Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
dARK ID: | ark:/48912/001300000zqkr |
DOI: | 10.1590/S0037-86822012000300018 |
Texto Completo: | http://dx.doi.org/10.1590/S0037-86822012000300018 http://repositorio.unifesp.br/handle/11600/7188 |
Resumo: | INTRODUCTION: This study evaluated the degree of disability, pain levels, muscle strength, and electromyographic function (RMS) in individuals with leprosy. METHODS: We assessed 29 individuals with leprosy showing common peroneal nerve damage and grade 1 or 2 disability who were referred for physiotherapeutic treatment, as well as a control group of 19 healthy participants without leprosy. All subjects underwent analyses of degree of disability, electromyographic tests, voluntary muscle force, and the Visual Analog Pain Scale. RESULTS: McNemar's test found higher levels of grade 2 of disability (Δ = 75.9%; p = 0.0001) among individuals with leprosy. The Mann-Whitney test showed greater pain levels (Δ = 5.0; p = 0.0001) in patients with leprosy who had less extension strength in the right and left extensor hallucis longus muscles (Δ = 1.28, p = 0.0001; Δ = 1.55, p = 0.0001, respectively) and dorsiflexion of the right and left feet (Δ = 1.24, p = 0.0001; Δ = 1.45, p = 0.0001, respectively) than control subjects. The Kruskal-Wallis test showed that the RMS score for dorsiflexion of the right (Δ = 181.66 m·s-2, p = 0.001) and left (Δ = 102.57m·s-2, p = 0.002) feet was lower in patients with leprosy than in control subjects, but intragroup comparisons showed no difference. CONCLUSIONS: Leprosy had a negative influence on all of the study variables, indicating the need for immediate physiotherapeutic intervention in individuals with leprosy. This investigation opens perspectives for future studies that analyze leprosy treatment with physical therapeutic intervention. |
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Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damageGrau de incapacidade, níveis de dor, força muscular e função eletromiográfica em portadores de hanseníase com lesão do nervo fibular comumDisability degreeElectromyographyMuscle strengthPainPeroneal nerveLeprosyGrau de incapacidadeEletromiografiaForça muscularDorNervo fibularHanseníaseINTRODUCTION: This study evaluated the degree of disability, pain levels, muscle strength, and electromyographic function (RMS) in individuals with leprosy. METHODS: We assessed 29 individuals with leprosy showing common peroneal nerve damage and grade 1 or 2 disability who were referred for physiotherapeutic treatment, as well as a control group of 19 healthy participants without leprosy. All subjects underwent analyses of degree of disability, electromyographic tests, voluntary muscle force, and the Visual Analog Pain Scale. RESULTS: McNemar's test found higher levels of grade 2 of disability (Δ = 75.9%; p = 0.0001) among individuals with leprosy. The Mann-Whitney test showed greater pain levels (Δ = 5.0; p = 0.0001) in patients with leprosy who had less extension strength in the right and left extensor hallucis longus muscles (Δ = 1.28, p = 0.0001; Δ = 1.55, p = 0.0001, respectively) and dorsiflexion of the right and left feet (Δ = 1.24, p = 0.0001; Δ = 1.45, p = 0.0001, respectively) than control subjects. The Kruskal-Wallis test showed that the RMS score for dorsiflexion of the right (Δ = 181.66 m·s-2, p = 0.001) and left (Δ = 102.57m·s-2, p = 0.002) feet was lower in patients with leprosy than in control subjects, but intragroup comparisons showed no difference. CONCLUSIONS: Leprosy had a negative influence on all of the study variables, indicating the need for immediate physiotherapeutic intervention in individuals with leprosy. This investigation opens perspectives for future studies that analyze leprosy treatment with physical therapeutic intervention.INTRODUÇÃO: O objetivo do estudo foi avaliar o grau de incapacidade, níveis de dor, força muscular e a função eletromiográfica (RMS) em indivíduos portadores de hanseníase. MÉTODOS: A amostra foi composta de um grupo de 29 sujeitos portadores de hanseníase, apresentando lesão do nervo fibular comum e grau 1 ou 2 de incapacidade, com indicação ao tratamento fisioterapêutico, e um grupo controle de 19 indivíduos saudáveis, sem hanseníase. Os sujeitos foram submetidos à análise do grau de incapacidade, testes de eletromiografia, de força muscular voluntária e da Escala Visual Analógica (EVA) para a dor. RESULTADOS: O teste de McNemar