Rafael Dalle Molle da Costa

ORCID: 0000-0002-5977-8146
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About
Contact & Profiles
Research Areas
  • Stroke Rehabilitation and Recovery
  • Acute Ischemic Stroke Management
  • Spatial Neglect and Hemispheric Dysfunction
  • Cerebral Palsy and Movement Disorders
  • Balance, Gait, and Falls Prevention
  • Transcranial Magnetic Stimulation Studies
  • Virtual Reality Applications and Impacts
  • Chronic Obstructive Pulmonary Disease (COPD) Research
  • Botulinum Toxin and Related Neurological Disorders
  • Pain Management and Treatment
  • Death, Funerary Practices, and Mourning
  • Nutrition and Health in Aging
  • Musculoskeletal pain and rehabilitation
  • Respiratory Support and Mechanisms
  • Diabetic Foot Ulcer Assessment and Management
  • Frailty in Older Adults
  • Asthma and respiratory diseases
  • Latin American Literature Analysis
  • Health Systems, Economic Evaluations, Quality of Life
  • EEG and Brain-Computer Interfaces
  • Cardiac Health and Mental Health

Universidade Estadual Paulista (Unesp)
2018-2023

Universidade de Caxias do Sul
2020

Grupo Hospitalar Conceição
2020

Medecell (Brazil)
2020

National Rehabilitation Center
2019

Universidade Federal do Triângulo Mineiro
2017

The Brazilian Practice Guidelines for Stroke Rehabilitation - Part II, developed by the Scientific Department of Neurological Academy Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As I, II is also based recently available evidence randomized controlled trials, systematic reviews, meta-analyses, other guidelines. covers disorders communication, dysphagia, postural control...

10.1055/s-0042-1757692 article PT cc-by Arquivos de Neuro-Psiquiatria 2022-07-01

Rehabilitation top-down techniques based on brain stimulation present variable outcomes in unilateral spatial neglect (USN) after stroke. This study aimed to examine the effects of physical therapy anodal and cathodal transcranial direct current (A-tDCS C-tDCS, respectively) improve visuospatial functional impairments individuals with USN stroke.This double-blinded, pilot randomized clinical trial enrolled patients ischemic Randomization was stratified according Behavior Inattention...

10.1002/ana.26430 article EN Annals of Neurology 2022-06-10

The Catherine Bergego Scale (CBS) is a scale to evaluates the impact of unilateral spatial neglect (USN) on everyday life patients after stroke.The aim this study was evaluate reliability and comprehension Portuguese version CBS for with USN stroke.This cross-sectional in stroke USN. translated, culturally adapted applied by two independent investigators. were also evaluated Behavioural Inattention Test (BIT), NIHSS, mRS Barthel assess severity, neurological function, disability autonomy...

10.1590/1980-57642018dn13-010009 article EN cc-by Dementia & Neuropsychologia 2019-03-01

Background: Upper extremity impairment is present in most of people with stroke. The use the affected upper can be impacted not only by physical but also abehavioral phenomenon called learned nonuse. Objective: aim this study was to evaluate which clinical factors acute phase are associated development nonuse after Methods: This cohort included 38 patients ischemic Hospital discharge data were collected for aspects, scales severity, incapacity and autonomy, as well neuromuscular sensory...

10.1080/10749357.2019.1631605 article EN Topics in Stroke Rehabilitation 2019-06-22

Ketamine has bronchodilation properties. The aim of the single-centre, evaluator-blinded, randomised clinical trial study was to evaluate whether continuous infusion ketamine is associated with improvement in respiratory mechanics correlated bronchospasm relief, as compared fentanyl.Adult patients submitted invasive mechanical ventilation were included if they had an acute severe bronchospasm, due status asthmaticus or COPD exacerbation. They a standard IV analgesia fentanyl, both bolus and...

10.5114/ait.2020.97765 article EN cc-by-nc-sa Anaesthesiology Intensive Therapy 2020-01-01

Stroke is the principal cause of impairment in motor function and gait adults. One resources used rehabilitation to optimize a prescription ankle-foot orthosis (AFO), most prescribed AFOs are Fixed AFO Articulated AFO; however, it not known which these options more effective for individuals. The aim this study evaluate impact different types functional mobility dynamic balance stroke patients.

