Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage

Detalhes bibliográficos
Autor(a) principal: Véras, Larissa Sales Téles
Data de Publicação: 2012
Outros Autores: 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
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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spelling 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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dc.identifier.doi.none.fl_str_mv 10.1590/S0037-86822012000300018