Neurofunctional evaluation in patients affected by leprosy
Objective: To investigate neurofunctional alterations in patients affected by leprosy, also searching to identify their socioeconomic and clinical profile. Methods: Cross-sectional study with 51 adult patients diagnosed with leprosy, regardless of gender, conducted in a reference center in 2010, in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Universidade de Fortaleza
2014-06-01
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| Series: | Revista Brasileira em Promoção da Saúde |
| Subjects: | |
| Online Access: | http://ojs.unifor.br/index.php/RBPS/article/view/2826 |
| _version_ | 1818414108209315840 |
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| author | Rafael Mesquita Luana Torres Monteiro Melo Renata dos Santos Vasconcelos Débora Militão Soares George André Araújo Félix Liana Parente de Azevedo Férrer Ana Paula Vasconcellos Abdon |
| author_facet | Rafael Mesquita Luana Torres Monteiro Melo Renata dos Santos Vasconcelos Débora Militão Soares George André Araújo Félix Liana Parente de Azevedo Férrer Ana Paula Vasconcellos Abdon |
| author_sort | Rafael Mesquita |
| collection | DOAJ |
| description | Objective: To investigate neurofunctional alterations in patients affected by leprosy, also searching to identify their socioeconomic and clinical profile. Methods: Cross-sectional study with 51 adult patients diagnosed with leprosy, regardless of gender, conducted in a reference center in 2010, in which the simplified neurofunctional evaluation form and a questionnaire (socioeconomic and clinical data) were applied. Findings were presented in a descriptive approach. Results: The study found a mean age of 46.4 ± 14.9 years, 32 (62.7%) patients of male sex, 32 (62.7%) with incomplete elementary school and 37 (72.5%) with family income between 1 and 3 minimum wages. The mean time of treatment was 14.4 ± 15.63 months. The multibacillary type of leprosy predominated (n=18/35.3%) with tuberculoid form (n=11/21.6%). The interphalangeal joints of upper and lower limbs were compromised in 5 (9.8%) and 6 (11.7%) patients, respectively. The most affected nerves were the posterior tibial in 19 (37.3%), the ulnar in 17 (33.3%), and the common fibular in 13 (25.5%) patients. The muscles with deficit were the extensor hallucis (n=8/15.7%), the toe extensors (n=6/11.8%) and the 5º finger abductor (n=6/11.8%). It was observed that 35 patients (68.6%) presented sensitive alterations in lower limbs and 14 (27.5%) presented functional incapacity degree 1. Conclusion: The study highlighted the socioeconomic profile of leprosy patients as men, low educational level and income, with multibacillary operational classification showing tuberculoid clinical form. In the neurofunctional assessment, there were sensory changes with higher incidence than the motor alterations, as well as discreet presence of deformities and high degree of functional disability.
doi:10.5020/18061230.2014.p247 |
| first_indexed | 2024-12-14T11:13:51Z |
| format | Article |
| id | doaj.art-7d7c1ba66f5a4ea3ac1868e1dc22697c |
| institution | Directory Open Access Journal |
| issn | 1806-1222 1806-1230 |
| language | Portuguese |
| last_indexed | 2024-12-14T11:13:51Z |
| publishDate | 2014-06-01 |
| publisher | Universidade de Fortaleza |
| record_format | Article |
| series | Revista Brasileira em Promoção da Saúde |
| spelling | doaj.art-7d7c1ba66f5a4ea3ac1868e1dc22697c2022-12-21T23:04:09ZporUniversidade de FortalezaRevista Brasileira em Promoção da Saúde1806-12221806-12302014-06-0127224725510.5020/28263081Neurofunctional evaluation in patients affected by leprosyRafael Mesquita0Luana Torres Monteiro Melo1Renata dos Santos Vasconcelos2Débora Militão Soares3George André Araújo Félix4Liana Parente de Azevedo Férrer5Ana Paula Vasconcellos Abdon6Maastricht University, Maastricht, Países BaixosUniversidade de Fortaleza - UNIFORUniversidade Federal do Ceará - UFCUniversidade de Fortaleza - UNIFORUniversidade de Fortaleza - UNIFORUniversidade de Fortaleza - UNIFORUniversidade de Fortaleza - UNIFORObjective: To investigate neurofunctional alterations in patients affected by leprosy, also searching to identify their socioeconomic and clinical profile. Methods: Cross-sectional study with 51 adult patients diagnosed with leprosy, regardless of gender, conducted in a reference center in 2010, in which the simplified neurofunctional evaluation form and a questionnaire (socioeconomic and clinical data) were applied. Findings were presented in a descriptive approach. Results: The study found a mean age of 46.4 ± 14.9 years, 32 (62.7%) patients of male sex, 32 (62.7%) with incomplete elementary school and 37 (72.5%) with family income between 1 and 3 minimum wages. The mean time of treatment was 14.4 ± 15.63 months. The multibacillary type of leprosy predominated (n=18/35.3%) with tuberculoid form (n=11/21.6%). The interphalangeal joints of upper and lower limbs were compromised in 5 (9.8%) and 6 (11.7%) patients, respectively. The most affected nerves were the posterior tibial in 19 (37.3%), the ulnar in 17 (33.3%), and the common fibular in 13 (25.5%) patients. The muscles with deficit were the extensor hallucis (n=8/15.7%), the toe extensors (n=6/11.8%) and the 5º finger abductor (n=6/11.8%). It was observed that 35 patients (68.6%) presented sensitive alterations in lower limbs and 14 (27.5%) presented functional incapacity degree 1. Conclusion: The study highlighted the socioeconomic profile of leprosy patients as men, low educational level and income, with multibacillary operational classification showing tuberculoid clinical form. In the neurofunctional assessment, there were sensory changes with higher incidence than the motor alterations, as well as discreet presence of deformities and high degree of functional disability. doi:10.5020/18061230.2014.p247http://ojs.unifor.br/index.php/RBPS/article/view/2826LeprosyHealth ProfileDisability EvaluationRehabilitation. |
| spellingShingle | Rafael Mesquita Luana Torres Monteiro Melo Renata dos Santos Vasconcelos Débora Militão Soares George André Araújo Félix Liana Parente de Azevedo Férrer Ana Paula Vasconcellos Abdon Neurofunctional evaluation in patients affected by leprosy Revista Brasileira em Promoção da Saúde Leprosy Health Profile Disability Evaluation Rehabilitation. |
| title | Neurofunctional evaluation in patients affected by leprosy |
| title_full | Neurofunctional evaluation in patients affected by leprosy |
| title_fullStr | Neurofunctional evaluation in patients affected by leprosy |
| title_full_unstemmed | Neurofunctional evaluation in patients affected by leprosy |
| title_short | Neurofunctional evaluation in patients affected by leprosy |
| title_sort | neurofunctional evaluation in patients affected by leprosy |
| topic | Leprosy Health Profile Disability Evaluation Rehabilitation. |
| url | http://ojs.unifor.br/index.php/RBPS/article/view/2826 |
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