Mensuração do ângulo articular do cotovelo no teste de tensão neural em indivíduos com hanseníase

Abstract

| Leprosy is a chronic and granulomatous disease, which affects skin and peripheral nervous system by invasion of Mycobacterium leprae in the immune system. The objective of this study was to evaluate the ulnar neural tension test in leprosy patients. In applying the test of neural tension, it was done goniometry and photometry to measure the angle of the elbow joint, and to perform the photometry we used a Samsung camera, 12.1 Mega pixels, and the data were analyzed using Corel Draw Software X5 (Microsoft®). We selected 44 individuals of Pro-Hansen Foundation, with an average age of 48.13±12.55 years, divided in three groups: G1, G2 and G3. G1 consisted of leprosy volunteers with preserved sensibility; the G2, the ones with leprosy and with no sensibility; and G3 was control group. In goniometry, it was found significant difference (p<0.05) when comparing the G1 and G2 with control of both the right and left limb, but no difference was found when comparing the two leprosy groups. In photometry, it was found difference between G2 and the control and bilaterally between the G1 and control on the left side. Comparing the right and left limbs, difference was not found in any group. Patients with leprosy showed a decrease in range of movement of elbow flexion in ulnar neural tension test in both sides when compared to the control group.Keywords | leprosy; nervous system; range of motion, articular.RESUMO | A hanseníase é uma patologia crônica e granulomatosa, que atinge a pele e o sistema nervoso periférico pela invasão no sistema imune do Mycobacterium leprae. O objetivo deste estudo foi mensurar o ângulo articular do cotovelo com a aplicação do teste de tensão neural do nervo ulnar em pacientes com hanseníase. Na aplicação do teste de tensão neural, foram utilizadas a goniometria e a fotometria para a mensuração do ângulo articular do cotovelo, sendo que para a realização da fotometria foi utilizada uma câmera Samsung de 12. 1 Mega pixels, e os dados foram analisados pelo software Corel Draw X5 (Microsoft®). Foram selecionados 44 indivíduos da Fundação Pró-Hansen, com média de idade de 48, 13±12,55 anos, divididos em três grupos: G1, G2 e G3. O G1 compreende voluntários com hanseníase e sensibilidade preservada; o G2, aqueles com hanseníase e com perda de sensibilidade; e o G3, o controle. Na goniometria, foi encontrada diferença significativa (p<0, 05) na comparação dos grupos G1 e G2 com o controle tanto do membro direito quanto esquerdo, porém não foi encontrada diferença na comparação entre os dois grupos com hanseníase. Na fotometria, houve diferença entre G2 e o controle bilateralmente e entre o G1 e o controle no lado esquerdo. Comparando-se o lado direito e esquerdo, não foi encontrada diferença em nenhum grupo. Os pacientes com hanseníase apresentaram diminuição da ADM de flexão de cotovelo no teste de tensão neural do ulnar em ambos os lados quando comparados ao grupo controle.Descritores | hanseníase; sistema nervoso; amplitude de movimento articular.Mensuração do ângulo articular do cotovelo n...

The effectiveness of early diagnostic tools for neural lesions in leprosy An observational cohort study

“…The Degree of Physical Disability showed a disability in 17 (62.9%) individuals. In the Neurodynamic Assessment, 14 RESULTS __________________________________________________________________________________ (40.7%) showed alterations. In the control group, no neurological changes were identified by the 3 instruments, confirming the reliability of the sample (Table 1).…”

“…The test is considered positive when the patient reports any discomfort/pain or when the physical therapist encounters resistance to movement. When the patient has any of the reported symptoms, the test is completed and the physiotherapist keeps the limb of the patient positioned in the range in which pain or resistance to movement is reported to perform a goniometer measurement [14] .…”

“…perpetuity. preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in The copyright holder for this this version posted November 22, 2020. ; https://doi.org/10.1101/2020.11.19.20234963 doi: medRxiv preprint 11 METHODS __________________________________________________________________________________ completed and the physiotherapist keeps the limb of the patient positioned in the range in which pain or resistance to movement is reported to perform a goniometer measurement [14] .…”

“…The Neurodynamic Assessment (NDA) is used for injury diagnosis and treatment of the peripheral nervous system and the structures innervated by it [13] ; the interface between the musculoskeletal system and the peripheral nervous system is used, so the movements applied to the musculoskeletal system mobilize the structures of the peripheral nervous system [14] . INTRODUCTION __________________________________________________________________________________ The use of neurodynamic tests has helped in the diagnosis of neural lesions to identify the origin of the lesions, but little is known about the results of the neurodynamic tests applied to patients with leprosy.…”

“…The Neurodynamic Assessment (NDA) is used for injury diagnosis and treatment of the peripheral nervous system and the structures innervated by it [13] ; the interface between the musculoskeletal system and the peripheral nervous system is used, so the movements applied to the musculoskeletal system mobilize the structures of the peripheral nervous system [14] .…”