ABSTRACT
BACKGROUND: Stroke stands as a significant global health concern, constituting a leading cause of disability worldwide. Rehabilitation interventions are crucial in aiding the recovery of stroke patients, contributing to an overall enhancement in their quality of life. This scoping review seeks to identify current trends in gait rehabilitation for stroke survivors. METHODS: The review followed the methodological framework suggested by Arksey and O'Malley. Electronic databases, such as CINAHL Complete, MEDLINE Complete, and Nursing & Allied Health Collection, were systematically searched in November 2023. Inclusion criteria comprised papers published in either English or Portuguese from 2013 to 2023. RESULTS: From the initial search, a total of 837 papers were identified; twenty-one papers were incorporated into this review. Thirteen distinct categories of gait rehabilitation interventions were identified, encompassing diverse approaches. These categories comprise conventional rehabilitation exercises, traditional gait training with integrated technology, and gait training supported by modern technologies. CONCLUSIONS: Although traditional rehabilitation exercises have historically proven effective in aiding stroke survivors, a recent trend has emerged, emphasizing the development and integration of innovative therapeutic approaches that harness modern technologies.
ABSTRACT
Dance can be an innovative, well-accepted, and effective therapy for stroke survivors. The present protocol aims to assess the feasibility of adapted Portuguese folk dance as a post stroke rehabilitative activity. We will use a mixed-methods pilot study convenience sampling to recruit 16 stroke survivors with mild-moderate lower limb paresis from a rehabilitation center in Lisbon and Tagus Valley. In addition to usual care, participants will attend 3 days per week 1-h dance exercise for 8 weeks. The dance style used for this intervention will be an adaptation of the Portuguese folk dance. Assessment will be conducted before and immediately after the program intervention. Acceptability will be assessed by four key domains (enrollment, retention, satisfaction, and recommendation to others). Safety will be assessed based on the number and type of adverse events. Feasibility will be assessed based on balance performance and functional mobility. Quantitative data will be analyzed through descriptive statistics for sample characterization, followed by inferential statistics to evaluate differences in the balance recovery and functional mobility scores between the initial and final assessment. Qualitative data will be analyzed using an inductive process of content analysis. The Portuguese folk dance program has the potential to improve balance outcomes and functional mobility. Our results will help validate Portuguese folk dance as a tool for rehabilitation settings for stroke survivors. The potential of our program to enhance balance outcomes and functional mobility among stroke survivors bears implications for aging and public health initiatives. Positive results from this study could pave the way for integrating dance-based rehabilitative activities into standard stroke rehabilitation protocols, catering to older stroke survivors' specific needs and preferences.
Subject(s)
Stroke , Humans , Pilot Projects , Portugal , Public Health , AgingABSTRACT
Introdução: O tratamento da má oclusão Classe III em pacientes em crescimento é um desafio pela estabilidade e colaboração do paciente. A etilologia da Classe III pode ser por natureza esquelética, genética e fatores ambientais. Os aspectos encotrados são deficiência maxilar com mandíbula bem posicionada ou protruída da sua base ósseas, maxila bem posicionada com prognatismo mandibular ou a combinação de retrognatismo maxilar com prognatismo mandibular. A deficiência de maxila é frequentemente encontrada em pacientes com má oclusão Classe III sendo o tratamento indicado, a protração maxilar. Material e métodos: Foram selecionadas 8 crianças na faixa etária de 7 a 10 anos, com características faciais e esqueléticas para Classe III. Como terapêutica ortopédica, foi utilizado o aparelho expansor tipo Hyrax modificado com ganchos soldados na mesial dos segundos molares decíduos e primeiros molares permanentes. Para o inferior foi um arco lingual de Nance modificado com ganchos soldados na altura de caninos e segundos molares decíduos. O protocolo para disjunção maxilar com dois quartos de volta por dia em média de 7 a 10 dias, em seguida indicado o uso de elásticos para Classe III 3/16" de força média na primeira semana e a partir da segunda semana, elásticos 1/8" médio de cada lado da arcada até a correção da mordida cruzada anterior. Para a análise dos efeitos dentoesqueléticos foram usadas as teleradiografias iniciais (T1), as obtidas após a correção da MCA (T2) e as telerradiografias realizadas após três meses após a correção (T3). Resultados: De acordo com a mecânica proposta e metodologia aplicada, conclui-se que, no Aspecto dentoalveolar: 1.PlMx constante, 1.NA favorável, 1.NB favorável, 1/.NS constante, IMPA favorável, 1/./1 - desfavorável. Posição da bases ósseas: SNA desfavorável. SNB favorável, Nperp-Pog favorável, Nperp-A - constante. Posição maxilo mandibular: ANB favorável, CoGn favorável, Co-A favorável. Análise vertical: AFAI constante, FMA desfavorável, SN.Go-Gn favorável. Análise do perfil facial: ANL favorável. Conclusão: A correção da Classe III provocou alterações dentoalveolares principalmente a vestibularização dos incisivos superiores; alterações esqueléticas sendo predominante a manutenção da posição mandibular e o perfil se modificou tornando-se mais convexo(AU)
Introduction: Treatment of Class III malocclusion in growing patients is a challenge for patient stability and collaboration. Class III etiology may be by skeletal, genetic, and environmental factors. The aspects found are maxillary deficiency with well positioned or protruding mandible of its base bone, maxilla well positioned with mandibular prognathism or the combination of maxillary retrognathism with mandibular prognathism. Jaw deficiency is often found in patients with Class III malocclusion and the indicated treatment is maxillary protraction. Material and methods: We selected 8 children aged 7 to 10 years, with facial and skeletal characteristics for Class III. As an orthopedic therapy, the modified Hyrax type expander was used with welded hooks in the mesial of the second deciduous and first permanent molars. For the lower one was a lingual arch of Nance modified with welded hooks at the height of deciduous canines and second molars. The protocol for maxillary disjunction with two quarters of a turn in a mean of 7 to 10 days, then indicated the use of Class III 3/16 "elastic force in the first week and from the second week, elastic 1 / 8 "on each side of the arcade until the correction of the anterior crossbite. The initial teleradiographs (T1), those obtained after correction of the MCA (T2) and the cephalograms performed three months after the correction (T3) were used to analyze the dento-skeletal effects. Results: According to the proposed mechanics and applied methodology, it is concluded that, in the dentoalveolar aspect: 1.PlMx - constant, 1.NA - favorable, 1.NB - favorable, 1 / .NS - constant, IMPA - 1 /./ 1 - unfavorable. Position of the bony bases: SNA - unfavorable. SNB - favorable, Nperp-Pog - favorable, Nperp-A - constant. Mandibular maxillary position: ANB - favorable, CoGn - favorable, Co-A - favorable. Vertical analysis: AFAI - constant, FMA - unfavorable, SN.Go-Gn - favorable. Analysis of facial profile: ANL - favorable. Conclusion: Class III correction caused dentoalveolar changes, mainly vestibularization of maxillary incisors; skeletal changes being predominant the maintenance of the mandibular position, and the profile changed becoming more convex(AU)
