Neurofunctional evaluation in patients affected by leprosy

Detalhes bibliográficos
Autor(a) principal: Mesquita, Rafael
Data de Publicação: 2014
Outros Autores: Melo, Luana Torres Monteiro, Vasconcelos, Renata dos Santos, Soares, Débora Militão, Félix, George André Araújo, Férrer, Liana Parente de Azevedo, Abdon, Ana Paula Vasconcellos
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/2826
Resumo: Objective: To investigate neurofunctional alterations in patients affected by leprosy, also searching to identify their socioeconomic and clinical profile. Methods: Cross-sectional study with 51 adult patients diagnosed with leprosy, regardless of gender, conducted in a reference center in 2010, in which the simplified neurofunctional evaluation form and a questionnaire (socioeconomic and clinical data) were applied. Findings were presented in a descriptive approach. Results: The study found a mean age of 46.4 ± 14.9 years, 32 (62.7%) patients of male sex, 32 (62.7%) with incomplete elementary school and 37 (72.5%) with family income between 1 and 3 minimum wages. The mean time of treatment was 14.4 ± 15.63 months. The multibacillary type of leprosy predominated (n=18/35.3%) with tuberculoid form (n=11/21.6%). The interphalangeal joints of upper and lower limbs were compromised in 5 (9.8%) and 6 (11.7%) patients, respectively. The most affected nerves were the posterior tibial in 19 (37.3%), the ulnar in 17 (33.3%), and the common fibular in 13 (25.5%) patients. The muscles with deficit were the extensor hallucis (n=8/15.7%), the toe extensors (n=6/11.8%) and the 5º finger abductor (n=6/11.8%). It was observed that 35 patients (68.6%) presented sensitive alterations in lower limbs and 14 (27.5%) presented functional incapacity degree 1. Conclusion: The study highlighted the socioeconomic profile of leprosy patients as men, low educational level and income, with multibacillary operational classification showing tuberculoid clinical form. In the neurofunctional assessment, there were sensory changes with higher incidence than the motor alterations, as well as discreet presence of deformities and high degree of functional disability. doi:10.5020/18061230.2014.p247
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spelling Neurofunctional evaluation in patients affected by leprosyEvaluación neurofuncional de pacientes con hanseniasisAvaliação neurofuncional em pacientes com hanseníaseLeprosyHealth ProfileDisability EvaluationRehabilitation.LepraPerfil de SaludEvaluación de La DiscapacidadRehabilitación.Objective: To investigate neurofunctional alterations in patients affected by leprosy, also searching to identify their socioeconomic and clinical profile. Methods: Cross-sectional study with 51 adult patients diagnosed with leprosy, regardless of gender, conducted in a reference center in 2010, in which the simplified neurofunctional evaluation form and a questionnaire (socioeconomic and clinical data) were applied. Findings were presented in a descriptive approach. Results: The study found a mean age of 46.4 ± 14.9 years, 32 (62.7%) patients of male sex, 32 (62.7%) with incomplete elementary school and 37 (72.5%) with family income between 1 and 3 minimum wages. The mean time of treatment was 14.4 ± 15.63 months. The multibacillary type of leprosy predominated (n=18/35.3%) with tuberculoid form (n=11/21.6%). The interphalangeal joints of upper and lower limbs were compromised in 5 (9.8%) and 6 (11.7%) patients, respectively. The most affected nerves were the posterior tibial in 19 (37.3%), the ulnar in 17 (33.3%), and the common fibular in 13 (25.5%) patients. The muscles with deficit were the extensor hallucis (n=8/15.7%), the toe extensors (n=6/11.8%) and the 5º finger abductor (n=6/11.8%). It was observed that 35 patients (68.6%) presented sensitive alterations in lower limbs and 14 (27.5%) presented functional incapacity degree 1. Conclusion: The study highlighted the socioeconomic profile of leprosy patients as men, low educational level and income, with multibacillary operational classification showing tuberculoid clinical form. In the neurofunctional assessment, there were sensory changes with higher incidence than the motor alterations, as well as discreet presence of deformities and high degree of functional disability. doi:10.5020/18061230.2014.p247Objetivo: Investigar las alteraciones neurofuncionales presentadas por los pacientes con hanseniasis e identificar su perfil socioeconómico y clínico. Métodos: Estudio transversal con 51 pacientes adultos con el diagnóstico de hanseniasis