mostrou maior prevalência do grau dois de incapacidade (Δ=75,9%; p=0,0001) entre os indivíduos com hanseníase. O teste de Mann-Whitney revelou maiores níveis de dor (Δ=5,0; p=0,0001) nos pacientes com hanseníase apresentando menores níveis de força muscular da extensão do hálux direito e esquerdo (Δ=1,28, p=0,0001; Δ=1,55, p=0,0001) e flexão dorsal do pé direito e esquerdo (Δ=1,24, p=0,0001; Δ=1,45, p=0,0001) do que os indivíduos sem hanseníase. O teste de Kruskal-Wallis revelou que os valores do RMS da flexão dorsal dos pés direito (Δ=181,66m.s-², p=0,001) e esquerdo (Δ=102,57m.s-2, p=0,002) apresentaram menores valores que o grupo controle em ambos os lados, mas as comparações intragrupos não mostraram diferenças. CONCLUSÕES: Conclui-se que a hanseníase altera todas as variáveis analisadas na pesquisa, indicando a necessidade de intervenção fisioterapêutica imediata nos sujeitos com Hanseníase. Esta investigação abre perspectivas de futuras pesquisas que analisem o tratamento da hanseníase com intervenção fisioterapêutica.Universidade Estadual do Piauí Centro de Ciências da SaúdeUniversidade Federal do Estado do Rio de Janeiro Laboratório de Biociências da Motricidade HumanaHospital Getúlio Vargas Clínica DermatológicaEscola de Educação Física do Exército BrasileiroFundação Oswaldo Cruz, Rio de Janeiro Laboratório de Doenças ParasitáriasUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUniversidade do Oeste de Santa Catarina Laboratório de Aspectos Moleculares Associados a Doenças GenéticasUniversidade Federal do Rio Grande do SulUniversidade Federal do Estado do Rio de JaneiroUNIFESP, EPMSciELOSociedade Brasileira de Medicina Tropical - SBMTUniversidade Estadual do Piauí Centro de Ciências da SaúdeUniversidade Federal do Estado do Rio de Janeiro Laboratório de Biociências da Motricidade HumanaHospital Getúlio Vargas Clínica DermatológicaEscola de Educação Física do Exército BrasileiroFundação Oswaldo Cruz, Rio de Janeiro Laboratório de Doenças ParasitáriasUniversidade Federal de São Paulo (UNIFESP)Universidade do Oeste de Santa Catarina Laboratório de Aspectos Moleculares Associados a Doenças GenéticasUniversidade Federal do Rio Grande do SulUniversidade Federal do Estado do Rio de JaneiroVéras, Larissa Sales TélesVale, Rodrigo Gomes de SouzaMello, Danielli Braga deCastro, José Adail Fonseca deLima, VicenteSilva, Kelson Nonato Gomes da [UNIFESP]Trott, AlexisDantas, Estélio Henrique Martin2015-06-14T13:44:49Z2015-06-14T13:44:49Z2012-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion375-379application/pdfhttp://dx.doi.org/10.1590/S0037-86822012000300018VERAS, Larissa Sales Téles et al. Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage. Rev. Soc. Bras. Med. Trop. [online]. 2012, vol.45, n.3, pp.375-379.10.1590/S0037-86822012000300018S0037-86822012000300018.pdf0037-8682S0037-86822012000300018http://repositorio.unifesp.br/handle/11600/7188WOS:000305980500018ark:/48912/001300000zqkrengRevista da Sociedade Brasileira de Medicina Tropicalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T05:22:02Zoai:repositorio.unifesp.br/:11600/7188Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:45:51.783245Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage Grau de incapacidade, níveis de dor, força muscular e função eletromiográfica em portadores de hanseníase com lesão do nervo fibular comum |
title |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage |
spellingShingle |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage Véras, Larissa Sales Téles Disability degree Electromyography Muscle strength Pain Peroneal nerve Leprosy Grau de incapacidade Eletromiografia Força muscular Dor Nervo fibular Hanseníase Véras, Larissa Sales Téles Disability degree Electromyography Muscle strength Pain Peroneal nerve Leprosy Grau de incapacidade Eletromiografia Força muscular Dor Nervo fibular Hanseníase |
title_short |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage |
title_full |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage |
title_fullStr |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage |
title_full_unstemmed |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage |
title_sort |
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage |
author |
Véras, Larissa Sales Téles |
author_facet |
