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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Sociedade Brasileira de Medicina Tropical (SBMT)
2012-06-01
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Series: | Revista da Sociedade Brasileira de Medicina Tropical |
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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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id | doaj.art-a16860509f5f404c9a6a9e5e83ae2c58 |
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issn | 1678-9849 |
language | English |
last_indexed | 2024-12-12T11:21:02Z |
publishDate | 2012-06-01 |
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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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