10.1097/md.0000000000017317 article EN cc-by-nc Medicine 2019-09-01

There is a high demand for stroke rehabilitation in the Brazilian public health system, but most studies that have addressed unilateral spatial neglect (USN) after been performed high-income countries. Therefore, aim of this study was to analyze USN patient recruitment multicenter noninvasive brain stimulation clinical trial Brazil and provide design recommendations future studies. We evaluated reasons exclusion patients from multicenter, randomized, double-blinded stroke. Clinical...

10.1590/1414-431x2023e12326 article EN cc-by Brazilian Journal of Medical and Biological Research 2023-01-01

Introduction Poor trunk control after stroke can impact recovery of global functional abilities. Therefore, the aim this study was to evaluate whether clinical and data from participants be used predict at 90 days.Methods This is a prospective 37 with stroke. The variables evaluated hospital discharge were severity (National Institute Health Stroke Scale - NIHSS); capacity (modified Rankin scale mRS); handgrip; cognitive function. At days, autonomy (Functional Independence Measure – FIM,...

10.1080/10749357.2020.1805244 article EN Topics in Stroke Rehabilitation 2020-08-10

Unilateral spatial neglect (USN) is characterized by the inability to report or respond people objects that are presented in hemisphere contralateral lesioned of brain. USN has been associated with poor functional outcomes and long stays hospitals rehabilitation centers. Noninvasive brain stimulation, such as transcranial direct current stimulation (tDCS), used who have affected after stroke. The effects treatment could provide new insights for health professionals policy-makers. aim this...

10.1186/s13063-016-1598-4 article EN cc-by Trials 2016-10-03

Virtual reality therapy (VRT) is an interactive intervention that induces neuroplasticity. The aim was to evaluate the effects of VRT associated with conventional rehabilitation for upper limb after stroke, and neuroimaging predictors a better response VRT.Patients stroke were selected, clinical neurological, function, quality life evaluated. Statistical analysis performed using linear model comparing pre- post-VRT. Lesions segmented in post-stroke computed tomography. A voxel-based...

10.1590/0004-282x20180104 article EN cc-by-nc Arquivos de Neuro-Psiquiatria 2018-10-01

Cardiovascular rehabilitation is one of the treatment options for post-stroke individuals in order to improve functional independence activities daily life and reduce energy expenditure. The aim this trial evaluate effect an exercise program on echocardiographic variables, capacity, inflammatory response, neurological status, nutritional cardiologic evaluation, quality patients after stroke. This a randomized controlled including with ischemic stroke chronic phase. will be evaluated at...

10.1186/s13063-019-3328-1 article EN cc-by Trials 2019-05-28

We compared fixed and articulated ankle-foot orthoses (AFOs) in home-based mobility tasks to assess short-term mobility, dynamic balance, quality of life, anxiety/depression, disability level, stroke severity, autonomy, human functioning, patient satisfaction.

10.1080/10749357.2024.2399467 article EN Topics in Stroke Rehabilitation 2024-09-11

Introduction . Stroke can lead to musculoskeletal and respiratory dysfunction, chronic deconditioning, functional limitations, as well long-term complications. Objective The aim of this study was evaluate the association between function grip strength in acute phase stroke severity, disability, autonomy long term. Methods This a cohort including 46 patients unit. were assessed unit at following moments: admission by clinical haemodynamic stability, demographic anthropometric data, hand...

10.1155/2020/1636540 article EN cc-by Rehabilitation Research and Practice 2020-02-03

Aphasia is a common and debilitating manifestation of stroke. Transcranial electrical stimulation uses low-intensity electric currents to induce changes in neuronal activity. Recent evidence suggests that noninvasive techniques can be valuable rehabilitation tool for patients with aphasia. However, it difficult recruit aphasia trials, the reasons this are not well understood. This study aimed elucidate main difficulties involved patient's recruitment inclusion randomized clinical...

10.1590/2317-1782/20202020019 article EN cc-by CoDAS 2021-01-01

Abstract Background: Respiratory muscle function can be compromised during the acute phase and this study aims to assess effectiveness, feasibility, safety of short-term expiratory training in stroke patients. Additionally, we will effects muscular on electromyographic activity abdominal muscle, vital capacity, severity, hand grip strength, functional independence, autonomy, quality life. Methods: This single-center, randomized, single-blind, parallel-group 88 patients with include following...

10.1097/md9.0000000000000146 article EN cc-by Medicine Case Reports and Study Protocols 2021-11-01
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