity, may easily be missed by the majority of treating clinicians. Knowledge of its features on imaging enables timely and accurate diagnosis. The association with MRI features in order to optimally diagnose DDMS and offer appropriate management. [ABSTRACT FROM AUTHOR]

This study aimed to analyze changes in gait angular kinematics of adults with hemiparesis after cerebrovascular accident (CVA). The sample consisted of 17 post- cerebrovascular accident (CVA) patients; and, for gait evaluation, it used a three-dimensional gait trajectory capture system. As for healthy and affected limbs, the variables studied were: speed, maximum angles of flexion, and extension of the hip and knee. For the comparisons between the members, the study used the t-paired test; and, for comparisons with normal values, it used the t test for a sample, whereas, as a decision criterion, the significance level p ≤ 0.05. The results showed, in the comparison between the limbs, significant differences in flexion (0.001) and knee extension (0.05). In the comparison between the affected limb and the healthy one, there is a significant difference in knee flexion angles (<0.000) and hip extension (0.004). Patients with post-CVA hemiparesis present changes in gait angular kinematics when the affected limb is compared with the healthy limb and with normal values. The study observed a predominantly flexor gait pattern, with a considerable variability among the evaluated patients. [ABSTRACT FROM AUTHOR]

Objective: The purpose of the study was to determine the degree of disability and its socioeconomic and clinical determinants as well as the access to health and rehabilitation services in people with hemiplegia or hemiparesis in the city of Popayán, Cauca, Colombia. Methodology: descriptive, correlational and cross-sectional study. The sample consisted of 52 people of legal age, with a diagnosis of hemiplegia or hemiparesis. The WHODAS 2.0 disability assessment questionnaire was applied. Results: A hundred percent of the people studied had a disability, and the disability average total was 44.7%, corresponding to moderate disability. The participants showed difficulties in all domains of functioning, with moderate difficulty in the cognition, personal care and daily activities domains, and severe difficulty with mobility and participation. Conclusions: Hemiparesis and hemiplegia cause disability in different degrees of severity determined by the pathological state and the interaction and the influence of multiple socioeconomic, clinical factors and access to health and rehabilitation services. [ABSTRACT FROM AUTHOR]

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The main objective of this study was to analyze the gait alterations of adults with hemiparesis after cerebrovascular accident (CVA) and compare it with healthy subjects. The sample consisted of 14 participants from the stroke group and 14 matched participants from the control group (CON). A three-dimensional gait analysis was performed using a kinemetry system. The parameters analyzed were velocity, stride length, stride width, cadence, and stride time, using the independent t test for comparisons between groups and considering p < 0.05 as a decision criterion. Participants in the stroke group had significantly lower mean values in all analyzed parameters. In addition, patients in the CVA group also had much lower values when compared to other studies with post-CVA patients, possibly due to the short period between the CVA (mean of 14.14 months) and the gait assessment. [ABSTRACT FROM AUTHOR]

Background: Virtual reality (VR) is one of the newest and most used methods in rehabilitation processes, reporting favorable effects. Materials and methods: To know the effects of VR, in the processes of gait rehabilitation in children with cerebral palsy (CP), research in publications of the past 10 years was carried out, in databases of the area of health, science, and technology: ScienceDirect, Nature, Oxford Journals, Sage Publishing, Sage Knowledge, Springer Link Magazines, Taylor and Francis Journals, EBSCO Host, Health and Wellness, ProQuest, PEDro PubMed, and Cochrane Library. The established search criteria were articles with longitudinal designs, controlled clinical trials, case studies, and systematic reviews with/without meta-analysis, which used VR as an intervention in gait rehabilitation in children with CP. Results: A total of 250 articles were found that prove the effectiveness of VR in children with CP. Conclusions: VR can be a complementary strategy for gait rehabilitation in this population. [ABSTRACT FROM AUTHOR]

