Avaliação postural de sujeitos com amputação de membro inferior

Abstract

AIMS: To evaluate the posture of subjects with lower limb amputee.METHODS: Ten subjects participated in the study, males, with 38,2 ± 8,2 years, with unilateral lower limb amputation and prosthesis users. For the postural evaluation, the Postural Evaluation Software (SAPO) was used, and the images were evaluated according to the software protocol. Data were analyzed through descriptive and inferential statistics (independent t test), with a significance level of p ≤ 0,05.RESULTS: The main alterations observed were: rearfoot valgus enlargement, flexed ankle, head tilted to the right and trunk in flexion. When compared the posture according to time of amputation, was observed a statistically significant difference in the horizontal asymmetry of scapula in relation to T3 (p = 0,004), being that subjects with amputation time of up to six years presented the left scapula higher than the right one (-5,28 ± 8,16°) and those with more than six years of amputation had the right upper right scapula (19,42 ± 11°). In the comparison between amputation levels, there was a statistically significant difference in the ankle angle (p = 0,008), with subjects with amputation below the knee presenting greater ankle flexion (81,97 ± 1,72°) than those with amputation at the level of the knee and above this (87,30 ± 2,65°).CONCLUSIONS: The findings of the present study demonstrate that all the evaluated subjects presented some postural alteration, however, it cannot be affirmed that the postural asymmetry of these is due to the amputation.

Análise Da Descarga De Peso E Equilíbrio Em Indivíduos Amputados Na Fase De Pós Protetização

“…Outra consequência da amputação é a dor fantasma, sendo definida como uma sensibilidade dolorosa e presença de dor, ocorrendo no membro que não existe mais, controlada pelo sistema límbico e tronco encefálico (SARMENTO; LUZ;OLIVEIRA, 2021). Leite et al (2019), alguns estudos mostram que o indivíduo amputado pode apresentar alterações posturais, pois o membro amputado não apresenta a mesma funcionalidade comparado ao membro íntegro, trazendo alterações em sua postura, no plano anterior, lateral e sagital.…”