Influence of the anchor system on body sway in women affected and not affected by lymphedema secondary to breast cancer: A cross-sectional study.

BACKGROUND: Postural control is an essential ability for functional independence modified by therapeutic approaches and morbidities secondary to breast cancer. The anchor system enables additional haptic perception of body position in front of the support base and can be used alone or in conjunction with sensorimotor training. RESEARCH QUESTION: What is the influence of the anchor system, through different manual contacts on the upper limb, on body sway in women affected and not affected by lymphedema secondary to breast cancer treatment? METHODS: Cross-sectional study involving 60 women homogeneously distributed to the group affected by lymphedema (GAL), with a mean age of 62.53 (SD = 12.54) years and upper limb volume difference (ULVD = Ipsilateral - Contralateral) of 636.21 (SD = 387.94) cm3, and group not affected by lymphedema (GNAL), with a mean age of 57.24 (SD = 11.43) years and ULVD of -8.91 (SD = 121.72) cm3. Baropodometry was used to assess body sway, through the presence and absence of the visual sense, associated with different manual contacts of the anchor system designated absence, simulation of use, unilateral and bilateral contact. The Shapiro-Wilk and Student's T-tests with Bonferroni Post-Hoc were used in the statistical analysis (p ≤ 0.05). RESULTS: The GAL expressed non-significant values compared to the GNAL in the absence of visual sense and non-use of the anchor system. The unilateral contact of the anchor system on the preferred upper limb in the presence of the visual sense, and bilateral contact of the anchor system in the presence and absence of the visual sense promoted a significant reduction of body sway in both groups. SIGNIFICANCE: In breast cancer survivors, the anchor system with bilateral contact effectively maintains postural control, regardless of the visual sense and the volume of the upper limb.

Transtorno do movimento estereotipado associado ao atraso da linguagem: dados de estudos de caso que contribuem para o diagnóstico diferencial / Stereotyped movement disorder associated with language delay -: data from case report that contribute to differential diagnosis / Trastorno del movimiento estereotipado asociado con el retraso del lenguaje: datos de estudios de casos que contribuyen al diagnóstico diferencial

Introdução: Movimentos repetitivos associados a alterações de linguagem representam dois importantes sinais de alerta para os TEA (Transtornos do Espectro do Autismo). Ainda que, segundo pesquisas atuais, o atraso na aquisição da linguagem não faça parte do conjunto de características comumente observadas em crianças na primeira infância com Transtorno do Movimento Estereotipado (TME), a sua coocorrência pode ser mais comum do que se imagina, o que pode levar a diagnósticos falso positivo para os TEA. Objetivo: Caracterizar o processo desviante de aquisição da linguagem associado ao TME, buscando diferenciar das características específicas aos TEA. Método: A presente pesquisa apresenta o relato de caso de duas crianças, na faixa etária dos 30 aos 36 meses, com importante atraso na aquisição da fala associado à presença de movimentos estereotipados, com perfis considerados de risco para o autismo. Resultados: Na primeira avaliação as duas crianças apresentavam escore médio referente ao número de sinais de alerta para os TEA. Após intervenção de 6 meses, para diagnóstico diferencial, houve queda no número de sinais de risco, como remissão de alguns comportamentos característicos dos TEA, melhora na intensidade dos movimentos repetitivos e aumento do repertório de fala. Conclusão: Ainda que a presença de movimentos repetitivos ou estereotipadas seja um dos sinais clássicos dos TEA, mesmo que coocorra com outras alterações igualmente sugestivas a este diagnóstico, como o atraso na fala, para que o diagnóstico seja conclusivo, é necessária a observação da presença de outros sintomas que se manifestam de forma persistente ao longo do desenvolvimento.

Introduction: The repetitive movements associated with language disorders represent two important warning signs for ASD (Autism Spectrum Disorders). Even if, according to current research, the delay in language acquisition may not be part of the set of characteristics commonly observed in toddlers with Stereotyped Movement Disorder (SMD), this co-occurrence of language impairment and Stereotyped Movement Disorder may be more common than can be imagined, which leads to mistaken ASD diagnoses. Objective: To characterize the deviant language acquisition process associated with SMD, seeking to differentiate the specific characteristics of ASD. Method: This research presents a case report of two toddlers, aged 30 to 36 months, with an important delay in the acquisition and development of speech associated with the presence of stereotyped movements, with profiles considered at risk for autism. Results: The first assessment showed important results indicating ASD for both children. After a 6-month intervention, there was a decrease in the number of risk signs, such as remission of some behavior characteristic of ASD, improvement in the intensity of repetitive movements and increase of the speech repertoire. Conclusion: Although the presence of repetitive or stereotyped movements is one of the classic signs of ASD, even if it co-occurs with other disorders equally suggestive to this diagnosis, such as delayed speech, for a conclusive diagnosis it is necessary the observation of other symptoms that manifest themselves persistently throughout development.