Este estudo teve como objetivo verificar os efeitos da crioterapia e da cinesioterapia na amplitude de movimento (ADM) de punho de pacientes hemiparéticos espásticos. A amostra deste ensaio clínico, controlado randomizado, foi composta por 12 voluntários com diagnóstico clínico de Acidente Vascular Cerebral (AVC) em fase crônica, de ambos os gêneros, na faixa etária entre 40 e 80 anos, com hemiparesia espástica de membro superior, divididos aleatoriamente em: Grupo A (GA n=6), submetido à cinesioterapia e Grupo B (GB n=6), submetido à crioterapia e cinesioterapia. A flexão e extensão ativa de punho do membro superior parético foram avaliadas pela goniometria manual. Para a análise dos dados, utilizaram-se os testes de Shapiro-Wilk e “t” de Student, com nível de significância de p≤ 0,05. Houve um aumento da ADM de flexão e extensão de punho de ambos os grupos com manutenção, um mês após o término do tratamento, com exceção do Grupo A, que apresentou redução da ADM de flexão de punho um mês após o término do tratamento proposto. Ao comparar os grupos observou-se que não houve diferença entre eles. Os tratamentos propostos foram capazes de proporcionar o aumento da ADM de punho da população estudada, não havendo diferença entre os grupos.

En este estudio de caso se aborda la intervención realizada en un centro de diagnóstico y atención temprana, a una alumna de dos años con hemiparesia lateral izquierda y dificultades en la manipulación y comunicación. Aplicando a lo largo de cuatro meses el sistema de Comunicación Total de Benson Schaeffer con el apoyo del método TEACCH, se pretende superar las graves limitaciones comunicativas de la alumna. El procedimiento metodológico utilizado es mixto y las técnicas de investigación empleadas son la aplicación de un test estandarizado, la entrevista, los registros de observación y el análisis documental. A partir del test cumplimentado por la madre que establece la evaluación inicial del caso, se diseña y aplica el programa realizando registros sistemáticos, al final de la intervención se vuelve a cumplimentar y se comparan los datos conseguidos. Además, se entrevista a la cuidadora de la niña y se analiza la documentación aportada por la familia y el centro donde es atendida. Los resultados obtenidos muestran que se han logrado grandes beneficios en cuanto a aprendizaje de los signos, comunicación de necesidades, emisión de verbalizaciones y generalización en los distintos contextos, fomentando en la niña una mayor autonomía y estableciendo unas bases sólidas sobre las que poder sustentar nuevos aprendizajes.

This study aimed to verify the effects of cryotherapy and kinesiotherapy on wrist range of motion (ROM) in spastic hemiparetic patients. The sample of this randomized controlled clinical trial consisted of 12 volunteers with a clinical diagnosis of chronic stroke, of both genders, in the age group between 40 and 80 years, with spastic hemiparesis of the upper limb, randomly divided into: Group A (GA n = 6), submitted to kinesiotherapy and Group B (GB n = 6), submitted to cryotherapy and kinesiotherapy. Active wrist flexion and extension of the paretic upper limb were assessed by manual goniometry. For data analysis, the Shapiro-Wilk and Student's "t" tests were used, with a significance level of p= 0.05. There was an increase in wrist flexion and extension ROM in both groups, maintained for one month after the end of the treatment, with the exception of Group A, which presented a reduction in wrist flexion ROM one month after the end of the proposed treatment. Comparing the groups, it was observed that there was no difference between them. The proposed treatments were able to increase wrist ROM in the studied population, with no difference between the groups. [ABSTRACT FROM AUTHOR]

