Influência da capacidade funcional no risco de quedas em adultos com artrite reumatoide

Marques, Wanessa Vieira; Cruz, Vítor Alves; Rêgo, Jozélia; Silva, Nílzio Antônio da

doi:10.1016/j.rbr.2014.03.019

Cited by 16 publications

(9 citation statements)

References 22 publications

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“…Other studies have indicated functional disability as a risk factor for falls, but in our study, although it was associated with poorer performance in physical tests, it was not correlated with falls [4,9,12,13,19,20,35]. In a prospective study with 80 patients in Japan, Hayashibara et al [6] found no relationship between functional disability and the presence of falls and explained that the : chi-square; P: significance level findings were due to the fact that five of the eight HAQ categories assess the function of the upper limbs.…”

Section: Discussioncontrasting

confidence: 75%

“…The incidence of falls in this sample of RA patients was high (48.8%) compared to that found in the literature, which shows ranges from 14.3 to 54% in retrospective studies and from 18.8 to 50% in prospective studies [4][5][6][7][8][9][11][12][13][14][15][16][17][18][19]. The incidence of falls observed was also high compared to that of noninstitutionalized elderly individuals, which ranges from 15.9 to 56.3% [2].…”

Section: Discussionmentioning

confidence: 59%

“…Rheumatoid arthritis (RA) is a chronic systemic inflammatory autoimmune disease of joint predominance, with a high prevalence of falls occurring in 14.3 to 54% of patients over a one-year period, which are high values compared to the general population [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. This increased risk of falls may be due to pain, edema, deformities, loss of muscle strength or gait changes, and prospective studies have shown associations with altered balance, use of psychotropic medications, fear of falling and previous falls [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Characterization of falls in adults with established rheumatoid arthritis and associated factors

2018

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Background: Rheumatoid arthritis patients may have an increased risk of falls due to changes caused by the disease such as muscle weakness, joint impairment, reduced mobility and postural instability. The aim of this study was to prospectively analyze the occurrence of falls in RA patients and its risk factors. Methods: A cohort of 86 RA patients were assessed over 1 year for disease activity using the Disease Activity Score (DAS-28), for functionality using the Health Assessment Questionnaire (HAQ), for the characterization of falls and for the use of medications, and they were subjected to the Berg Balance Scale (Berg), Timed Up and Go (TUG), 6-Minute Walk (6MWT) and Short Physical Performance Battery (SPPB) tests. The Kolmogorov-Smirnov, Spearman's correlation, Student's t, Mann-Whitney and chi-square tests were performed with a significance level of P ≤ 0.05. Results: A total of 86 patients were evaluated, of which 48.8% had at least one fall and 75.6% reported having a fear of falling. No association of falls with age, disease duration, functional capacity, disease activity or physical performance was found. Patients with poorer performance in the physical tests had more functional impairment, higher disease activity and more advanced age. No differences in physical or functional performance, disease activity, gender or fear of falling were found between fallers and non-fallers; only a greater amount of medications used was found in the group of fallers. Conclusions: The occurrence of falls was high and associated with a previous history of falls and polypharmacy, with no association with disease activity or duration, functional capacity, physical performance, age or gender.

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

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Characterization of falls in adults with established rheumatoid arthritis and associated factors

2018

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“…A EDG é de uso gratuito, sendo disponível em vários idiomas. Pesquisas de validade da escala curta, a EDG-15, demonstraram pequenas diferenças referentes ao ponto de corte mais adequado, no mínimo de 5/6 como indicativo de depressão [1,6]. A EDG-15 avalia os sintomas do transtorno depressivo nas duas últimas semanas antes da entrevista, através de 15 itens que pesquisam humor deprimido, anedonia (perder o prazer, ou desânimo para fazer as coisas), insônia ou hipersônia, cansaço ou letargia, mudança no apetite ou peso, sentimento de culpa ou inutilidade, dificuldade com concentração e memória, lentidão ou inquietação e ideias suicidas [11,16,17].…”

Section: Métodosunclassified

“…Cerca de 40-60% destas ocorrências levam a alguma lesão; 30-50% são de menor gravidade, 5-6% são injúrias graves e 5% exibem fraturas. Estes fatos chamam a atenção para os riscos na população idosa, demandando mais pesquisas em busca de evidências sobre os índices de quedas, provavelmente ainda subestimados [6].…”

