LUCIA IRACEMA ZANOTTO DE MENDONCA
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
4 resultados
Resultados de Busca
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- Sentence production in rehabilitation of agrammatism: A case study(2014) SILAGI, Marcela Lima; HIRATA, Fernanda Naito; MENDONÇA, Lúcia Iracema Zanotto deAgrammatism is characterized by morphosyntactic deficits in production of sentences. Studies dealing with the treatment of these deficits are scarce and their results controversial. The present study describes the rehabilitation of a case diagnosed as chronic Broca's aphasia, with agrammatism, using a method directed to sentence structural deficits. The method aims to expand the grammatical repertoire by training production of sentences with support from contexts that stimulate actions and dialogues. The patient showed positive results on all types of sentences trained and generalized the gains to spontaneous speech. However, these benefits were not sustained in the long term.
- Inference comprehension in text reading: Performance of individuals with right- versus left-hemisphere lesions and the influence of cognitive functions(2018) SILAGI, Marcela Lima; RADANOVIC, Marcia; CONFORTO, Adriana Bastos; MENDONCA, Lucia Iracema Zanotto; MANSUR, Leticia LessaBackground Right-hemisphere lesions (RHL) may impair inference comprehension. However, comparative studies between left-hemisphere lesions (LHL) and RHL are rare, especially regarding reading comprehension. Moreover, further knowledge of the influence of cognition on inferential processing in this task is needed. Objectives To compare the performance of patients with RHL and LHL on an inference reading comprehension task. We also aimed to analyze the effects of lesion site and to verify correlations between cognitive functions and performance on the task. Methods Seventy-five subjects were equally divided into the groups RHL, LHL, and control group (CG). The Implicit Management Test was used to evaluate inference comprehension. In this test, subjects read short written passages and subsequently answer five types of questions (explicit, logical, distractor, pragmatic, and other), which require different types of inferential reasoning. The cognitive functional domains of attention, memory, executive functions, language, and visuospatial abilities were assessed using the Cognitive Linguistic Quick Test (CLQT). Results The LHL and RHL groups presented difficulties in inferential comprehension in comparison with the CG. However, the RHL group presented lower scores than the LHL group on logical, pragmatic and otherquestions. A covariance analysis did not show any effect of lesion site within the hemispheres. Overall, all cognitive domains were correlated with all the types of questions from the inference test (especially logical, pragmatic, and other). Attention and visuospatial abilities affected the scores of both the RHL and LHL groups, and only memory influenced the performance of the RHL group. Conclusions Lesions in either hemisphere may cause difficulties in making inferences during reading. However, processing more complex inferences was more difficult for patients with RHL than for those with LHL, which suggests that the right hemisphere plays an important role in tasks with higher comprehension demands. Cognition influences inferential processing during reading in brain-injured subjects.
- Transcranial brain stimulation (TMS and tDCS) for post-stroke aphasia rehabilitation: Controversies(2014) MENDONÇA, Lucia Iracema Zanotto deTranscranial brain stimulation (TS) techniques have been investigated for use in the rehabilitation of post-stroke aphasia. According to previous reports, functional recovery by the left hemisphere improves recovery from aphasia, when compared with right hemisphere participation. TS has been applied to stimulate the activity of the left hemisphere or to inhibit homotopic areas in the right hemisphere. Various factors can interfere with the brain's response to TS, including the size and location of the lesion, the time elapsed since the causal event, and individual differences in the hemispheric language dominance pattern. The following questions are discussed in the present article: [a] Is inhibition of the right hemisphere truly beneficial?; [b] Is the transference of the language network to the left hemisphere truly desirable in all patients?; [c] Is the use of TS during the post-stroke subacute phase truly appropriate? Different patterns of neuroplasticity must occur in post-stroke aphasia.
- Brazilian practice guidelines for stroke rehabilitation: Part II(2022) MINELLI, Cesar; LUVIZUTTO, Gustavo Jose; CACHO, Roberta de Oliveira; NEVES, Luciana de Oliveira; MAGALHAES, Sheila Cristina Sayuri Abe; PEDATELLA, Marco Tulio Araujo; MENDONCA, Lucia Iracema Zanotto de; ORTIZ, Karin Zazo; LANGE, Marcos Christiano; RIBEIRO, Priscila Watson; SOUZA, Luciane Aparecida Pascucci Sande de; MILANI, Cristiano; CRUZ, Daniel Marinho Cezar da; COSTA, Rafael Dalle Molle da; CONFORTO, Adriana Bastos; CARVALHO, Fernanda Martins Maia; CIARLINI, Bruna Silva; FROTA, Norberto Anizio Ferreira; ALMEIDA, Kelson James; SCHOCHAT, Eliane; OLIVEIRA, Tatiana de Paula; MIRANDA, Camila; PIEMONTE, Maria Elisa Pimentel; LOPES, Laura Cardia Gomes; LOPES, Camila Galvao; TOSIN, Michelle Hyczy de Siqueira; OLIVEIRA, Bianca Campos; OLIVEIRA, Beatriz Guitton Renaud Baptista de; CASTRO, Shamyr Sulyvan de; ANDRADE, Joao Brainier Clares de; SILVA, Gisele Sampaio; PONTES-NETO, Octavio Marques; CARVALHO, Joao Jose Freitas de; MARTINS, Sheila C. Ouriques; BAZAN, RodrigoThe Brazilian Practice Guidelines for Stroke Rehabilitation - Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.