Background: The locomotor recovery is the most desired goal by patients and clinicians. Measurement of gait speed (GS) provides a fast and reliable clinical parameter for this function. The aim of this study was to verify the relationship between GS and different variables, such as age, injury time, body composition, functional mobility, spasticity, motor recovery, and muscle strength. Material and methods: The study included 24 patients with average age 57.6 (± 10.5) years post-stroke hemiparetics. Two groups of patients were formed, those who walked with GS higher than 0.80 m/s (n = 8) and another group with GS lower than 0.80 m/s (n = 16). They were evaluated by the GS test, Timed Up and Go Test (TUGT), Fugl-Meyer scale (FMS), Modified Ashworth Scale (MAS), bilateral dynamometry of extensors and flexors knee, and determination of body mass index (BMI). Results: In the correlation analysis between GS and other variables, in the group with GS higher than 0.80 m/s, there was a significant correlation with TUGT (r = -0.77) and strength tests (r = 0.80). In the group with GS <0.80 m/s, there was a moderate to strong correlation with TUGT (r = -0.87), FMS (r = 0.74), MAS (r = -0.62), and quadriceps femoris muscle strength in paretic side (r = 0.55). In both groups, no significant correlations were found with age, stroke time, and BMI. Conclusion: The study indicates that the combination of an important motor deficit expressed by greater strength asymmetry between the paretic and non-paretic sides, and a greater degree of spasticity results in worse performance in the GS. [ABSTRACT FROM AUTHOR]

This case study reports on an intervention undertaken at a diagnostic and early attention center with a two-year-old pupil with left lateral hemiparesis and difficulties in handling and communication. By applying for four months the Benson Schaeffer's system (Total Communication) with the support of the TEACCH method, we aimed to overcome this pupil's serious communicative limitations. The methodological procedure used was mixed and the investigation techniques used were the application of a standardized test, interviews, records of observation and documentary analysis. From the test filled in by the mother, which established the initial evaluation of the case, the program was applied, and daily records were kept. At the end of the intervention, the test was completed again and the information was compared. In addition, we interviewed her nanny and we analyzed the documentation provided by the family and the center where she is tended. Results show clear progress on the part of the baby: learning of signs, communication of needs, emission of verbalizations and generalization in different contexts. This promoted in the baby more autonomy and established a solid base from which she will be able to sustain new learnings. [ABSTRACT FROM AUTHOR]

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O objetivo do presente estudo foi avaliar o comportamento cardiovascular, a mobilidade funcional e marcha de um individuo hemiparético crônico submetido a um protocolo de treinamento aeróbio em esteira ergométrica sem suporte de peso corporal. Estudo de caso com um indivíduo hemiparético crônico, avaliado por meio do Timed up and go (TUG), Teste de Velocidade de Caminhada de 10 m (TV10M) e Teste de Esforço (TES). Foi submetido a um protocolo de treinamento em esteira ergométrica de 30 min divididos em 3 blocos de 10 min cada, com intervalos de descanso, em uma velocidade de 60% daquela obtida no TES. Não foi observado alteração no comportamento da frequência cardíaca e da pressão arterial ao longo do tratamento, todavia observou-se melhora no TUG (AV1 = 12,53 seg; AV2 = 9,39 seg) e do TV10M (AV1 = 9,00 seg; AV2 = 7,03 seg). Os resultados demonstraram que o protocolo utilizado não o foi suficiente para alterar a condição cardiovascular de um individuo hemiparético crônico submetido a protocolo de treinamento aeróbio em esteira ergométrica sem suporte de peso corporal, todavia melhorou a condição motora funcional.

Hemiparéticos tratados em centros de reabilitação permanecem muito tempo inativos durante o tratamento numa sessão de Fisioterapia Convencional. Há evidências que a Fisioterapia de Grupo em Circuito de Treinamento (FGCT) é eficaz em aumentar a quantidade de tempo ativo durante a terapia. O objetivo deste estudo foi avaliar o tempo gasto com exercícios ativos durante a FGCT em hemiparéticos crônicos. A metodologia constou de cinco hemiparéticos crônicos em tratamento num centro de fisioterapia e reabilitação da Universidade Estadual Paulista (UNESP), campus de Presidente Prudente, onde foi utilizado uma filmadora sobre um tripé no espaço de atendimento em FGCT. Os resultados foram de 60,77 ± 1,70% do tempo da sessão com os pacientes realizando exercícios ativos e 39,23 ± 1,70% do tempo em inativos. Concluímos que o tempo gasto com exercícios ativos durante a FGCT permite que os hemiparéticos crônicos passem mais tempo em tarefas ativas.

