Banca de DEFESA: JOSEFA LIDIANY FERREIRA DA SILVA ARAÚJO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JOSEFA LIDIANY FERREIRA DA SILVA ARAÚJO
DATE: 24/04/2024
TIME: 14:00
LOCAL: Faculdade de Ciências da Saúde do Trairi
TITLE:

COGNITIVE ASSESSMENT IN POST-STROKE PATIENTS AND
RELATIONSHIPS WITH IMPLICIT MOTOR LEARNING

KEY WORDS:

Rehabilitation, Stroke, Executive Function

PAGES: 104
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

CVA is among the leading causes of death in the world, with a considerable number of new cases registered annually. Most interventions are aimed at physical rehabilitation and focused on facilitating recovery using principles of motor learning, and cognitive processes starting from explicit and implicit aspects. In this perspective, the objective of this study was to analyze whether cognitive functions interfere with implicit motor learning in post-stroke patients. It is a descriptive, cross-sectional study conducted with a sample of 20 individuals, based on the number of hospital admissions in the Unified Health System in 2021, related to the 5th health region of Rio Grande do Norte, with the cause being unspecified stroke. The average age of the participants was 62.0 (±11.1) years, with a prevalence of males 14 (63.6%), and an average of 6.9 (±4.2) years of education. The most frequent type of stroke in the sample was ischemic, accounting for 14 (63.6%). For clinical characterization, we used the NIH Stroke Scale (NIHSS), indicating mild impairment at 2.9 (±3.6). The Fugl-Meyer Scale showed marked motor impairment at 69.5 (±24.9), and the DASS-21 indicated moderate levels of stress at 17.1 (±7.8) and anxiety at 11.6 (±7.3), with no indication of depression at 11.4 (±8.3). The cognitive evaluation was performed using the Neupsilin, showing difficulties in visual memory at -1.7 (±1.4), arithmetic skills at -2.2 (±2.1), and oral and written language at -2.0 (±1.9). The Random Number Generation task did not show difficulties with inhibition at 0.4 (±0.1). The workload in the NASA Task Load Index after the Player Feedback task (used to assess implicit motor learning) was 22.2 (±7.4). In the Player Feedback task, the average number of correct responses was 47.6 (±34.1) in the more affected arm and 61.3 (±39.4) in the less affected arm. The highest number of consecutively correct sequences had an average of 0.3 (±1.0) in the more affected arm and 1.4 (±2.9) in the less affected arm. For statistical analysis, JASP 0.17.1.0 software was used, employing Spearman's correlation and Mann-Whitney U test fornon-normal samples. Implicit motor learning showed a negative correlation with Stress  (rho -0.511 / p-0.043), Depression (rho -0.499 / p-0.049), Short-term visual memory (rho -0.507 / p-0.045), Spontaneous writing (rho -0.540 / p-0.031), and Workload (rho - 0.570 / p-0.021). It also showed a positive correlation with Face perception (rho 0.456 / p-0.043) and Reflexive praxis (rho 0.456 / p-0.043). Concluded that in the evaluated sample, there was no correlation between the cognitive domains most related to implicit motor learning; however, there was correlation with some cognitive and emotional aspects.

COMMITTEE MEMBERS:
Interno - 1716016 - ENIO WALKER AZEVEDO CACHO
Externo ao Programa - 4098411 - GENTIL GOMES DA FONSECA FILHO - UFRNExterno à Instituição - MURILO RICARDO ZIBETTI - Unisinos