Introducción: Los movimientos repetitivos asociados con los cambios de lenguaje representa importantes señales de advertencia para los TEA (Trastornos del Espectro Autista). Aunque, según la investigación actual, el retraso en la adquisición del lenguaje no es parte del conjunto de características comúnmente observadas en niños en la primera infancia con trastorno de movimientos estereotipados, su coocurrencia puede ser más común de lo imaginado, lo que conduce a diagnósticos falsos positivos de TEA. Objetivo: Caracterizar el proceso de adquisición del lenguaje desviado asociado al Trastorno de Movimientos Estereotipados (TME), buscando diferenciar las características específicas de los TEA. Método: Esta investigación presenta el caso clínico de dos niños, de 30 a 36 meses, con un importante retraso en la adquisición y desarrollo del habla asociado a la presencia de movimientos estereotipados, con perfiles considerados en riesgo de autismo. Resultados: En la primera evaluación, los dos niños obtuvieron una puntuación media con respecto al número de señales de advertencia de TEA. Después de una intervención de 6 meses, diagnóstico diferencial, hubo una disminución en el número de signos de riesgo, como la remisión de algunos comportamientos característicos de los TEA, una mejora en la intensidad de los movimientos repetitivos y un aumento en el repertorio del habla. Conclusión: Si bien la presencia de movimientos repetitivos o estereotipados es uno de los signos clásicos de los TEA, aunque concurra con otros cambios igualmente sugestivos para este diagnóstico, como el retraso en el habla, para que el diagnóstico sea concluyente es necesaria la observación de la observación. otros síntomas que se manifiestan de forma persistente a lo largo del desarrollo.

Effects of a multimodal physical exercise program on physical and mental health indicators in males with substance use disorder / Efeitos de um programa multimodal de exercícios físicos na saúde física e mental em homens com dependência química

INTRODUCTION: Substance use disorder (SUD) is seen as a serious and growing public safety and health problem worldwide. Long-term sequelae may involve permanent damage to physical fitness, body balance, and coordination skills, with a severe motor, functional, and emotional consequences. OBJECTIVE: To verify the effect of 16 sessions of a multimodal physical exercise program on physical fitness, body balance, and internalized stigma of inpatients for the treatment of Substance use disorder. METHODS: Forty-three males with Substance use disorder (aged 33.9±12.4 years) were divided into an Intervention Group (IG, n=21) and Control Group (CG, n=22). The IG was submitted to eight weeks of training with physical exercises. Participants were submitted to the evaluation of internalized stigma, body balance, agility, and flexibility, before and after the intervention period. RESULTS: Positive results were observed in physical fitness (agility, p=0.001) and body balance variables (center of pressure path with closed eyes, p=0.050, and ellipse area with closed eyes, p=0.031). The time of substance use correlated with lower performance in agility and body balance tests. CONCLUSION: The data seem to support the potential benefit of physical exercise as an adjunct in Substance use disorder rehabilitation process, particularly for physical fitness and body balance variables.

INTRODUÇÃO: A dependência química (DQ) é vista como um problema grave e crescente de saúde e segurança pública ao redor do mundo. As sequelas a longo prazo podem envolver prejuízos à aptidão física, equilíbrio corporal e capacidades coordenativas, com consequências motoras, funcionais e emocionais severas. OBJETIVO: Verificar o efeito de 16 sessões de um programa multimodal de exercícios físicos na aptidão física, equilíbrio corporal e estigma internalizado em pacientes internados para o tratamento de dependência química. MÉTODOS: Foram avaliados 43 homens com dependência química (idade 33,9±12,4 anos), divididos em Grupo Intervenção (GI, n=21) e Grupo Controle (GC, n=22). O GI foi submetido a oito semanas de treinamento com exercícios físicos. Os participantes foram submetidos à avaliação do estigma internalizado, equilíbrio corporal, agilidade e flexibilidade, antes e após o período de intervenção. RESULTADOS: Resultados positivos foram observados na aptidão física (agilidade, p=0,001) e variáveis do equilíbrio corporal (centro de pressão com os olhos fechados, p=0,050, e área da elipse com os olhos fechados, p=0,031). O tempo de uso de substância correlacionou-se com os piores desempenhos nos testes de agilidade e equilíbrio corporal. CONCLUSÃO: Os dados parecem corroborar os potenciais benefícios do exercício físico como um adjuvante no processo de reabilitação da dependência química, particularmente para as variáveis da aptidão física e equilíbrio corporal.