Introdução: A presente investigação surge das insuficiências na reabilitação física dos pacientes hemiparésicos do centro ortopédico de Viana; em muitos casos, envolvidos pela baixa preparação dos fisioterapeutas para o uso dos exercícios físicos com fins terapêuticos. Objectivo: Elaborar um conjunto de exercícios físicos terapêuticos para favorecer a reabilitação física dos pacientes diagnosticados com hemiparesia. Métodos: Para desenvolver a presente investigação foram utilizados como métodos teóricos os seguintes: analítico-sintético, hipotético-dedutivo, indutivo-dedutivo e sistémico-estrutural-funcional; e como métodos empíricos foram utilizados a análise de documentos, observação, medição, o teste de Tinetti e o experimento, que foram apoiados pelas técnicas de inquérito e entrevista, bem como pelo método estatístico-matemático de distribuição empírica de frequência. A amostra utilizada foi composta por seis pacientes e três fisioterapeutas do centro ortopédico de Viana, Luanda, Angola. Resultados: Depois do diagnóstico inicial, se elaborou o conjunto de exercícios físicos terapêuticos, o qual foi aplicado desde o mês de maio até o mês de novembro de 2018, onde se aplicou a medição final que permitiu determinar as melhorias na reabilitação física dos pacientes diagnosticados com hemiparesia, pois melhorou a marcha e o equilíbrio. Conclusões: A correcta selecção, dosagem e aplicação de exercícios físicos terapêuticos permitiram favorecer a reabilitação física dos pacientes diagnosticados com hemiparesia do centro ortopédico de Viana, resultados avaliados pelo teste de Tinetti.

Las malformaciones arteriovenosas representan un grupo extenso y heterogéneo de lesiones. Dichas anomalías se caracterizan por ser congénitas y por representar un verdadero desafío diagnóstico y terapéutico. El presente caso trata de una paciente femenina de 7 años, sin antecedentes de importancia que presentó un cuadro evolutivo de 2 meses, caracterizado por cefalea a nivel fronto-parietal derecha y debilidad de miembro superior izquierdo. Mediante exámenes complementarios de imagen se identifica una malformación arteriovenosa-cerebelosa que compromete diencéfalo y tálamo derecho. Durante su estadía hospitalaria es sometida a embolización, lo que mejoró notablemente el cuadro patológico establecido.

Brain-Computer Interfaces (BCI) decode users' intentions from the central nervous system and could be applied for upper limb motor rehabilitation of patients that have suffered stroke, one of the main causes of disability worldwide. Despite that research groups have reported the efficacy of these systems, a consensus has not yet been reached regarding their true potential. For this reason, a review of up-to-date assessments of BCI for upper limb stroke rehabilitation is presented from the perspective of analyzing common and different design variables presented across studies. Clinical and pilot studies with a control group were included in the review. Most BCI interventions assessments were performed with robotic assistive devices as feedback, followed by neuromuscular electrical stimulation (NMES) and visual feedbacks. Compared to other experimental interventions, the effects of a BCI intervention have been reported in a low number of patients. In addition, high variability between studies' designs such as stroke etiology and interventions' duration, do not allow to assess the potential of BCI for stroke rehabilitation. However, a trend towards significant rehabilitation outcomes with BCI systems can be highlighted, encouraging research groups to better coordinate in order to make valuable contributions to the field. [ABSTRACT FROM AUTHOR]

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Copyright of ConScientiae Saúde is the property of Nove de Julho University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Resumo: O exercício associado a terapia espelho potencializa a retenção de habilidades, melhorando o desempenho de atividades motoras de indivíduos hemiparéticos pós-AVE. Este estudo objetivou a análise do efeito da terapia espelho na amplitude de movimento e funcionalidade do membro inferior. Amostra composta de 11 participantes, com hemiparesia em membro inferior, submetidas a fisioterapia convencional. A intervenção constituiu de 10 atendimentos, 30 minutos diários e três vezes por semana. Para avaliação foram usados: Goniometria; Escala Modificada de Ashworth (EMA); Escala de Força de Oxford; Cadência de Subida e Descida de Escada; Time Up And Go Test. Os dados foram coletados antes e após a intervenção da Terapia Espelho e comparados. Segundo resultados do estudo a Terapia Espelho proporcionou ganhos na ADM e função do membro inferior parético pós-AVE, porém não interferiu na espasticidade. Palavras-chave: Acidente Vascular Encefálico, Hemiparesia, Retroalimentação Visual.