independiente del sexo realizado en un centro de referencia em el 2010 en el cual se aplico la ficha de “evaluación neurológica simplificada” y un cuestionario (datos socioeconómicos y clínicos). Los hallazgos fueron presentados de forma descriptiva. Resultados: Se encontró una media de edad de 46,4 ± 14,9 años, 32 (62,7%) pacientes del sexo masculino, 32 (62,7%) con enseñanza fundamental incompleta y 37 (72,5%) con renta familiar de 1 a 3 ingresos mínimos. El tiempo medio de tratamiento fue de 14,4 ± 15,63 meses. Hubo predominio de la hanseniasis del tipo multibacilar (n=18/35,3%) y la forma tuberculoide (n=11/21,6%). Las articulaciones interfalángicas en los miembros superiores e inferiores estaban comprometidas en 5 (9,8%) y 6 (11,7%) pacientes, respectivamente. Los nervios más acometidos: tibial posterior en 19 (37,3%), cubital en 17 (33,3%) y fibular común en 13 (25,5%) pacientes. Los muslos con déficits: extensor del halux (n=8/15,7%), extensor de los artellos (n=6/11,8%) y El abductor del 5º dedo (n=6;11,8%). Se observó que 35 (68,6%) tenían alteraciones sensitivas en los miembros inferiores y 14 (27,5%) presentaban incapacidad funcional de grado 1. Conclusión: El estudio evidencio el perfil socioeconómico de los pacientes con hanseniasis de hombres, con baja escolaridad y renta, de clasificación operacional multibacilar presentando la forma clínica tuberculoide. En la evaluación neurofuncional hubo más ocurrencia de alteraciones sensitivas que motoras y también discreta presencia de deformidades y elevado grado de incapacidad funcional. doi:10.5020/18061230.2014.p247Objetivo: Investigar as alterações neurofuncionais apresentadas pelos pacientes com hanseníase, buscando também identificar seu perfil socioeconômico e clínico. Métodos: Estudo transversal com 51 pacientes adultos diagnosticados com hanseníase, independentemente do sexo, realizado em centro de referência, em 2010, no qual se aplicou a ficha de “avaliação neurológica simplificada” e um questionário (dados socioeconômicos e clínicos). Achados apresentados de forma descritiva. Resultados: Encontrou-se média de idade de 46,4 ± 14,9 anos, 32 (62,7%) pacientes do sexo masculino, 32 (62,7%) com ensino fundamental incompleto e 37 (72,5%) com renda familiar de 1 a 3 salários mínimos. O tempo médio em tratamento era de 14,4 ± 15,63 meses. Dominou a hanseníase do tipo multibacilar (n=18/35,3%) e a forma tuberculoide (n=11/21,6%). Articulações interfalangeanas em membros superiores e inferiores comprometidas em 5 (9,8%) e 6 (11,7%) pacientes, respectivamente. Nervos mais acometidos: tibial posterior em 19 (37,3%), ulnar em 17 (33,3%) e fibular comum em 13 (25,5%) pacientes. Músculos com déficits: extensor do hálux (n=8/15,7%), extensor dos artelhos (n=6/11,8%) e abdutor do 5º dedo (n=6;11,8%). Observou-se que 35 (68,6%) pacientes tinham alterações sensitivas em membros inferiores e 14 (27,5%) apresentavam incapacidade funcional grau 1. Conclusão: O estudo evidenciou o perfil socioeconômico dos pacientes com hanseníase como sendo homens, de baixa escolaridade e renda, com classificação operacional multibacilar apresentando a forma clínica tuberculoide. Na avaliação neurofuncional, houve maior ocorrência de alterações sensitivas sobre as motoras, como também discreta presença de deformidades e elevado grau de incapacidade funcional. doi:10.5020/18061230.2014.p247Universidade de Fortaleza2014-11-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/282610.5020/2826Brazilian Journal in Health Promotion; Vol. 27 No. 2 (2014); 247-255Revista Brasileña en Promoción de la Salud; Vol. 27 Núm. 2 (2014); 247-255Revista Brasileira em Promoção da Saúde; v. 27 n. 2 (2014); 247-2551806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/2826/pdfhttps://ojs.unifor.br/RBPS/article/view/2826/pdf_1Mesquita, RafaelMelo, Luana Torres MonteiroVasconcelos, Renata dos SantosSoares, Débora MilitãoFélix, George André AraújoFérrer, Liana Parente de AzevedoAbdon, Ana Paula Vasconcellosinfo:eu-repo/semantics/openAccess2022-02-16T11:39:35Zoai:ojs.ojs.unifor.br:article/2826Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T11:39:35Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Neurofunctional evaluation in patients affected by leprosy
Evaluación neurofuncional de pacientes con hanseniasis
Avaliação neurofuncional em pacientes com hanseníase
title Neurofunctional evaluation in patients affected by leprosy
spellingShingle Neurofunctional evaluation in patients affected by leprosy
Mesquita, Rafael
Leprosy
Health Profile
Disability Evaluation
Rehabilitation.
