Análise clínica e ultrassonográfica dos ombros de pacientes lesados medulares em programa de reabilitação

Abstract

O aumento da incidência de traumas de alta energia esta relacionado com o crescimento da prevalência de lesões raquimedulares ocasionando seqüelas motoras nos membros. O programa de reabilitação proporciona perspectiva de melhora da qualidade de vida, colaborando para a reintegração social desses indivíduos. As síndromes dolorosas dos ombros são freqüentes nos pacientes lesados medulares, independentemente do programa de reabilitação adotado. No presente estudo, avaliou-se por meio da ultrassonografia, 32 ombros de 16 pacientes com lesão medular com localização anatômica entre C4 e T12, em reabilitação no DOT/HC-UNICAMP, constatando-se alterações nos tendões dos músculos do manguito rotador em 46,88% e nas tuberosidades umerais em 12,50% dos pacientes estudados. As alterações foram mais prevalentes entre os tetraplégicos. A execução de medidas analgésicas, fortalecimento dos músculos do manguito rotador quando possível e alterações posturais podem significar diminuição na ocorrência das síndromes dolorosas dos ombros, melhorando o aproveitamento do programa de reabilitação e com ganhos na qualidade de vida.

Qualidade de vida de adultos com lesão medular: um estudo com WHOQOL-bref

“…This fi nding is in line with results from a study in Fortaleza (Ceará; Brazil) (13) and another in Campinas (São Paulo; Brazil) (1) , whose subjects presented the same characteristi c. SCI events in young people of producti ve age represents a severe public health problem, as they aff ect health, limit individuals' ability to perform occupati onal acti viti es and acti viti es of daily living, and also entail economic and social implicati ons for the victi ms and society, demanding increased public health spending, due to the need for long rehabilitati on periods.…”

“…Due to their motor and walking conditi ons and the exercises performed in the context of rehabilitati on programs regarding physical therapy acti viti es, SCI pati ents end up complaining of pain (1) . A study (20) developed in the USA found that the mean pain intensity was moderate, that no specifi c topographic area existed for the pain process and that lower limb pain was stronger.…”

“…In Brazil, the number of collisions and other violenceprovoked accidents stands out, as it results in deaths or disabiliti es due to spinal cord injury (SCI) (1) . In a study developed in the Sarah Hospital Network between January and June 2009, in total, the researchers recoded 1,787 hospitalizati ons due to external causes, equivalent to 24.8% of all 7,211 hospitalizati ons occurred during the study period (2) .…”

Functional disability of adult individuals with spinal cord injury and its association with socio-demographic characteristics

“…Incidence levels of external health problems are high, including spinal cord injury (SCI), due to the increased number of car and motorcycle accidents and urban violence, representing a public health problem (1) .…”

Perceptions of adults with spinal cord injury on the skills for daily activities and health indicators in the light of noc: descriptive research

“…Algesic processes (6) , the lack of movement due to motor limitations, as well as architectural and attitudinal barriers faced by people with SCI are primarily responsible for the difficulties faced by these individuals to perform activities of daily living (ADLs).…”