Introduction: Performing dual task for neurological patients is complex and it can be influenced by the localization of the neurological lesion. Objective: Comparing the impact of dual task on gait in patients with Parkinson's disease, stroke and ataxia. Method: Subjects with Parkinson's disease (PD) in initial phase, stroke and ataxia, with independent gait, were evaluated while doing simple gait, with cognitive, motor and cognitive-motor gait demand, assessing average speed and number of steps. Results: Ataxia and stroke patients, compared with PD, showed an increase in the number of steps and decrease the average speed on the march with cognitive demand. Subjects with PD performed better on tasks when compared to others. Conclusion: In this study the impact of dual task was lower in Parkinson's disease patients.

Copyright of ConScientiae Saúde is the property of Nove de Julho University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article presents a comparative study on the screening of sarcopenia in post-stroke individuals in the paretic and non-paretic hemibody. The objective of the study was to compare the values obtained for sarcopenia screening between the two sides of the body in chronic post-stroke individuals. The study was conducted on 54 individuals with an average age of 56 years, of which 67% had ischemic stroke. A statistically significant difference was observed in the sarcopenia screening scores between the paretic and non-paretic side, indicating a higher occurrence of sarcopenia in the paretic side. It is concluded that sarcopenia screening in chronic post-stroke individuals should be performed considering the paretic side of the individual. [Extracted from the article]

This article describes a study that investigated the effects of a rehabilitation protocol using a robotic device on the manual function of adults with sequelae of stroke. The study included three participants who played a game on a robotic platform for six weeks, three times a week. The results showed a reduction in excessive upper limb strength, an increase in the number of hits in the game, and a reduction in the time required to perform tasks. It was concluded that there was an improvement in manual function after the rehabilitation protocol using the robotic device. [Extracted from the article]

This article presents a study that evaluated the validity and reliability of the Life Space Assessment (LSA) Scale applied remotely in patients with chronic hemiparesis post-stroke. The LSA is a scale that measures the mobility of people with hemiparesis in different environments. The study was conducted with 19 participants, using the StepWatch Activity Monitor (SAM) to measure the number of steps. The results showed that the remotely applied LSA had excellent reliability and a positive and significant correlation with the SAM. It is concluded that the LSA can be used remotely as a measure of mobility in real environments for people with chronic hemiparesis. [Extracted from the article]

This article presents the validation of the Lower Extremity Motor Activity Log (LE-MAL) questionnaire in patients with chronic hemiparesis post-stroke. The study correlated the results of the LE-MAL with the Step Watch Activity Monitor (SAM), an accelerometer used to measure mobility in people with hemiparesis. The results showed a positive and moderate correlation between the number of steps recorded by the SAM and the total score of the LE-MAL. It is concluded that the LE-MAL questionnaire is valid and has a positive and moderate correlation with the SAM. [Extracted from the article]

This article discusses the correlation between falls and social participation in patients with post-stroke hemiparesis. The cross-sectional study included seven patients with a mean age of 67.14 years. It was observed that patients have a higher subjective perception of the risk of falls and restrictions in the domains of work, recreation, and community life. Although weak to moderate negative correlations were found between the risk of falls and the domains of social participation, these correlations were not statistically significant. It is concluded that a reduction in concern about falls may be related to increased social participation after a stroke. [Extracted from the article]

