Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice

Detalhes bibliográficos
Autor(a) principal: Leite, Saulo Nani
Data de Publicação: 2010
Outros Autores: Barros, Ana Regina Souza Bavaresco, Fonseca, Marisa de Cássia Registro, Andrade, Thiago Antônio Moretti, Foss, Norma Tiraboschi, Frade, Marco Andrey Cipriani
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hansenologia Internationalis (Online)
Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36288
Resumo: Objectives: To identify the frequency of changes in the sensibility of hands and feet from leprosy patients through the Semmes-Weinstein monofilament in tertiary hospital. Method: Thirty patients of the Physiotherapy Service of Hospital das Clínicas FMRP-USP were evaluated from August to December 2004. The patients were clinically and epidemiologically evaluated. Afterwards, monofilaments were tested.Results: The mean age was 48.4 years, 80% male and 70% came from the Ribeirão Preto region. Seventy percent of the patients were classified as multibacilary and 80% presented grade 1 of incapacity. Concerning to Semmes-Weinstein test on the upper limbs, the ulnar was the most impaired nerve on the paucibacillary patients (78%) and on the multibacillary (83%). On the lower limbs, the plantar medial branch from the tibial posterior nerve had been impaired in all patients. The protective sensation was absent on the hands in 26% on the paucibacillary group and 46% on the multibacillary, and on the feet in 44% on the paucibacillary and 56% on the multibacillary. Thirty seven percent of the patients have received late diagnosis, showing at least two nerves without protective sensation. Conclusions: The results showed the reliable use of Semmes-Weinstein monofilaments during the follow up of leprosy patients. This tool was able to identify sensitive changes in multiple nerves of the extremities, for paucibacilary and multibacilary patients, what clearly shows the severity of incoming patients in health tertiary care service.
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spelling Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary SeviceAvaliação sensitiva de hansenianos pelos monofilamentos Semmes-Weinstein em serviço terciário de fisioterapiaHanseníasedoença do sistema nervoso periféricodiagnósticomonofilamentos Semmes-WeinsteinLeprosyperipheral nervous system diseasesdiagnosisSemmes-Weinstein monofilamentsObjectives: To identify the frequency of changes in the sensibility of hands and feet from leprosy patients through the Semmes-Weinstein monofilament in tertiary hospital. Method: Thirty patients of the Physiotherapy Service of Hospital das Clínicas FMRP-USP were evaluated from August to December 2004. The patients were clinically and epidemiologically evaluated. Afterwards, monofilaments were tested.Results: The mean age was 48.4 years, 80% male and 70% came from the Ribeirão Preto region. Seventy percent of the patients were classified as multibacilary and 80% presented grade 1 of incapacity. Concerning to Semmes-Weinstein test on the upper limbs, the ulnar was the most impaired nerve on the paucibacillary patients (78%) and on the multibacillary (83%). On the lower limbs, the plantar medial branch from the tibial posterior nerve had been impaired in all patients. The protective sensation was absent on the hands in 26% on the paucibacillary group and 46% on the multibacillary, and on the feet in 44% on the paucibacillary and 56% on the multibacillary. Thirty seven percent of the patients have received late diagnosis, showing at least two nerves without protective sensation. Conclusions: The results showed the reliable use of Semmes-Weinstein monofilaments during the follow up of leprosy patients. This tool was able to identify sensitive changes in multiple nerves of the extremities, for paucibacilary and multibacilary patients, what clearly shows the severity of incoming patients in health tertiary care service.Objetivos: Identificar a frequência das alterações da sensibilidade de mãos e pés de hansenianos através dos monofilamentos Semmes-Weinstein no hospital terciário. Método: Trinta pacientes do setor de fisioterapia do Hospital da Clínicas da FMRP-USP foram avaliados clinico-epidemiologicamente e submetidos ao teste por monofilamentos de agosto a dezembro de 2004. Resultados: A média de idade dos pacientes foi de 48,4 anos, sendo 80% do sexo masculino e 70% oriundos da região de Ribeirão Preto. Classificavam-se como multibacilares 70% dos pacientes e 80% apresentavam-se com Grau I de incapacidade. Quanto ao teste nos membros superiores, o nervo ulnar foi o mais acometido nos paucibacilares (78%) e nos multibacilares (83%). Nos membros inferiores, o ramo plantar medial do nervo tibial posterior encontrou-se acometido em todos os pacientes do grupo multibacilar. A sensação protetora estava ausente nas mãos em 26% no grupo pauci e 46% no multibacilar, e nos pés 44% no paucibacilar e 56% no multibacilar. O diagnóstico foi tardio em 37% dos pacientes, apresentando no mínimo dois nervos com perda da sensação protetora. Conclusão: Os resultados evidenciaram que o acompanhamento da neuropatia da hanseníase pelos monofilamentos S-W, mostrou-se capaz de identificar alterações da sensibilidade em múltiplos nervos das extremidades, tanto nos pacientes paucibacilares quanto multibacilares, tornando-se evidente a gravidade dos pacientes atendidos nos serviço de atenção terciária à saúde.