Methylphenidate Induced Lip and Tongue Biting.

Attention deficit hyperactivity disorder (ADHD) is a life-long neurodevelopmental disorder and treatment depends on pharmacotherapy because of its biological origin. Stimulant drugs are the most commonly used treatment for ADHD and they have various side effects. Herein, we report a case who bit off the tip of her tongue with Osmotic Release Oral System methylphenidate (OROS MPH) 36 mg/day, bit the tip of her lower lip with immediate release (IR) MPH 10 mg/day and lateral part of her tongue with IR MPH 20 mg/day. A diagnosis of epilepsy was unlikely because of the normal neurological examination and electroencephalography findings. This case was considered as an atypical side effect of MPH such as perseverative/compulsive behaviours and movement disorders. Clinicians should be aware of that stimulant medications may cause lip and tongue biting behavior and this may effect treatment compliance tremendously.

Management of Refractory Orofacial Dyskinesia Caused by Anti-N-methyl-d-aspartate Receptor Encephalitis Using Botulinum Toxin.

The use of botulinum neurotoxin serotype A (BoNT-A) injections for the treatment of orofacial dyskinesia secondary to anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis is rarely reported. Here, we report a case of an urgent, successful management of severe orofacial dyskinesia in an 8-year-old girl with anti-NMDAR encephalitis using BoNT-A injection. The patient presented with de novo unilateral paroxysmal movement disorder progressing to generalized dystonia and repetitive orofacial dyskinesia. Diagnosis was confirmed by the presence of NMDAR antibodies in serum and cerebrospinal fluid. The orofacial dyskinesia worsened despite the aggressive use of first-line immunotherapy and second-line immunotherapy (rituximab), and resulted in a potentially fatal self-inflicted oral injury. We urgently attempted symptomatic management using BoNT-A injections in the masseter, and induced muscle paralysis using vecuronium. The patient's severe orofacial dyskinesia was controlled. We observed the effects of the BoNT-A injections and a tapering off of the effects of vecuronium 10 days after the treatment. The movement disorder had improved significantly 4 weeks after the first administration of rituximab. The injection of BoNT-A into the masseter may be an effective treatment for medically refractory orofacial dyskinesia in pediatric patients with anti-NMDAR encephalitis. We propose that the use of BoNT-A injections should be considered early to avoid self-inflicted oral injury due to severe refractory orofacial dyskinesia in patients with anti-NMDAR encephalitis.

Methylphenidate Induced Lip and Tongue Biting

Attention deficit hyperactivity disorder (ADHD) is a life-long neurodevelopmental disorder and treatment depends on pharmacotherapy because of its biological origin. Stimulant drugs are the most commonly used treatment for ADHD and they have various side effects. Herein, we report a case who bit off the tip of her tongue with Osmotic Release Oral System methylphenidate (OROS MPH) 36 mg/day, bit the tip of her lower lip with immediate release (IR) MPH 10 mg/day and lateral part of her tongue with IR MPH 20 mg/day. A diagnosis of epilepsy was unlikely because of the normal neurological examination and electroencephalography findings. This case was considered as an atypical side effect of MPH such as perseverative/compulsive behaviours and movement disorders. Clinicians should be aware of that stimulant medications may cause lip and tongue biting behavior and this may effect treatment compliance tremendously.