The purpose of this study was using an accelerometer to access the kinematics of reach-to-grasp movements in subjects with hemiparesis. Eight subjects (59.4 ± 6.9 years old) with chronic hemiparesis (50.9 ± 25.8 months post-stroke) participated in this study. Kinematic assessment was performed using a triaxial accelerometer (EMG Systems, Brazil) attached to the subjects' forearm. Ten reach-to-grasp movements of grabbing a 500ml-size bottle were performed by the subjects with the paretic and the non-paretic upper limbs (ULs). The following space-temporal variables were calculated and used to compare the paretic and non-paretic ULs: movement time (MT), time to reach the peak velocity, absolute and relative (TPV and TPV%MT), relative deceleration duration (DEC%MT), time to peak acceleration (TPA) and peak hand acceleration (PA). Movements were slower in the paretic UL with increased MT, TPA and DEC. The accelerometer allowed to identify of changes in reaching-to-grasp movements of subjects with hemiparesis. When complex systems are not available, accelerometers can be an alternative to measure UL movements.

The case of a 52 old women with Hodgkin’s disease of 15 years duration is described. During 4 months ago when she be in the remission phase during every 6 months her follow up she complaint with paranoid minds, urinary incontinency, headache, dizziness and blurred vision started. Papilledema and left hemiparesia were detected. Brain MRI pointed to intracranial invasion by the disease. Therapeutic test with steroids brought to amelioration; therefore, subsequent skull irradiation and chemotherapy were given which improved her condition markedly. For the diagnosis we need newer diagnostic procedures that enable for correct diagnosis of intracranial involvement in Hodgkin’s disease. In doubtful cases, therapeutic test with steroids, followed by chemotherapy and skull irradiation, are indicated, and surgery should be advised only if these measures fail.

Se realizó un estudio que comienza prospectivo, pero continúa y termina descriptivo sobre la enfermedad cerebrovascular, con los casos nuevos que fueron tratados en el Servicio de Rehabilitación Municipal de Artemisa en el año 2008, con el objetivo general de describir los resultados del tratamiento mediato. De un universo de 46 pacientes, la muestra tomada consistió en 25 pacientes, y como la población fue pequeña, se tomaron los catalogados como hemiparéticos, para comparar su evolución clínica al cabo de 6 meses de tratamiento normado e individualizado. Para comparar su grado de efectividad se utilizó la dócima de Mc Nemar o método de los 4 cuadros, utilizado en muestras pequeñas para buscar significación estadística y que los valores obtenidos no se deban al azar. En cuanto a los resultados: de los 14 casos que recibieron tratamiento de rehabilitación en etapas mediatas, 9 de ellos (63,7 %) tuvieron mejoría clínica evidente al pasar al estadio de solo presentar signos neurológicos mínimos (definición operacional de variable). Hubo un predominio del grupo perteneciente al sexo masculino con un total de 30 casos, el 37 % estuvo en edades comprendidas entre 60 y 69 años, y el estadio clínico de hemiparéticos predominó de todos los casos (54,6 %).A prospective study was conducted which start and end in a descriptive way on the cerebrovascular disease with the new cases treated in the Municipal Rehabilitation Service of Artemisa municipality during 2008, with the general objective of to describe the results from the mediate treatment. From a universe including 40 patients, the sample was of 25 patients and due to the population was small; we selected those considered hemiparetic to compare its clinical course at 6 months of standardized and individualized treatment. To compare its effectiveness degree we used the McNemar's docime or the method of four pictures used in small samples to seek a statistic significance and that the values obtained were not randomized. As regards the results: from the 14 cases under rehabilitation treatment in immediate stages, 9 of them (63,7 %) had a obvious clinical improvement passing to stage with only minimal neurologic signs (operational definition of variable). The was predominance of male sex with a total of 30 cases, the 37 % was aged between 60 and 69 and the clinical stage of the hemiparetic was prevalent in all the cases (54,6 %).

