Predictive factors for spasticity among ischemic stroke patients

Detalhes bibliográficos
Autor(a) principal: Moura, Rita de Cássia dos Reis [UNIFESP]
Data de Publicação: 2009
Outros Autores: Fukujima, Marcia Maiumi [UNIFESP], Aguiar, Alexandre Santos, Fontes, Sissy Veloso [UNIFESP], Dauar, Rafi Felício Bauab [UNIFESP], Prado, Gilmar Fernandes do [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X2009000600013
http://repositorio.unifesp.br/handle/11600/5398
Resumo: Spasticity is a determining for functional loss following ischemic stroke. OBJECTIVE: To detect possible predictive factors for its occurrence. METHOD: Demographic, clinical and tomographic data on 146 stroke patients were analyzed. RESULTS: Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6. CONCLUSION: Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength.
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spelling Predictive factors for spasticity among ischemic stroke patientsFatores preditivos para espasticidade após acidente vascular cerebralspasticitystrokecerebral infarctphysiotherapyespasticidadeacidente vascular cerebralinfarto cerebral isquêmicofisioterapiaSpasticity is a determining for functional loss following ischemic stroke. OBJECTIVE: To detect possible predictive factors for its occurrence. METHOD: Demographic, clinical and tomographic data on 146 stroke patients were analyzed. RESULTS: Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6. CONCLUSION: Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength.A espasticidade é fator determinante para perda funcional após o acidente vascular cerebral isquêmico (AVCI). OBJETIVO: Detectar possíveis fatores preditivos para a ocorrência da espasticidade. MÉTODO: Foram analisados dados demográficos, clínicos e tomográficos de 146 pacientes pós-AVCI. RESULTADOS: Na análise univariada a espasticidade foi notada com maior freqüência em pacientes que realizaram fisioterapia (p<0,0001; OR=19,4; 95% CI: 4,4-84,5), com maior tempo de duração desse tratamento (p=0,028; OR=4,80; 95% CI: 1,1-8,3) e que realizavam trabalho braçal (p=0,041; OR=2,2; 95% CI: 1,02-4,6), renda menor (p=0,038), referência de dor (p<0,0001; OR=107,0; 95% CI: 13,5-847,3) e seu aparecimento simultâneo à espasticidade (p<0,0001), acidente vascular cerebral (AVC) pregresso (p=0,001; OR=4,2; 95% CI: 1,7-10,3), fraqueza muscular (p<0,0001; OR=91,9; 95% CI: 12,0-699,4), lesão tomográfica extensa (p=0,01) e lesão afetando mais de um lobo cerebral (p=0,018). Na análise de regressão multivariada a atividade braçal apresentou risco relativo de 2,9; acidente vascular cerebral prévio com risco relativo de 3,9 e lesão tomográfica extensa risco relativo de 3,6. CONCLUSÃO: A espasticidade afetou um quarto da população estudada e esteve associada ao trabalho braçal, AVC pregresso, lesões tomográficas extensas, diminuição da renda individual, realização de fisioterapia, realização de fisioterapia por um período maior, presença de dor, surgimento da dor simultânea à espasticidade e alteração da força.São Paulo Federal University Department of Emergency Medicine and Evidence-Based MedicineUniversidade Federal de São Paulo (UNIFESP) Department of Emergency Medicine and Evidence-Based MedicineStatistical ConsultantUNIFESP State Hospital of DiademaSão Paulo Federal University Department of Emergency Medicine and Evidence-Based MedicineUNIFESP, Department of Emergency Medicine and Evidence-Based MedicineUNIFESP, State Hospital of DiademaSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Statistical ConsultantMoura, Rita de Cássia dos Reis [UNIFESP]Fukujima, Marcia Maiumi [UNIFESP]Aguiar, Alexandre SantosFontes, Sissy Veloso [UNIFESP]Dauar, Rafi Felício Bauab [UNIFESP]Prado, Gilmar Fernandes do [UNIFESP]2015-06-14T13:41:19Z2015-06-14T13:41:19Z2009-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1029-1036application/pdfhttp://dx.doi.org/10.1590/S0004-282X2009000600013Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 67, n. 4, p. 1029-1036, 2009.10.1590/S0004-282X2009000600013S0004-282X2009000600013.pdf0004-282XS0004-282X2009000600013http://repositorio.unifesp.br/handle/11600/5398WOS:000272736500013engArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T17:58:00Zoai:repositorio.unifesp.br/:11600/5398Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T17:58Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Predictive factors for spasticity among ischemic stroke patients
Fatores preditivos para espasticidade após acidente vascular cerebral
title Predictive factors for spasticity among ischemic stroke patients
spellingShingle Predictive factors for spasticity among ischemic stroke patients
Moura, Rita de Cássia dos Reis [UNIFESP]
spasticity
stroke
cerebral infarct
physiotherapy
espasticidade
acidente vascular cerebral
infarto cerebral isquêmico
fisioterapia
title_short Predictive factors for spasticity among ischemic stroke patients
title_full Predictive factors for spasticity among ischemic stroke patients
title_fullStr Predictive factors for spasticity among ischemic stroke patients
title_full_unstemmed Predictive factors for spasticity among ischemic stroke patients
title_sort Predictive factors for spasticity among ischemic stroke patients
author Moura, Rita de Cássia dos Reis [UNIFESP]
author_facet Moura, Rita de Cássia dos Reis [UNIFESP]
Fukujima, Marcia Maiumi [UNIFESP]
Aguiar, Alexandre Santos
Fontes, Sissy Veloso [UNIFESP]
Dauar, Rafi Felício Bauab [UNIFESP]
Prado, Gilmar Fernandes do [UNIFESP]
author_role author
author2 Fukujima, Marcia Maiumi [UNIFESP]
Aguiar, Alexandre Santos
Fontes, Sissy Veloso [UNIFESP]
Dauar, Rafi Felício Bauab [UNIFESP]
Prado, Gilmar Fernandes do [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Statistical Consultant
dc.contributor.author.fl_str_mv Moura, Rita de Cássia dos Reis [UNIFESP]
Fukujima, Marcia Maiumi [UNIFESP]
Aguiar, Alexandre Santos
Fontes, Sissy Veloso [UNIFESP]
Dauar, Rafi Felício Bauab [UNIFESP]
Prado, Gilmar Fernandes do [UNIFESP]
dc.subject.por.fl_str_mv spasticity
stroke
cerebral infarct
physiotherapy
espasticidade
acidente vascular cerebral
infarto cerebral isquêmico
fisioterapia
topic spasticity
stroke
cerebral infarct
physiotherapy
espasticidade
acidente vascular cerebral
infarto cerebral isquêmico
fisioterapia
description Spasticity is a determining for functional loss following ischemic stroke. OBJECTIVE: To detect possible predictive factors for its occurrence. METHOD: Demographic, clinical and tomographic data on 146 stroke patients were analyzed. RESULTS: Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6. CONCLUSION: Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength.
publishDate 2009
dc.date.none.fl_str_mv 2009-12-01
2015-06-14T13:41:19Z
2015-06-14T13:41:19Z
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/S0004-282X2009000600013
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 67, n. 4, p. 1029-1036, 2009.
10.1590/S0004-282X2009000600013
S0004-282X2009000600013.pdf
0004-282X
S0004-282X2009000600013
http://repositorio.unifesp.br/handle/11600/5398
WOS:000272736500013
url http://dx.doi.org/10.1590/S0004-282X2009000600013
http://repositorio.unifesp.br/handle/11600/5398
identifier_str_mv Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 67, n. 4, p. 1029-1036, 2009.
10.1590/S0004-282X2009000600013
S0004-282X2009000600013.pdf
0004-282X
S0004-282X2009000600013
WOS:000272736500013
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos de Neuro-Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 1029-1036
application/pdf
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
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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