Is there a correlation between depressive symptoms and motor skills in post-stroke patients?

Hélio Mamoru Yoshida; Fabrício Oliveira Lima; Júlia Barreira; Simone Appenzeller; Paula Teixeira Fernandes

doi:10.1590/0004-282X20190012

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2019; 77(03): 155-160
DOI: 10.1590/0004-282X20190012

Article

Is there a correlation between depressive symptoms and motor skills in post-stroke patients?

Existe correlação entre sintomas depressivos e habilidades motoras em pacientes pós-AVC?

Hélio Mamoru Yoshida

¹Universidade Estadual de Campinas, Faculdade de Educação Física, GEPEN - Grupo de Estudos em Psicologia do Esporte e Neurociências, Campinas SP, Brasil;

,

Fabrício Oliveira Lima

²Hospital Geral de Fortaleza, Fortaleza, CE, Brasil;

,

Júlia Barreira

¹Universidade Estadual de Campinas, Faculdade de Educação Física, GEPEN - Grupo de Estudos em Psicologia do Esporte e Neurociências, Campinas SP, Brasil;

,

Simone Appenzeller

³Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Campinas SP, Brasil.

,

Paula Teixeira Fernandes

⁴Universidade Estadual de Campinas, Faculdade de Educação Física, GEPEN - Grupo de Estudos em Psicologia do Esporte e Neurociências, Departamento de Ciência do Esporte, Campinas, SP, Brasil.

› Author Affiliations

Abstract

ABSTRACT

Deficits in motor skills and depressive symptoms are common effects observed after stroke, so it is necessary to understand how these variables interact with each other. Therefore, the aim of this study was to investigate the relationship between these two variables in post-ischemic stroke patients. We evaluated 135 patients with a mean age of 60 years (± 15). The Fugl-Meyer assessment of motor function was used to assess motor skills in the upper limbs, lower limbs, balance, and sensitivity and the Beck Depression Inventory was applied to evaluate depressive symptoms. To assess the relationship between both components, Spearman's correlation was performed. Depressive symptoms were negatively correlated with all variables of motor skills. This study suggests that higher motor skills in post-stroke patients may be associated with fewer depressive symptoms. Thus, a better understanding of how post-stroke symptoms are interrelated may improve patient treatment and care, contributing to a better quality of life.

RESUMO

Déficits na habilidade motora e presença de sintomas depressivos são comuns em pacientes pós-AVC. Assim, é necessário compreender como estas variáveis interagem entre si. O objetivo deste trabalho foi verificar esta relação em pacientes pós-AVC isquêmico. Participaram 135 sujeitos, com idade média de 60 anos (± 15). Foi utilizado o protocolo de desempenho motor Fugl Meyer para verificar a habilidade motora dos membros superiores, inferiores, equilíbrio e sensibilidade e o Inventário de Depressão de Beck para verificar os sintomas depressivos. Foi realizada a análise de Spearman para verificar a relação entre os dois componentes. Os sintomas depressivos se correlacionaram negativamente com todas as variáveis da habilidade motora. Assim, a maior habilidade motora implicou em menores sintomas depressivos. Portanto, compreender como as sequelas pós-AVC se relacionam auxilia no melhor tratamento e atendimento ao paciente, contribuindo para melhorar sua qualidade de vida.

Keywords:

Stroke - motor skills - depression

Palavras-chave:

Acidente vascular cerebral - destreza motora - depressão

Full Text

References

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