Stroke has a major impact on public health. Hemiplegia is one of the most obvious clinical signs of the disease, and individuals tend to keep themselves in an asymmetric postural position, with impaired respiratory function. The purpose of this study was to evaluate the effects of a rehabilitation project on functional independence, quality of life, respiratory muscle strength and mobility chest in hemiplegic patients. The study was based on four hemiplegic subjects, aged between 53 and 78 years. Outcomes chest tests. After the initial assessment, the Trunk Rehabilitation Program was used for 50 minutes. At the end of 20 sessions, all subjects were reassessed, using the same instruments. There were no statistically significant results (p > 0,05), however, an improvement was observed in levels of functional independence, quality of life, respiratory muscle strength and mobility chest. It is suggested that the implementation of exercises, aimed at restoring the function of the trunk, in a rehabilitation program for the hemiplegic subject, is satisfactory. Further studies with a larger sample is recommended. O acidente vascular encefálico (AVE) tem grande impacto sobre a saúde da população. A hemiparesia é um dos sinais clínicos mais óbvios da doença e os indivíduos acometidos apresentam tendência em manter-se em uma posição de assimetria postural, com função respiratória prejudicada. O objetivo deste estudo foi avaliar os efeitos de um Programa de Reabilitação na independência funcional, qualidade de vida, força muscular respiratória e mobilidade torácica em pacientes hemiparéticos, após AVE. Participaram do estudo quatro indivíduos hemiparéticos, com idades entre 53 e 78 anos. Para a mensuração das variáveis, foram utilizadas as Escalas PASS e IBm, o questionário SF-36, e testes específicos de manovacuometria e cirtometria. Após a avaliação inicial, foi aplicado um Programa de Reabilitação do Tronco, com duração de 50 minutos. Ao término de 20 sessões, todos os indivíduos foram reavaliados, utilizando-se os mesmos instrumentos. Não foram encontrados resultados estatisticamente significantes (p > 0,05), porém se observou melhora nos índices de independência funcional, qualidade de vida, força muscular respiratória e mobilidade torácica. Sugere-se que a aplicação de exercícios, direcionados ao restabelecimento da função do tronco, em um programa de reabilitação para o indivíduo hemiparético é satisfatória. Faz-se necessária a realização de novos estudos com uma amostra maior.

Stroke, though rare in children is among the top 10 causes of death in childhood. Incidence of ischemic and hemorrhagic stroke is the same in children .We report a case of hemorrhagic stroke in a two year old girl who presented with a limp, inability to stand on the left leg and left hemiparesia. Her complaint began 10 days ago after a bout of left clonic seizure. She had been admitted to the hospital for a week due to delayed hemorrhage of the umbilical stump at the age of 18 days. Brain CT scan showed a round, hyper dense area with mass effect in the right supraparietal region. Craniotomy revealed a hemorrhage and report of pathology was hematoma. Considering the delayed umbilical cord bleeding and normality of usual tests for hemostasis and partial deficiency of factor XIII in both parents, the problem was diagnosed as homozygote severe deficiency of factor XIII.

INTRODUCTION: There is still no consensus among different specialists on the subject of kinematic variation during the hemiparetic gait, including the main changes that take place during the gait cycle and whether the gait velocity changes the patterns of joint mobility. One of the most frequently discussed joints is the knee. OBJECTIVES: This study aims to evaluate the variables found in the angular kinematics of knee joint, and to describe the alterations found in the hemiparetic gait resulting from cerebrovascular injury. METHODS: This study included 66 adult patients of both genders with a diagnosis of either right or left hemiparesis resulting from ischemic cerebrovascular injury. All the participants underwent three-dimensional gait evaluation, an the angular kinematics of the joint knee were selected for analysis. RESULTS: The results were distributed into four groups formed based on the median of the gait speed and the side of hemiparesis. CONCLUSIONS: The relevant clinical characteristics included the important mechanisms of loading response in the stance, knee hyperextension in single stance, and reduction of the peak flexion and movement amplitude of the knee in the swing phase. These mechanisms should be taken into account when choosing the best treatment. We believe that the findings presented here may aid in preventing the occurrence of the problems found, and also in identifying the origin of these problems.

