Predictive factors for spasticity among ischemic stroke patients
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , , |
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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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 |
_version_ |
1814268439117692928 |