Avaliação circadiana da fadiga na sequela de poliomielite e síndrome pós-poliomielite

• Autor(a) principal: Viana, Celiana Figueiredo [UNIFESP]
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://repositorio.unifesp.br/handle/11600/9003
• topic: Ciclo circadiano; Fadiga; Sono; Síndrome pós-poliomielite; Poliomielite; Ritmo circadiano; Circadian rhythm; Fatigue; Sleep; Postpoliomyelitis syndrome; Poliomyelitis

Objective: To evaluate the circadian fatigue in sequelae of poliomyelitis (PS) and Post-Polio Syndrome (PPS) and compare them with actigraphy and polysomnography parameters as well as muscular weakness. Method: Thirty-nine (39) underwent evaluation of the pre-sleep questionnaire and polysomnography, thirty-three (33) underwent actigraphy and data from these examinations were correlated with the scales of the Chalder fatigue, answered by thirty-eight (38) patients and Piper, answered by thirty (30) patients in three periods of the day (sent by mail). Results: This study allowed us to identify the quality of sleep is affected in two populations, both PS and PPS, with increased severity of the situation faced by the PPS group. Fatigue in fact is related to the time of the day, appearing in the population of circadian PPS. Conclusion: The circadian fatigue character takes on well-defined population of PPS, according to the assessment of the scale of Piper. The fatigue is correlated with sleep parameters, especially considering the variables of apnea and hypopnea index, movement of legs and sleep architecture. The intensity of fatigue is greater in patients with PPS. The Piper fatigue scale proved to be very sensitive and can measure the circadian fatigue in PPS. The intensity of fatigue is strongly correlated with the degree of muscular weakness.