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

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 physiot...

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Main Authors: Larissa Sales Téles Véras, Rodrigo Gomes de Souza Vale, Danielli Braga de Mello, José Adail Fonseca de Castro, Vicente Lima, Kelson Nonato Gomes da Silva, Alexis Trott, Estélio Henrique Martin Dantas
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2012-06-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300018&lng=en&tlng=en
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author Larissa Sales Téles Véras
Rodrigo Gomes de Souza Vale
Danielli Braga de Mello
José Adail Fonseca de Castro
Vicente Lima
Kelson Nonato Gomes da Silva
Alexis Trott
Estélio Henrique Martin Dantas
author_facet Larissa Sales Téles Véras
Rodrigo Gomes de Souza Vale
Danielli Braga de Mello
José Adail Fonseca de Castro
Vicente Lima
Kelson Nonato Gomes da Silva
Alexis Trott
Estélio Henrique Martin Dantas
author_sort Larissa Sales Téles Véras
collection DOAJ
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.
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spelling doaj.art-a16860509f5f404c9a6a9e5e83ae2c582022-12-22T00:26:01ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492012-06-0145337537910.1590/S0037-86822012000300018S0037-86822012000300018Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damageLarissa Sales Téles Véras0Rodrigo Gomes de Souza Vale1Danielli Braga de Mello2José Adail Fonseca de Castro3Vicente Lima4Kelson Nonato Gomes da Silva5Alexis Trott6Estélio Henrique Martin Dantas7Universidade Estadual do PiauíUniversidade Federal do Estado do Rio de JaneiroUniversidade Federal do Estado do Rio de JaneiroUniversidade Estadual do PiauíUniversidade Federal do Estado do Rio de JaneiroUniversidade Federal de São PauloUniversidade do Oeste de Santa CatarinaUniversidade Federal do Rio Grande do SulINTRODUCTION: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300018&lng=en&tlng=enGrau de incapacidadeEletromiografiaForça muscularDorNervo fibularHanseníase
spellingShingle Larissa Sales Téles Véras
Rodrigo Gomes de Souza Vale
Danielli Braga de Mello
José Adail Fonseca de Castro
Vicente Lima
Kelson Nonato Gomes da Silva
Alexis Trott
Estélio Henrique Martin Dantas
Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage
Revista da Sociedade Brasileira de Medicina Tropical
Grau de incapacidade
Eletromiografia
Força muscular
Dor
Nervo fibular
Hanseníase
title 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
title_full_unstemmed Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage
title_short 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
topic Grau de incapacidade
Eletromiografia
Força muscular
Dor
Nervo fibular
Hanseníase
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300018&lng=en&tlng=en
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