Effectiveness of Semmes-Weinstein Monofilaments In Leprosy Neuropathy In Physiotherapy Tertiary Sevice
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
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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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 |
_version_ |
1796797581011976192 |