A contribuição do sistema âncora em diferentes segmentos corporais para o controle da postura em idosos / La contribución del sistema de anclaje en distintos segmentos corporales para el control de la postura en adultos mayores / The benefits of the anchor system on different parts of the body for posture control in older adults

RESUMO O sistema âncora é uma ferramenta não rígida que fornece informação háptica adicional, consistindo de dois cabos maleáveis com 125 g de massa repousando no solo, devendo-se segurar a outra extremidade com as mãos (âncora-mão). Considerando que o toque leve em diferentes partes do corpo reduz a oscilação corporal, é possível, da mesma forma, que o uso do sistema âncora em diferentes partes do corpo seja efetivo. Portanto, o objetivo deste estudo foi investigar o efeito do uso do sistema âncora em diferentes segmentos corporais sobre a oscilação corporal de idosos. Trinta idosos participaram do presente estudo. Eles ficaram na postura ereta com os pés na posição semi-tandem sobre uma plataforma de força para a obtenção do deslocamento do centro de pressão (CP). Cinco condições experimentais foram realizadas: sem âncora, âncora-mão, âncoras nas mãos presas com presilhas, âncoras nos antebraços presas com presilhas e âncoras nos ombros presas com presilhas. Os resultados mostraram uma redução da área da elipse ajustada ao deslocamento do CP e na amplitude média de oscilação na direção anteroposterior nas condições com as âncoras posicionadas nas mãos (âncora-mão e presilha) e antebraços em comparação à condição sem âncora. Assim, o uso do sistema âncora foi efetivo quando as âncoras foram posicionadas no antebraço da mesma forma que quando foram seguras pelas mãos. A melhora observada com o uso das âncoras parece não estar relacionada com a quantidade de receptores táteis no ponto de contato dos cabos das âncoras.

RESUMEN El sistema de anclaje es una herramienta no rígida que brinda información adicional háptica, formada por dos cables maleables con 125g de masa que reposan en el suelo y otra extremidad en que se sostiene en las manos (anclaje de mano). De la misma forma que un simple contacto en distintas partes del cuerpo reduce el equilibrio corporal, es posible que también tenga eficacia el empleo del sistema de anclaje. Así el propósito de este estudio es examinar el efecto del empleo del sistema de anclaje en distintos segmentos corporales sobre el equilibrio corporal en adultos mayores. Del estudio participaron treinta adultos mayores, quienes mantuvieron en postura erecta con los pies en posición semi-tandem sobre una plataforma de fuerza para que se obtenga el desplazamiento del centro de presión (CP). Se llevaron a cabo cinco situaciones experimentales: sin las anclas; anclaje de mano; anclas en las manos sujetadas con abrazaderas; anclas en los antebrazos sujetadas con abrazaderas y anclas en los hombros sujetadas con abrazaderas. Hubo una reducción del área de elipse ajustada al desplazamiento del CP y en la amplitud media del equilibrio en la dirección anteroposterior en las situaciones con las anclas sujetadas en las manos (tradicional y con abrazaderas) y con los antebrazos cuando comparada a la situación sin las anclas. Así se obtuvo eficacia en el empleo del sistema de anclaje cuando las anclas se las pusieron en los antebrazos, semejante al momento en el que se las fijaron/sujetaron en las manos. La mejora resultado del empleo de las anclas no parece relacionarse con la cuantidad de receptores táctiles en el punto de contacto de los cables de las anclas.

ABSTRACT The anchor system is a nonrigid tool that provides additional haptic information. It consists of two malleable cables with 125g loads resting on the floor, whereas the hands hold the other end of the cable (hand anchor). If we consider that light touch of different parts of the body reduces body sway, it is also possible that the use of the anchor system on different parts of the body might be effective. Therefore, this study aimed at investigating the effect of using the anchor system on different parts of the body on older adults’ body sway. Thirty older adults participated in this study. Participants stood on a force platform in a semi-tandem position and maintaining an upright posture for measuring deviations in the location of the center of pressure (CoP). Each participant was exposed to five experimental conditions: no anchor, hand anchor, anchors in hands fastened with straps, anchors in forearms fastened with straps and anchors in shoulders fastened with straps. The results showed a reduction in the area of the ellipse adjusted to the deviation of the CoP and mean sway amplitude in the anteroposterior direction with the anchors positioned on the hands (traditional and strap) and forearms, compared with the condition without the anchor. Thus, the use of the anchor system was effective when the anchors were positioned on the forearm as well as when they were fastened/held in hands. The improvement observed with the use of anchors does not seem to be related to the amount of tactile receptors at the point of contact with the anchor cables.

Punding in non-demented Parkinson's disease patients: Relationship with psychiatric and addiction spectrum comorbidity.