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2010-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3628810.47878/hi.2010.v35.36288Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 35 No. 2 (2010); 9-16Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 35 n. 2 (2010); 9-161982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36288/34574https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLeite, Saulo NaniBarros, Ana Regina Souza Bavaresco Fonseca, Marisa de Cássia RegistroAndrade, Thiago Antônio MorettiFoss, Norma TiraboschiFrade, Marco Andrey Cipriani2023-02-13T14:21:14Zoai:ojs.periodicos.saude.sp.gov.br:article/36288Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-02-13T14:21:14Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false
dc.title.none.fl_str_mv Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
Avaliação sensitiva de hansenianos pelos monofilamentos Semmes-Weinstein em serviço terciário de fisioterapia
title Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
spellingShingle Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
Leite, Saulo Nani
Hanseníase
doença do sistema nervoso periférico
diagnóstico
monofilamentos Semmes-Weinstein
Leprosy
peripheral nervous system diseases
diagnosis
Semmes-Weinstein monofilaments
title_short Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
title_full Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
title_fullStr Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
title_full_unstemmed Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
title_sort Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
author Leite, Saulo Nani
author_facet Leite, Saulo Nani
Barros, Ana Regina Souza Bavaresco
Fonseca, Marisa de Cássia Registro
Andrade, Thiago Antônio Moretti
Foss, Norma Tiraboschi
Frade, Marco Andrey Cipriani
author_role author
author2 Barros, Ana Regina Souza Bavaresco
Fonseca, Marisa de Cássia Registro
Andrade, Thiago Antônio Moretti
Foss, Norma Tiraboschi
Frade, Marco Andrey Cipriani
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Leite, Saulo Nani
Barros, Ana Regina Souza Bavaresco
Fonseca, Marisa de Cássia Registro
Andrade, Thiago Antônio Moretti
Foss, Norma Tiraboschi
Frade, Marco Andrey Cipriani
dc.subject.por.fl_str_mv Hanseníase
doença do sistema nervoso periférico
diagnóstico
monofilamentos Semmes-Weinstein
Leprosy
peripheral nervous system diseases
diagnosis
Semmes-Weinstein monofilaments
topic Hanseníase
doença do sistema nervoso periférico
diagnóstico
monofilamentos Semmes-Weinstein
Leprosy
peripheral nervous system diseases
diagnosis
Semmes-Weinstein monofilaments
description Objectives: To identify the frequency of changes in the sensibility of hands and feet from leprosy patients through the Semmes-Weinstein monofilament in tertiary hospital. Method: Thirty patients of the Physiotherapy Service of Hospital das Clínicas FMRP-USP were evaluated from August to December 2004. The patients were clinically and epidemiologically evaluated. Afterwards, monofilaments were tested.Results: The mean age was 48.4 years, 80% male and 70% came from the Ribeirão Preto region. Seventy percent of the patients were classified as multibacilary and 80% presented grade 1 of incapacity. Concerning to Semmes-Weinstein test on the upper limbs, the ulnar was the most impaired nerve on the paucibacillary patients (78%) and on the multibacillary (83%). On the lower limbs, the plantar medial branch from the tibial posterior nerve had been impaired in all patients. The protective sensation was absent on the hands in 26% on the paucibacillary group and 46% on the multibacillary, and on the feet in 44% on the paucibacillary and 56% on the multibacillary. Thirty seven percent of the patients have received late diagnosis, showing at least two nerves without protective sensation. Conclusions: The results showed the reliable use of Semmes-Weinstein monofilaments during the follow up of leprosy patients. This tool was able to identify sensitive changes in multiple nerves of the extremities, for paucibacilary and multibacilary patients, what clearly shows the severity of incoming patients in health tertiary care service.
publishDate 2010
dc.date.none.fl_str_mv 2010-11-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36288
10.47878/hi.2010.v35.36288
url https://periodicos.saude.sp.gov.br/hansenologia/article/view/36288
identifier_str_mv 10.47878/hi.2010.v35.36288
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36288/34574
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo
publisher.none.fl_str_mv Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo
dc.source.none.fl_str_mv Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 35 No. 2 (2010); 9-16
Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 35 n. 2 (2010); 9-16
1982-5161
reponame:Hansenologia Internationalis (Online)
instname:Instituto Lauro de Souza Lima (ILSL)
instacron:ILSL
instname_str Instituto Lauro de Souza Lima (ILSL)
instacron_str ILSL
institution ILSL
reponame_str Hansenologia Internationalis (Online)
collection Hansenologia Internationalis (Online)
repository.name.fl_str_mv Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)
repository.mail.fl_str_mv hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br
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