MARIA CLARA DRUMMOND SOARES DE MOURA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina
7 resultados
Resultados de Busca
Agora exibindo 1 - 7 de 7
- Effects of transcranial direct current stimulation (tDCS) on balance improvement: a systematic review and meta-analysis(2019) MOURA, Maria Clara D. Soares de; HAZIME, Fuad A.; APARICIO, Luana V. Marotti; GRECCO, Luanda A. C.; BRUNONI, Andre R.; HASUE, Renata HydeeBackground: Transcranial direct current stimulation (tDCS) has emerged as a promising therapeutic tool to improve balance and optimize rehabilitation strategies. However, current literature shows the methodological heterogeneity of tDCS protocols and results, hindering any clear conclusions about the effects of tDCS on postural control. Objective: Evaluate the effectiveness of tDCS on postural control, and identify the most beneficial target brain areas and the effect on different populations. Methods: Two independent reviewers selected randomized tDCS clinical-trials studies from PubMed, Scopus, Web of Science, and reference lists of retrieved articles published between 1998 and 2017. Most frequently reported centre of pressure (COP) variables were selected for meta-analysis. Other postural control outcomes were discussed in the review. Results: Thirty studies were included in the systematic review, and 11 were submitted to a meta-analysis. A reduction of COP displacement area has been significantly achieved by tDCS, evidencing an improvement in balance control. Individuals with cerebral palsy (CP) and healthy young adults are mostly affected by stimulation. The analysis of the impact of tDCS over different brain areas revealed a significant effect after primary motor cortex (M1) stimulation, however, with no clear results after cerebellar stimulation due to divergent results among studies. Conclusions: tDCS appears to improve balance control, more evident in healthy and CP subjects. Effects are observed when primary MI is stimulated. Cerebellar stimulation should be better investigated.
- Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery(2018) VOOS, Mariana Callil; DRUMMOND, Soares de Moura Maria Clara; HASUE, Renata HydeePurpose. Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH. Design and Methods. During the 43-day hospital stay, the infant was seen twice a week (ten sessions, 20 minutes each). All sessions included hip approximation maneuvers, with the hip positioned in abduction, lateral rotation and flexion, and lower limbs passive mobilization, which were taught to the mother. Early intervention with auditory, tactile, visual, and vestibular stimulations was also performed. The infant was assessed with hip ultrasound before and after treatment. Results. At 34 2/7 weeks of gestational age, she was classified as Graf IIa (left: alpha: 55 degrees, beta: 68 degrees; right: alpha: 59 degrees, beta: 64 degrees). At 40 5/7 weeks, she was classified as Graf I for left (alpha: 67 degrees; beta: 42 degrees) and right (alpha: 66 degrees; beta: 42 degrees) hips. Practical Implications. The intervention seemed to accelerate the acquisition of stability of dysplasic hips in a preterm infant. The outcome supports further investigation of hip approximation maneuvers as part of early stimulation in preterm infants with DDH during hospital stay.
- Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele(2017) AIZAWA, Carolina Y. P.; MORALES, Mariana P.; LUNDBERG, Carolina; MOURA, Maria Clara D. Soares de; PINTO, Fernando C. G.; VOOS, Mariana C.; HASUE, Renata H.We aimed to investigate whether infants with myelomeningocele would improve their motor ability and functional independence after ten sessions of physical therapy and compare the outcomes of conventional physical therapy (CPT) to a physical therapy program based on reflex stimulation (RPT). Twelve children were allocated to CPT (n = 6, age 18.3 months) or RPT (n = 6, age 18.2 months). The RPT involved proprioceptive neuromuscular facilitation. Children were assessed with the Gross Motor Function Measure and the Pediatric Evaluation of Disability Inventory before and after treatment. Mann-Whitney tests compared the improvement on the two scales of CPT versus RPT and the Wilcoxon test compared CPT to RPT (before vs. after treatment). Possible correlations between the two scales were tested with Spearman correlation coefficients. Both groups showed improvement on self-care and mobility domains of both scales. There were no differences between the groups, before, or after intervention. The CPT and RPT showed similar results after ten weeks of treatment.
- Estimulação transcraniana por corrente contínua: uma ferramenta promissora para pessoas com paralisia cerebral(2020) MACHADO, Bibiana da Silveira dos Santos; MOURA, Maria Clara Drumond Soares de; SOUSA, Carolina Barbosa de; SILVA, Thuany Cristina Morais da; HASUE, Renata Hydee
- The relationship between motor function, cognition, independence and quality of life in myelomeningocele patients(2017) LUZ, Carolina Lundberg; MOURA, Maria Clara Drummond Soares de; BECKER, Karine Kyomi; TEIXEIRA, Rosani Aparecida Antunes; VOOS, Mariana Callil; HASUE, Renata HydeeMotor function, cognition, functional independence and quality of life have been described in myelomeningocele patients, but no study has investigated their relationships. We aimed to investigate the relationships between motor function, cognition, functional independence, quality of life, age, and lesion level in myelomeningocele patients, and investigate the influence of hydrocephalus on these variables. We assessed 47 patients with the Gross Motor Function Measure (motor function), Raven's Colored Progressive Matrices (cognition), Pediatric Evaluation of Disability Inventory (functional independence) and the Autoquestionnaire Qualite de vie Enfant Image (quality of life). Spearman's correlation tests determined relationships between the variables. The Friedman ANOVAs determined the influence of hydrocephalus. Motor function was strongly related to mobility and lesion level, and moderately related to cognition, self-care and social function. Cognition and quality of life were moderately related to functional independence. Age correlated moderately with functional independence and quality of life. Hydrocephalus resulted in poorer motor/cognitive outcomes and lower functional independence.
- Is functional dependence of Duchenne muscular dystrophy patients determinant of the quality of life and burden of their caregivers?(2015) MOURA, Maria Clara Drummond Soares de; WUTZKI, Hanna Camila; VOOS, Mariana Callil; RESENDE, Maria Bernadete Dutra; REED, Umbertina Conti; HASUE, Renata HydeeObjective: The relationship between functional dependence and quality of life (QOL) in Duchenne muscular dystrophy (DMD) patients and burden and QOL in caregivers is not clear. This study investigated possible relationships between functional dependence/QOL of DMD patients and QOL/burden of caregivers. Method: This study included 35 boys (6-17 years) and respective caregivers (above 21 years). Caregivers answered to World Health Organization Quality of Life and Zarit Burden Interview questionnaires. Patients were assessed with the Motor Function Measure and the Autoquestionnaire Qualite de vie Enfant Image. Spearman correlations and linear regressions were run to investigate relationships between the variables. Results: The occurrence of lower QOL and higher burden among the caregivers of patients with Duchenne muscular dystrophy was evidenced. The functional dependence of patients was not considered a determinant factor. Higher caregivers' burden was related to lower caregivers' QOL and to higher patients' ages.
- Is functional dependence of Duchenne muscular dystrophy patients determinant of the quality of life and burden of their caregivers?(2015) MOURA, M. Soares de; WUTSKI, H.; VOOS, M.; RESENDE, M.; REED, U.; HASUE, R.