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- Disfunção do Movimento em Condições Neurológicas: Avaliação e Interpretação para a Intervenção em FisioterapiaPublication . Silva, Augusta; Sousa, Andreia; Cunha, Christine; Ferreira, Rosália; Pereira, Soraia; Silva, CláudiaE-book de estudo com casos clínicos
- Reorganização dos componentes neuro-motores com influência na marcha em indivíduos com lesão do sistema nervoso centralPublication . Cunha, Christine; Silva, Augusta; Moreira, Camilo; Santos, Rubim; Silva, CláudiaVerificar a influência de um programa de intervenção em fisioterapia na actividade muscular do membro inferior predominantemente comprometido em indivíduos com lesão do sistema nervoso central ao longo das sub-fases da fase de apoio do ciclo da marcha, na fase de aceleração da componente Fy e sua respectiva contribuição muscular.
- Clinical measures for tone assessment in adults with central nervous system disorders—A scoping review in a rehabilitation contextPublication . Pinho, Liliana; Silva, Sandra; Freitas, Marta; Figueira, Vânia; Pinho, Francisco; Cunha, Christine; Sousa, Andreia S. P.; Sousa, Filipa; Silva, AugustaAssessment of muscle tone in a clinical setting is important for the physiotherapist to better analyse and establish appropriate treatments for CNS disorders. This study aims to review and summarise how to assess changes in tone in the context of adult rehabilitation. Secondarily, this study aimed to identify the central nervous system disorders, the respective variable/concept under study, and the testing procedures employed. PRISMA-ScR guidelines were followed using the “population”, “concept”, and “context” to define the eligibility criteria and to delineate the research question. PubMed®, Science Direct®, Web of Science™, and Google Scholar® databases were used to search the literature. The search included studies published between 2011 and March 2023 in Portuguese, English, French, and Spanish that assessed an adult population (>19 years) with CNS injury. Review articles, qualitative studies, conference proceedings, letters to the editor, and editorials were excluded. Initially, 1519 references were identified, of which eight met the eligibility criteria. The measurement instruments included the Modified Ashworth Scale (n = 5), the Modified Modified Ashworth Scale (n = 3), the BioTone™ system (n = 2), the Montreal Spasticity Measurement (n = 1), and the Tone Evaluation Scale (n = 1). The health conditions considered included stroke sequelae (n = 7), multiple sclerosis (n = 4), spinal cord injuries (n = 4), cerebral palsy (n = 2), brain tumour (n = 2), and traumatic brain injuries (n = 3). The concepts of spasticity (n = 7) and muscle tone (n = 2) were explored. Considering the variables spasticity and muscle tone in different CNS disorders, mainly stroke, subjective instruments were preferred compared to objective ones, with the Modified Ashworth Scale being highlighted.
- Immediate effects of suboccipital myofascial induction on postural stability: a pilot studyPublication . Pinheiro, Ana Rita; Faria, Ana; Mesquita Montes, António; Crasto, Carlos; Silva, Cláudia; Carvalho, Paulo; Santos, Rubim; Cunha, ChristineStanding is a constant postural challenge due to high position of the center of mass regarding the small size of base of support. Somatosensory, vestibular and visual inputs are crucial to preserve the upright orientation and stability]