Punding is a stereotyped behavior characterized by an intense fascination with a complex, excessive, non-goal oriented, repetitive activity, associated with dopaminergic replacement therapy (DRT) in patients affected by Parkinson's disease (PD) and with dopamine agonists in several conditions. We studied 25 PD patients with punding behaviors, and compared them to 130 PD controls. The psychiatric evaluation included: the Snaith-Hamilton Pleasure Scale (SHAPS); the SCales for Outcomes in PArkinson's disease-Psychiatric Complications (SCOPA-PC); the Barratt Impulsiveness Scale, Version 11 (BIS-11); the Mood Disorder Questionnaire; the Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS). The occurrence of impulse control disorders (ICDs) was diagnosed through a psychiatric interview. Significantly more punding patients (96% vs. 68%; p<0.01) were in treatment with DA agonists, receiving significantly higher DA agonists levodopa equivalent daily dose (LEDD). Punding behaviors were found to be associated with psychiatric comorbidity, particularly with psychosis and bipolar disorder. In addition, higher anhedonic symptoms were reported by punders. High rate of co-occurring addictive behaviors (pathological gambling, hedonistic homeostatic dysregulation) and ICDs were found. In conclusion, presented data confirm that DRT, in a subset of PD patients, is strongly associated with addiction-like behavioral issues. Punding shares similarities with addictive behaviors and is associated to other psychiatric symptoms involving dopamine system alterations.

Intense Imagery Movements (IIM): More to motor stereotypies than meets the eye.

AIM: A subgroup of children who present with motor stereotypies in the context of episodes of intense imagery have recently been described in the literature,(1) termed Intense Imagery Movements (IIM). All children report conscious engagement in acts of imagery or imagination, with stereotyped movements occurring simultaneously with limited conscious awareness. This article reports preliminary cognitive data to inform clinical management and guide future research. METHOD: Intellectual functioning was assessed for ten children with IIM (7 boys, 3 girls; mean age = 10;01, age range = 6;06 to 14;04). In-depth neuropsychological assessments were conducted for four of these cases (3 boys, 1 girls; mean age = 9;05), with standardised questionnaires completed to assess mood, behaviour, attention/concentration, sensory functioning, motor functioning and stereotyped movements. RESULTS: All children exhibited discrepant intellectual profiles, especially on perceptual reasoning tasks, with significant impairments in processing speed. In-depth neuropsychological assessments indicated impaired performance on tests of attention and inhibition, but strengths in memory or oral expression. Three of the four children had sensory processing impairments, two had features of developmental co-ordination disorder and one had poor general well-being. None of the children had emotional or behavioural problems. INTERPRETATION: Children with IIM exhibit uneven intellectual and cognitive profiles, with particular discrepancies in perceptual reasoning skills. The case studies suggest that weaker attention, inhibition and processing speed skills may contribute to engagement in IIM, with good memory and/or language skills potentially contributing to the complexity of imagery abilities. Implications for the identification and management of these children in clinical practice, and future research ideas, are discussed.

Tic & Tourette Syndrome and Motor Disorders / 한양의대학술지

Motor disorders in childhood include tic disorder, developmental coordination disorder, and stereotypic movement disorder. A tic is a sudden, rapid, repetitive and nonrhythmic movement (motor tics) or phonic production (phonic or vocal tics) that can occur at any part of the body. Developmental coordination disorder (DCD) is characterized by marked impairment in the acquisition and performance of motor skills. Stereotypic movement disorder is a common childhood disorder which repetitive, hard to control, aimless motor activity interrupts everyday life or causes self-infliction of a child. Despite increased attention and the growing scientific knowledge about motor disorders, there are limitations in our understanding and knowledge about the pathogenesis and the management of the disorders. Motor disorders can itself be the primary diagnosis, or can be secondarily diagnosed caused by other disorders, and accompany many neuropsychiatric disorders such as autism and attention deficit hyperactivity disorder (ADHD), which in turn impairs proper learning and socializing of the children with motor disorders. Therefore comprehensive medical history taking, continuous observation of the changes in symptoms, and systematic assessment considering the child's developmental stage and current adaptive capacity are needed. Behavioral therapy and pharmacological therapy are the two most often mentioned treatments of motor disorders.

Stereotyped movement disorder in ICD-11

According to current proposals for ICD-11, stereotyped movement disorder will be classified in the grouping of neurodevelopmental disorders, with a qualifier to indicate whether self-injury is present, similar to the classification of stereotypic movement disorder in DSM-5. At the same time, the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders has proposed a grouping of body-focused repetitive behavior disorders within the obsessive-compulsive and related disorders (OCRD) cluster to include trichotillomania and skin-picking disorder. DSM-5 has taken a slightly different approach: trichotillomania and excoriation (skin picking) disorder are included in the OCRD grouping, while body-focused repetitive behavior disorder is listed under other specified forms of OCRD. DSM-5 also includes a separate category of nonsuicidal self-injury in the section on “conditions for further study.” There are a number of unresolved nosological questions regarding the relationships among stereotyped movement disorder, body-focused repetitive behavior disorders, and nonsuicidal self-injury. In this article, we attempt to provide preliminary answers to some of these questions as they relate to the ICD-11 classification of mental and behavioral disorders.