Las calcificaciones en los ganglios basales son un hallazgo fisiológico o patológico reconocido en hasta el 0,6% de los pacientes sometidos a estudios por neuroimagen. Su etiología incluye diversas patologías de tipo metabólico, infeccioso, neoplásico, vascular, etc. Entre las causas prevalentes de calcificaciones en ganglios basales se encuentran las diferentes presentaciones de la neurocisticercosis, causada por la infección con larvas de Taenia solium. Esta enfermedad ha sido olvidada y constituye un problema de salud pública específicamente para países subdesarrollados. El objetivo del presente artículo es describir, por medio de un caso clínico, algunas características semiológicas y fisiopatológicas de la neurocisticercosis. Informe del Caso: se presenta el caso de un paciente de sexo masculino, de 57 años de edad, con hemiparesia derecha ipsilateral, calcificaciones ganglio-basales y quistes meníngeos espinales derechos por neurocisticercosis. Tras un mes de tratamiento médico con albendazol y prednisona, el paciente presenta una remisión significativa de los signos y síntomas neurológicos. Discusión: es pertinente destacar que las características de este cuadro clínico dependen de su fisiopatología y presentación clínica. Además, el médico debe poseer fundamentos sólidos de neurofisiología que permitan un adecuado diagnóstico y tratamiento de la entidad clínica, de tal manera que se reduzca la discapacidad en los pacientes.

The aim of this study was to evaluate the cardiovascular behavior, functional mobility and gait of a chronic hemiparetic individual subjected to an aerobic training protocol on a treadmill without body weight support. Case study with a chronic hemiparetic individual assessed by the Timed Up and Go (TUG), Walking Speed Test 10 m (TV10M) and Stress Testing (TES). It underwent a training protocol on a treadmill 30 min divided into three 10-min blocks each, with rest intervals, at a speed of 60% of that obtained in TES. was not observed change in behavior of the heart rate and blood pressure during the treatment, however there was improvement in TUG (AV1 = 12.53 sec; AV2 = 9.39 sec) and TV10M (AV1 = 9.00 sec ; AV2 = 7.03 sec). The results showed that the protocol used was not sufficient to alter the cardiovascular condition of a chronic hemiparetic individual subjected to aerobic training protocol on a treadmill without body weight support, but improved functional motor condition. [ABSTRACT FROM AUTHOR]

Hemiparetics treated in rehabilitation centers remain many time inactives during the treatment in a session of Conventional Physiotherapy. There are evidences that the Physiotherapy of Group in Training Circuit (PGTC) is effective to increase the amount of active time during the therapy, therefore the objective of this study was to evaluate the time spent with active exercises during the PGTC in chronic hemiparetics. The methodology consisted of five chronic hemiparetics in treatment in physiotherapy and rehabilitation center of the Universidade Estadual Paulista (UNESP), campus of Presidente Prudente, where was used a camera over a tripod in the attendance space in PGTC. The results were of 60.77 ± 1.70% of the session time with the patients realizing active exercises and 39.23 ± 1.70% of the time inactives. We conclude that the time spent with active exercises during the PGTC, allow that the chronic hemiparetics spend more time in active tasks. [ABSTRACT FROM AUTHOR]

Stroke ischemic represents 80% of cases, while the remaining 20 % correspond to the hemorrhagic type. Ischemic stroke is characterized by the death of part of the brain mass as a result of clogged vessels supplying the brain. Due to the high overall incidence and severity of the consequences generated by the stroke, it is necessary to know the most effective physiotherapy treatments for this pathology. The aim of this study was to review and analyze the publications of the last ten years onproposals for physiotherapy rehabilitation in patients with motor sequelae of ischemic stroke. A literature search was performed in electronic databases: MEDLINE, LILACS, SciELO and Cochrane in the last ten years. Using the terms 'Ischemic stroke, Physiotherapy, Rehabilitation, Hemiparesis. Studies were found showing treatment protocols that provide favorable results in gaining muscle strength, decreased spasticity, flexor inhibition pattern, improved fitness, better balance and regulation of heart rate during exercise. It can be argued that the techniques analyzed in the work be adopted in the treatment of stroke according to the type of motor sequel, but it noted that it is not ruled out the possibility of new studies. [ABSTRACT FROM AUTHOR]

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