Qualidade de vida e capacidade funcional de pacientes com capsulite adesiva submetidos a bloqueios do nervo supraescapular

• Autor(a) principal: Fernandes, Marcos Rassi
• Data de Publicação: 2013
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4613
• topic: Qualidade de vida; Capsulite adesiva; Ombro; Bloqueio nervoso; Capacidade funcional; Quality of life; Adhesive capsulitis; Shoulder; Nerve block; Functional capacity; CIENCIAS DA SAUDE

Introduction: The simultaneous assessment of quality of life and functional capacity from the patient's self perception with adhesive capsulitis may contribute to the improvement of health care of this population. Objectives: To describe the techniques and clinical indications of suprascapular nerve block, as well as their complications, based on literature data; to assess the quality of life and functional capacity of patients with adhesive capsulitis at the beginning and end of treatment with blocks and to analyze the factors associated with satisfactory quality of life and better functional capacity. Methods: Prospective clinical study in adults and elderly patients with adhesive capsulitis submitted to weekly treatment with suprascapular nerve blocks, users of a private orthopaedic hospital, located in the city of Goiânia-GO, in the period of august 2010 to february 2012. Quality of life was assessed by the WHOQOL-BREF and functional capacity by DASH at the beginning and end of treatment. The Constant score greater than or equal to 55 points was used for the end of the blocks and the Wilcoxon test to compare the initials and finals scores of the WHOQOL-BREF and DASH. Multiple regression analysis of Poisson was carried out using satisfactory quality of life and better functional capacity as outcomes. Significance level of 5%. Results: Forty-three patients with a mean age of 54,7 years were evaluated. Better scores of quality of life and functional capacity were obtained at the end of treatment, when compared to the initials scores. Patients with age greater than 50 years old were associated with higher scores of quality of life in the physical and psychological WHOQOL-BREF domains and those with better educational level in the physical and environmental domains. Age greater than 50 years old and higher schooling were also associated with better functional capacity of the affected shoulder. Conclusions: There are several techniques and clinical indications for the performance of the suprascapular nerve block. Although rare, complications may occur. Quality of life and shoulder functional capacity of patients with adhesive capsulitis improved at the end of the treatment with suprascapular nerve blocks, being influenced by the higher age and better educational level.