Lepra
Perfil de Salud
Evaluación de La Discapacidad
Rehabilitación.
title_short Neurofunctional evaluation in patients affected by leprosy
title_full Neurofunctional evaluation in patients affected by leprosy
title_fullStr Neurofunctional evaluation in patients affected by leprosy
title_full_unstemmed Neurofunctional evaluation in patients affected by leprosy
title_sort Neurofunctional evaluation in patients affected by leprosy
author Mesquita, Rafael
author_facet Mesquita, Rafael
Melo, Luana Torres Monteiro
Vasconcelos, Renata dos Santos
Soares, Débora Militão
Félix, George André Araújo
Férrer, Liana Parente de Azevedo
Abdon, Ana Paula Vasconcellos
author_role author
author2 Melo, Luana Torres Monteiro
Vasconcelos, Renata dos Santos
Soares, Débora Militão
Félix, George André Araújo
Férrer, Liana Parente de Azevedo
Abdon, Ana Paula Vasconcellos
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Mesquita, Rafael
Melo, Luana Torres Monteiro
Vasconcelos, Renata dos Santos
Soares, Débora Militão
Félix, George André Araújo
Férrer, Liana Parente de Azevedo
Abdon, Ana Paula Vasconcellos
dc.subject.por.fl_str_mv Leprosy
Health Profile
Disability Evaluation
Rehabilitation.
Lepra
Perfil de Salud
Evaluación de La Discapacidad
Rehabilitación.
topic Leprosy
Health Profile
Disability Evaluation
Rehabilitation.
Lepra
Perfil de Salud
Evaluación de La Discapacidad
Rehabilitación.
description Objective: To investigate neurofunctional alterations in patients affected by leprosy, also searching to identify their socioeconomic and clinical profile. Methods: Cross-sectional study with 51 adult patients diagnosed with leprosy, regardless of gender, conducted in a reference center in 2010, in which the simplified neurofunctional evaluation form and a questionnaire (socioeconomic and clinical data) were applied. Findings were presented in a descriptive approach. Results: The study found a mean age of 46.4 ± 14.9 years, 32 (62.7%) patients of male sex, 32 (62.7%) with incomplete elementary school and 37 (72.5%) with family income between 1 and 3 minimum wages. The mean time of treatment was 14.4 ± 15.63 months. The multibacillary type of leprosy predominated (n=18/35.3%) with tuberculoid form (n=11/21.6%). The interphalangeal joints of upper and lower limbs were compromised in 5 (9.8%) and 6 (11.7%) patients, respectively. The most affected nerves were the posterior tibial in 19 (37.3%), the ulnar in 17 (33.3%), and the common fibular in 13 (25.5%) patients. The muscles with deficit were the extensor hallucis (n=8/15.7%), the toe extensors (n=6/11.8%) and the 5º finger abductor (n=6/11.8%). It was observed that 35 patients (68.6%) presented sensitive alterations in lower limbs and 14 (27.5%) presented functional incapacity degree 1. Conclusion: The study highlighted the socioeconomic profile of leprosy patients as men, low educational level and income, with multibacillary operational classification showing tuberculoid clinical form. In the neurofunctional assessment, there were sensory changes with higher incidence than the motor alterations, as well as discreet presence of deformities and high degree of functional disability. doi:10.5020/18061230.2014.p247
publishDate 2014
dc.date.none.fl_str_mv 2014-11-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2826
10.5020/2826
url https://ojs.unifor.br/RBPS/article/view/2826
identifier_str_mv 10.5020/2826
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2826/pdf
https://ojs.unifor.br/RBPS/article/view/2826/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 27 No. 2 (2014); 247-255
Revista Brasileña en Promoción de la Salud; Vol. 27 Núm. 2 (2014); 247-255
Revista Brasileira em Promoção da Saúde; v. 27 n. 2 (2014); 247-255
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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