Section: Introductionunclassified

Análise fatorial de sintomas depressivos e ocorrência de quedas em idosos

Matias

Fonseca

Matos

2015

Sci Med

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RESUMOObjetivos: Determinar a prevalência de sintomas depressivos e correlacionar a ocorrência destes com o autorrelato de quedas em idosos, utilizando a estrutura fatorial da Escala de Depressão Geriátrica de A consistência interna da EDG-15 foi avaliada pelo teste de Alpha de Cronbach, obtendo valor aceitável (0,73); o teste que verificou a aplicabilidade da escala foi o Kaiser-Meyer-Olkin, cujo coeficiente obtido (0,658) demonstrou a adequação para o método de análise fatorial. Após a aplicação da análise fatorial, destacaram-se dois fatores que agruparam oito itens extraídos da escala, capazes de explicar 68% da variância total da EDG-15. Conclusões: A prevalência da depressão foi relevante na amostra estudada. A maior carga fatorial foi representada nas dimensões de ansiedade, anedonia, medo, isolamento e apatia. A correlação entre autorrelato de quedas e sintomas depressivos foi significativa. Os dados apontam para a necessidade de maior atenção à saúde mental do idoso e enfatizam a importância de intervenções precoces de rastreamento dos sintomas depressivos visando à adoção de medidas preventivas. DECRITORES: idoso fragilizado; transtorno depressivo; acidentes por quedas. ABSTRACT Aims:To determine the prevalence of depressive symptoms and correlate them with self-reported falls among the elderly using the Yesavage-15 Geriatric Depression Scale (GDS-15). Methods: A cross-sectional study was conducted from July to October 2014. Elderly volunteers from the Community Center for the Elderly located in Vitória da Conquista, State of Bahia, Brazil, participated in the study. They were selected by non-probability convenience sampling and answered the GDS-15 questionnaire after being informed about the study objectives and signing a free consent form. Results: A total of 68 elderly individuals with a mean age of 73.12±7.1 years were included in the study, and female participants accounted for 60.3% of the sample. Depressive symptoms were detected in 35 (51%) individuals, among which 23 (33.8%) were female. Falls were self-reported by 33 elderly individuals (48.5%). There was a positive and significant correlation (r=0.383, p <0.001) between self-reported falls and depressive symptoms among the participants. The internal consistency of the GDS-15 was assessed by Cronbach's alpha, which yielded an acceptable value (0.73). The Kaiser-Meyer-Olkin measure of sampling adequacy was used to verify the applicability of the GDS-15, yielding a value of 0.658, which means the scale was adequate for the factor analysis method. Two factors, into which eight items were grouped, stood out after the factor analysis and were able to explain 68% of the total variance of the GDS-15. Conclusions: The prevalence of depression was relevant. The dimensions of anxiety, anhedonia, fear, isolation, and apathy showed the largest factor loads. The correlation between self-reported falls and depressive symptoms was significant. The data indicate it is necessary to pay special attention to the mental health of the elderly and also highlight ...

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Resistance exercise and low‐level laser therapy improves grip strength and morphological aspects in the ankle joint of Wistar rats with experimental arthritis

Retameiro¹,

Neves²,

Tavares³

et al. 2022

The Anatomical Record

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Rheumatoid arthritis (RA) is an inflammatory disease mainly affecting synovial joints. Photobiomodulation through low‐level laser therapy (LLLT) and resistance exercise may improve the inflammatory process. Therefore, we analyzed the effects of resistance exercise, LLLT, and the combination of both treatments on hind paw grip strength and ankle joint histomorphometric aspects of Wistar rats subjected to experimental RA. A total of 64 male Wistar rats were divided into eight groups: control, control LLLT, control exercise, control LLLT and exercise, arthritis, arthritis LLLT, arthritis exercise, and arthritis LLLT and exercise groups. The experimental RA was induced by a complete Freund's adjuvant injection into the knee joint cavity. Climbing exercises and LLLT (660 nm; 5 J/cm2 per point) were performed as the treatment. In addition, muscle strength was evaluated using the grip strength test, and morphometric evaluations were performed on the ankle joint. Generalized mixed models and multivariate analysis of variance tests were used for statistical analysis. Statistical significance was set at a p‐value of .05. Arthritis LLLT, exercise, and LLLT and exercise had positive effects on grip strength between the groups (F[7.56] = 5.8, p < .004) and within the groups (F[4.3] = 9.9, p < .002) throughout the evaluations. Morphometry revealed degenerative lesions in the ankle joint as subintima with angiogenesis, inflammatory cells, flocculated articular cartilage, chondrocyte disorganization, and pannus in the arthritis group (p < .001). The treated groups exhibited morphological characteristics similar to those of the control group. LLLT and resistance exercise restored muscle strength and morphological aspects of the ankle joint in rats with experimentally induced RA.

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Influência da capacidade funcional no risco de quedas em adultos com artrite reumatoide

Abstract: Patients with RA have high fall prevalence and the functional disability represents the main factor related to falls risk.

Cited by 16 publications

References 22 publications

Characterization of falls in adults with established rheumatoid arthritis and associated factors

Characterization of falls in adults with established rheumatoid arthritis and associated factors

Análise fatorial de sintomas depressivos e ocorrência de quedas em idosos

Resistance exercise and low‐level laser therapy improves grip strength and morphological aspects in the ankle joint of Wistar rats with experimental arthritis

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