Restrição visual e oscilações corporais ântero-posteriores na doença de Parkinson / Visual restriction and anterior-posterior body oscillations in Parkinson's disease

Sem visão poucos ajustes antecipatórios e/ou compensatórios ocorrem na doença de Parkinson e as evidências destes ajustes são menores quando a evolução da doença e as oscilações corporais são consideradas. Objetivo: O objetivo deste estudo foi evidenciar os efeitos da restrição visual sobre os ângulos das oscilações corporais ântero-posteriores na postura ereta de parkinsonianos considerando os estágios inicias de evolução da doença. Método: Dez idosos com Doença de Parkinson até o estágio 2 de Hoehn & Yahr (HY) ficaram de pé parados por 30 segundos para medir os ângulos das oscilações corporais com e sem visão. Resultados: ANOVA two-way com medidas repetidas revelou efeito principal de visão (F(1,7)=8,931;p<0,02). Conclusão: Os ângulos das oscilações corporais ântero-posteriores sem visão foram maiores do que com visão, estes não diferiram entre si quanto aos estágios de HY e as condições de visão interferiram no controle da postura independente do estágio de evolução da Doença de Parkinson.

With their vision restricted, sufferers of Parkinson?s disease (PD) make few anticipatory and/or compensatory adjustments in their posture and the evidence of these adjustments is even less when the disease progresses and body oscillations are considered. Objective: The aim of this study was to demonstrate the effects of visual restriction on the anterior-posterior body oscillation angles in parkinsonian stance considering the early stages of this disease. Method: Ten elderly PD patients with Hoehn & Yahr (HY) stage 2 remained standing still for 30 seconds to measure the body oscillation angles with and without restricted vision. Results: Two-way ANOVA analyses with repeated measurements revealed the main effect of vision (F(1,7) = 8.931, p<0.02). Conclusion: The angles of the anterior-posterior body oscillations without visibility were greater than with visibility. They did not differ in correlation with the HY stages and visibility conditions interfered with the postural control regardless of the PD evolution stage.

Avaliação da mobilidade funcional do paciente com sequela de AVC após tratamento na piscina terapêutica, utilizando o teste Timed Up and Go / Evaluation of functional mobility of patients with stroke sequela after treatment in hydrotherapy pool using the Timed Up and Go Test

Objective: To evaluate the functional mobility of patients with stroke over 12 sessions of hydrotherapy. Methods: Ten stroke patients aged between 5 and 85 years were evaluated by means of the Timed Up and Go test, which contains some items, such as balance, walking speed, changing directions, and standing up from a seated position. The study patients performed the test before and after each hydrotherapy session (total of 12 sessions). Each individual was compared to him/herself both short-term (pre- and post-therapy) and long-term (after 12 therapy sessions). Result: Comparing baseline and after 12 sessions, it was noted that the 10 patients improved their performance, with a decrease in time to execute the Timed Up and Go test. Conclusion: An exercise program in a hydrotherapy pool was beneficial for functional mobility performance improvement in stroke patients.

Objetivo: Avaliar a mobilidade funcional de pacientes com acidente vascular cerebral no decorrer de 12 sessões de hidroterapia. Métodos: Foram avaliados 10 pacientes com acidente vascular cerebral com idades entre 5 e 85 anos por meio do teste Timed Up and Go, que contém itens como equilíbrio, velocidade da marcha, mudança de direção e transferência de sentado para em pé. Os pacientes do estudo realizaram o teste antes e depois de cada sessão de hidroterapia (total de 12 terapias). Cada indivíduo foi comparado com ele mesmo, a curto prazo (pré e pós-terapia) e a longo prazo (após 12 terapias). Resultado: Comparados no início e ao final das 12 sessões, verificou-se que os 10 pacientes melhoraram sua performance, apresentando diminuição do tempo na execução do teste Timed Up and Go. Conclusão: O programa de exercícios em piscina terapêutica foi benéfico para melhora da performance da mobilidade funcional de pacientes portadores de acidente vascular cerebral.