Capacidade funcional em indivíduos com lesão de medula espinhal

Abstract

Objectives:To investigate the characteristics of individuals with spinal cord injury being treated in public hospitals, in Ribeirao Preto, Sao Paulo, and to assess the functional independence according to the degree of injury, the time after injury and the rehabilitation. Methods: Is a cross-sectional observational study conducted from January 2003 to July 2006, comprising 22 patients being treated on these hospitals, with assessment of functional capacity through the Functional Independence Measure (FIM) scale. Results: Of 22 patients who survived after hospital discharge, 91 % were men, with age from 30 to 39 years (36.4 %). The main etiology of the above-mentioned injury was an accident of traffic (50%), 11 patients (50%) presented cervical injury, 10 (45.5%) had chest injury and lumbar injury. In individuals with cervical injury the total FIM score was low, implying less functional capacity. It was observed an increase of the FIM scores with the increase of time after injury, regardless of participation in rehabilitation programs. Conclusions: The results suggest the essential aspects found in this research must be proposed in rehabilitation programs to treat the population within the studied context. Keywords: Spinal cord injuries/rehabilitation; Recovery of Function/physiology; Outcome assessment (health care) RESUMO Objetivos: Investigar características de indivíduos com lesão de medula espinhal atendidos em hospitais públicos de Ribeirão Preto -São Paulo, e avaliar a independência funcional segundo nível de lesão, tempo pós-lesão e reabilitação. Métodos: Estudo de observação transversal realizado de janeiro de 2003 a julho 2006 abrangendo 22 pacientes atendidos nesses hospitais, com avaliação da capacidade funcional pela escala Medida de Independência Funcional (MIF). Resultados: Dos 22 pacientes que sobreviveram após saída hospitalar, 91% eram homens, com idade de 30 a 39 anos (36,4%). A etiologia principal da referida lesão foi acidente de trânsito (50%) e 11 pacientes (50%), tiveram lesão cervical, 10 (45,5%) lesão torácica e um lesão lombar. Nos indivíduos com lesão cervical os escores na MIF total e motora foram menores implicando em menor capacidade funcional. Observou-se aumento dos escores da MIF com o aumento do tempo pós-lesão, independente da participação em programa de reabilitação. Conclusões: Os resultados apontam aspectos essenciais para a proposição de programa de reabilitação para esta população no contexto estudado. Descritores: Traumatismos da medula espinhal/reabilitação; Recuperação da função fisiológica/fisiologia; Avaliação de resultados (cuidados de saúde) RESUMEN Objetivos: Investigar las características de individuos con lesión de médula espinal atendidos en hospitales públicos de la ciudad de Ribeirao Preto, estado de Sao Paulo, y evaluar la independencia funcional según: grado de lesión, tiempo pos-lesión y rehabilitación. Métodos: Es un estudio de observación transversal, realizado de enero de 2003 a julio 2006, abarcando 22 pacientes atendidos en esos hospitales, co...

Cuidadores de indivíduos com lesão medular: sobrecarga do cuidado

“…With regard to the sociodemographic characteris cs of individuals with TSCI, these were highlighted by other studies repor ng that the popula on most aff ected by TSCI is that of young adults, aged 18 to 35 years, and overwhelmingly of the male gender (1,(11)(12)(13) .…”

“…Depending on the neurological level of injury, these individuals need assistance for the total or par al performance of ADLs, such as dressing, pu ng on shoes, bathing, and ea ng. The higher the neurological level of spinal cord injury, as in the case of quadriplegic pa ents, the greater the me spent in care (1,11,16) , because individuals with TSCI, especially quadriplegics, are dependent on long-term care and the lack of, or failure in, the planning of care can lead to caregiver burden.…”

“…Considering the decrease in func onal independence and the social and psychological impact on the individual's life a er injury (1) , his immediate family suff ers consequences that require restructuring to meet the needs arising from the health condi ons.…”

Analysis of Risk Factors Sociodemographic for the Functional Dependence of Adults with Spinal Cord Injury

“…However, clinical practice shows that early inserts in rehabilitation programs has a great value in predicting functional independence [16] [26].…”

“…Studies evaluating the results of rehabilitation of persons with SCI showed significant increases in functional capacity regardless of the type of injury, however noted that people with tetraplegia stay longer in the rehabilitation center [16] [27] [28].…”