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Effects of elastic tape on shoulder proprioception and sensory-motor performance during reaching in chronic hemiparetic subjects

Grant number: 14/25845-6
Support type:Scholarships in Brazil - Doctorate
Effective date (Start): June 01, 2015
Effective date (End): January 31, 2018
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Cooperation agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
Principal researcher:Thiago Luiz de Russo
Grantee:Gabriela Lopes dos Santos
Home Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
Associated scholarship(s):15/21695-2 - Features and Statistical Parametric Mapping (SPM) analysis for kinematic and EMG data during upper limb functional tasks of chronic hemiparetic subjects, BE.EP.DR


The stroke is the second cause of death and the first of disabilities in the world. Although a motor spontaneous recovery is observed, around 50 to 70% of the hemiparetic upper extremity present alterations of upper extremity, limiting the performance of daily activities even after 2 to 4 years of strokes. More recently used in neurological rehabilitation, the ability to promote sensory-motor facilitation is given to the Elastic Tape (ET). However, its safety and efficacy in the treatment of post-stroke individuals still require further investigation. Thus, the objective of this project is to evaluate the immediate effects of ET, applied to the paretic shoulder on proprioception during movements of abduction and flexion of the shoulder and muscle activation and kinematic variables for the reaching in chronic hemiparetic and healthy subjects. Twenty subjects with chronic hemiparesis (HC) and twenty healthy subjects (C) matched for gender and age will participate in the study. HC and C groups will be divided into placebo, P, (HCP: n = 10; CP: n = 10) and BE (HCBE: n = 10; CBE: n = 10). The motor impairment of HC group and the dominance of C group will be evaluated by Fugl-Meyer scale and the Inventory Side dominance of Edinburgh, respectively. BE will apply deltoid (anterior, middle and posterior). Assessment before and after the application of ET will be performed. For the assessment of motor performance in a functional task (reach a glass of water), spatio-temporal parameters (total duration of the motion, peak velocity, time to peak velocity) and three-dimensional joint kinematics of the trunk, scapula, shoulder, elbow and wrist (total range of motion, joint angle maximum and minimum) will be used. Concomitantly, bilateral activation of the deltoid (anterior, middle and posterior), trapezius (upper and lower), serratus anterior and pectoral major will be assessed by electromyography during reach. The following electromyographic variables will be analyzed: activation amplitude, muscle onset and maximum and minimum activation. For statistical analysis, the normality and homogeneity tests will be applied. If the variables have a distribution considered normal and homogeneous, ANOVA Thre-way repeated measures gift will be applied. Otherwise it will be applied to non-parametric statistics Friedman. Will be considered a 0.05 significance level for all statistical tests. (AU)

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Scientific publications (10)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
ALCANTARA, CAROLINA C.; GARCIA-SALAZAR, LUISA F.; SILVA-COUTO, MARCELA A.; SANTOS, GABRIELA L.; REISMAN, DARCY S.; RUSSO, THIAGO L.. Post-stroke BDNF Concentration Changes Following Physical Exercise: A Systematic Review. FRONTIERS IN NEUROLOGY, v. 9, . (17/13655-6, 15/19197-4, 13/25805-1, 15/21695-2, 14/25845-6)
GARCIA, LUCCAS CAVALCANTI; ALCANTARA, CAROLINA CARMONA; SANTOS, GABRIELA LOPES; ALMEIDA MONCAO, JOAO VICTOR; RUSSO, THIAGO LUIZ. Cryotherapy Reduces Muscle Spasticity But Does Not Affect Proprioception in Ischemic Stroke A Randomized Sham-Controlled Crossover Study. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, v. 98, n. 1, p. 51-57, . (13/25805-1, 17/13655-6, 14/25845-6)
ALCANTARA, CAROLINA CARMONA; BLANCO, JULIA; DE OLIVEIRA, LUCILENE MARIA; SAVIO RIBEIRO, PAULA FERNANDA; HERRERA, ESPERANZA; NAKAGAWA, THERESA HELISSA; REISMAN, DARCY S.; MICHAELSEN, STELLA MARIS; GARCIA, LUCCAS CAVALCANTI; RUSSO, THIAGO LUIZ. Cryotherapy reduces muscle hypertonia, but does not affect lower limb strength or gait kinematics post-stroke: a randomized controlled crossover study. Topics in Stroke Rehabilitation, v. 26, n. 4, p. 267-280, . (13/25805-1, 17/13655-6, 14/25845-6)
DOS SANTOS, GABRIELA LOPES; MOREIRA DA SILVA, ERIKA SHIRLEY; DESLOOVERE, KAAT; RUSSO, THIAGO LUIZ. Effects of elastic tape on kinematic parameters during a functional task in chronic hemiparetic subjects: A randomized sham-controlled crossover trial. PLoS One, v. 14, n. 1, . (15/21695-2, 14/25845-6)
SANTOS, GABRIELA LOPES; FERNANDA GARCIA-SALAZAR, LUISA; SOUZA, MATHEUS BRAGANCA; OLIVEIRA, ANA BEATRIZ; CAMARGO, PAULA REZENDE; RUSSO, THIAGO LUIZ. Torque steadiness and muscle activation are bilaterally impaired during shoulder abduction and flexion in chronic post-stroke subjects. JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY, v. 30, p. 151-160, . (13/21621-3, 14/25845-6)
DOS SANTOS, GABRIELA LOPES; SOUZA, MATHEUS BRAGANCA; DESLOOVERE, KAAT; RUSSO, THIAGO LUIZ. Elastic Tape Improved Shoulder Joint Position Sense in Chronic Hemiparetic Subjects: A Randomized Sham-Controlled Crossover Study. PLoS One, v. 12, n. 1, . (15/21695-2, 14/25845-6)
SILVA-COUTO, M. A.; SIQUEIRA, A. A. G.; SANTOS, GABRIELA L.; RUSSO, THAIGO L.. Ankle torque steadiness and gait speed after a single session of robot therapy in individuals with chronic hemiparesis: a pilot study. Topics in Stroke Rehabilitation, v. 26, n. 8, . (17/13655-6, 14/25845-6)
FATURI, FERNANDA MARIA; SANTOS, GABRIELA LOPES; OCAMOTO, GABRIELA NAGAI; RUSSO, THIAGO LUIZ. Structural muscular adaptations in upper limb after stroke: a systematic review. Topics in Stroke Rehabilitation, v. 26, n. 1, p. 73-79, . (14/25845-6, 17/22173-5, 13/21621-3)
SIMON-MARTINEZ, CRISTINA; DOS SANTOS, GABRIELA LOPES; JASPERS, ELLEN; VANDERSCHUEREN, RUTH; MAILLEUX, LISA; KLINGELS, KATRIJN; ORTIBUS, ELS; DESLOOVERE, KAAT; FEYS, HILDE. Age-related changes in upper limb motion during typical development. PLoS One, v. 13, n. 6, . (15/21695-2, 14/25845-6)
SANTOS, GABRIELA LOPES; RUSSO, THIAGO LUIZ; NIEUWENHUYS, ANGELA; MONARI, DAVIDE; DESLOOVERE, KAAT. Kinematic Analysis of a Drinking Task in Chronic Hemiparetic Patients Using Features Analysis and Statistical Parametric Mapping. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v. 99, n. 3, p. 501-511, . (15/21695-2, 14/25845-6)

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