Véras, Larissa Sales Téles Véras, Larissa Sales Téles Vale, Rodrigo Gomes de Souza Mello, Danielli Braga de Castro, José Adail Fonseca de Lima, Vicente Silva, Kelson Nonato Gomes da [UNIFESP] Trott, Alexis Dantas, Estélio Henrique Martin Vale, Rodrigo Gomes de Souza Mello, Danielli Braga de Castro, José Adail Fonseca de Lima, Vicente Silva, Kelson Nonato Gomes da [UNIFESP] Trott, Alexis Dantas, Estélio Henrique Martin |
author_role |
author |
author2 |
Vale, Rodrigo Gomes de Souza Mello, Danielli Braga de Castro, José Adail Fonseca de Lima, Vicente Silva, Kelson Nonato Gomes da [UNIFESP] Trott, Alexis Dantas, Estélio Henrique Martin |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual do Piauí Centro de Ciências da Saúde Universidade Federal do Estado do Rio de Janeiro Laboratório de Biociências da Motricidade Humana Hospital Getúlio Vargas Clínica Dermatológica Escola de Educação Física do Exército Brasileiro Fundação Oswaldo Cruz, Rio de Janeiro Laboratório de Doenças Parasitárias Universidade Federal de São Paulo (UNIFESP) Universidade do Oeste de Santa Catarina Laboratório de Aspectos Moleculares Associados a Doenças Genéticas Universidade Federal do Rio Grande do Sul Universidade Federal do Estado do Rio de Janeiro |
dc.contributor.author.fl_str_mv |
Véras, Larissa Sales Téles Vale, Rodrigo Gomes de Souza Mello, Danielli Braga de Castro, José Adail Fonseca de Lima, Vicente Silva, Kelson Nonato Gomes da [UNIFESP] Trott, Alexis Dantas, Estélio Henrique Martin |
dc.subject.por.fl_str_mv |
Disability degree Electromyography Muscle strength Pain Peroneal nerve Leprosy Grau de incapacidade Eletromiografia Força muscular Dor Nervo fibular Hanseníase |
topic |
Disability degree Electromyography Muscle strength Pain Peroneal nerve Leprosy Grau de incapacidade Eletromiografia Força muscular Dor Nervo fibular Hanseníase |
description |
INTRODUCTION: This study evaluated the degree of disability, pain levels, muscle strength, and electromyographic function (RMS) in individuals with leprosy. METHODS: We assessed 29 individuals with leprosy showing common peroneal nerve damage and grade 1 or 2 disability who were referred for physiotherapeutic treatment, as well as a control group of 19 healthy participants without leprosy. All subjects underwent analyses of degree of disability, electromyographic tests, voluntary muscle force, and the Visual Analog Pain Scale. RESULTS: McNemar's test found higher levels of grade 2 of disability (Δ = 75.9%; p = 0.0001) among individuals with leprosy. The Mann-Whitney test showed greater pain levels (Δ = 5.0; p = 0.0001) in patients with leprosy who had less extension strength in the right and left extensor hallucis longus muscles (Δ = 1.28, p = 0.0001; Δ = 1.55, p = 0.0001, respectively) and dorsiflexion of the right and left feet (Δ = 1.24, p = 0.0001; Δ = 1.45, p = 0.0001, respectively) than control subjects. The Kruskal-Wallis test showed that the RMS score for dorsiflexion of the right (Δ = 181.66 m·s-2, p = 0.001) and left (Δ = 102.57m·s-2, p = 0.002) feet was lower in patients with leprosy than in control subjects, but intragroup comparisons showed no difference. CONCLUSIONS: Leprosy had a negative influence on all of the study variables, indicating the need for immediate physiotherapeutic intervention in individuals with leprosy. This investigation opens perspectives for future studies that analyze leprosy treatment with physical therapeutic intervention. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-06-01 2015-06-14T13:44:49Z 2015-06-14T13:44:49Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0037-86822012000300018 VERAS, Larissa Sales Téles et al. Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage. Rev. Soc. Bras. Med. Trop. [online]. 2012, vol.45, n.3, pp.375-379. 10.1590/S0037-86822012000300018 S0037-86822012000300018.pdf 0037-8682 S0037-86822012000300018 http://repositorio.unifesp.br/handle/11600/7188 WOS:000305980500018 |
dc.identifier.dark.fl_str_mv |
ark:/48912/001300000zqkr |
url |
http://dx.doi.org/10.1590/S0037-86822012000300018 http://repositorio.unifesp.br/handle/11600/7188 |
identifier_str_mv |
VERAS, Larissa Sales Téles et al. Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage. Rev. Soc. Bras. Med. Trop. [online]. 2012, vol.45, n.3, pp.375-379. 10.1590/S0037-86822012000300018 S0037-86822012000300018.pdf 0037-8682 S0037-86822012000300018 WOS:000305980500018 ark:/48912/001300000zqkr |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
375-379 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1822250788937793536 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0037-86822012000300018 |