Escalas clínicas e funcionais no gerenciamento de indivíduos com Lesões Traumáticas da Medula Espinhal

Neves, Marco Antônio Orsini; Mello, Mariana Pimentel de; Antonioli, Reny de Souza; Freitas, Marcos R. G. de

doi:10.34024/rnc.2007.v15.8693

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…It has two components: the sensory component and the motor component. Moreover, the scale allows to determine whether the spinal cord injury was complete or incomplete, by classifying spinal cord injuries into five categories: A -complete injury, no motor or sensory function below the level of injury; B -incomplete injury, sensory function is fully or partially preserved in sacral segments but there is no motor function below the level of injury; C -incomplete injury, motor function is preserved below the level of injury but the muscles below the level of injury present muscle strength lower than 3; D -incomplete injury, muscle strength below the level of injury equal to or higher than 3; and E -normal sensory and motor function (18). However, many medical records lacked information on the classification of patients according to the American Spinal Injury Association (ASIA) scale.…”

Section: Discussionmentioning

confidence: 99%

Knowing to care: characterization of individuals with spinal cord injury treated at a rehabilitation center

et al. 2015

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Introduction Spinal cord injury (SCI) results in motor, sensory and autonomic dysfunction. The symptoms observed in patients with spinal cord injury will depend on the area affected by the injury. Nursing care is essential for better patient outcomes. Objective The aim of this study was to characterize patients with spinal cord injury treated at a state referral rehabilitation center for SCI. Methods We performed a quantitative cross-sectional descriptive study of 109 patients between the years 2000 and 2009. Results We found a predominance of spinal cord injury in men aged up to 30 years (48.5%). The main causes of spinal cord injuries were traffic accidents. The thoracic region was the most frequently affected site (39.7%), followed by the cervical region (25.6%). Most of the study subjects had been rated as ASIA A, according to the American Spinal Cord Injury Association scale. Discussion These findings corroborate previous studies observing that traffic accidents are the leading causes of spinal cord injury and that people affected by it usually do not seek proper care. Receiving early intervention services and counseling is essential for a better outcome and for achieving an improvement in the quality of life of these patients. Conclusion Despite the increasing incidence of spinal cord injuries nowadays, there is still a lack of data on the subject. The greatest limitation of this study is the incompleteness of medical records, which hindered the access to information.

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Section: Discussionmentioning

confidence: 99%

Knowing to care: characterization of individuals with spinal cord injury treated at a rehabilitation center

et al. 2015

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“…19,22,27,[30][31][32]35 In addition to these scales, there are others that can be used in the evaluation of patients with spinal metastases, adding more detailed aspects and with a multidisciplinary view of the patient centered on functional capacity, functional independence/physical performance, on the presence of comorbidities, the quality of life and satisfaction, on the presence of depression and mood disorders, on functional activity to return to work, but, due to Brazilian sociocultural peculiarities, the results may not be fully applicable in their entirety. 19,25,[54][55][56][57][58][59][60][61][62][63][64][65][66][67][68] Another aspect to be mentioned is that a decision centered only on prognostic scales can often produce inhuman situations for the patients and their families, characterizing for them a feeling of abandonment and discredit. In one study, patients who scored between 0 and 8 on the modified Tokuhashi scale and who normally would not have been operated on because of poor prognosis, underwent surgery and had a longer survival than expected from the score, showing the benefit of investing in patients with worse prognoses.…”

Section: B Bmentioning

confidence: 99%

Spinal Metastasis: Diagnosis, Treatment and Prognosis - Integrative Review From 2012 to 2017

Cortez

2020

Coluna/Columna

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Care of the patient with spinal metastasis is challenging. The topic of this article is the treatment and prognosis of spinal metastases, aiming to enumerate and analyze literature that addresses this treatment and prognosis. The methodology used was an integrative review in the Virtual Health Library. Nineteen articles were identified demonstrating that there is research and scientific production in this area. The thematic units and their categories are: treatment decision - prognostic scales or clinical neurological evaluation; types of treatment - minimally invasive and/or traditional; and effectiveness of prognostic scales higher or lower probability of success, which provide insight into the different possibilities of patient evaluation and their applicability in practice. When making the diagnosis, planning the treatment, and establishing a prognosis, the professional must be in sync with current precepts and act based on the objective and subjective characteristics of the patients, such as beliefs and values, which although immeasurable, influence the survival and the effectiveness of treatment. Level of evidence I; Integrative Review.

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“…Para classificação do nível da lesão foi utilizada a Escala de Classificação Neurológica da Lesão Medular (ASIA). A ASIA apresenta dois componentes (sensitivo e motor), além de elementos obrigatórios e medidas opcionais 21 .…”

Section: Instrumentos Avaliação Fisioterapêuticaunclassified

Benefícios De Uma Intervenção Motora Para Uma Criança Com Meningocele: Um Estudo De Caso

Zanella¹,

Souza²,

Valentini³

2018

R. Bras.Ci.e Mov.

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O objetivo deste estudo de caso foi verificar os efeitos de uma intervenção motora na motricidade fina e ampla, no equilíbrio, na aptidão e nos níveis de atividade física, na percepção de competência e estado nutricional de uma criança de 5 anos com meningocele e hidrocefalia. A intervenção motora foi implementada com o Clima de Motivação para Maestria em um período de 16 semanas (32 aulas). Nas aulas foram oferecidas oportunidades de prática e atividades variadas com ênfase nas habilidades motoras fundamentais e de equilíbrio. Para avaliar a motricidade ampla, fina, equilíbrio e aptidão física foram utilizados os testes Bruininks Ozeretzky – Second Edition (BOT-2), Test of Gross Motor Development – Second Edition (TGMD-2); para avaliar o nível de atividade física foi utilizado pedômetro em 3 aulas do programa interventivo na pré-intervenção e pós-intervenção; o índice de massa corporal foi utilizado para analisar o estado nutricional, classificado conforme as curvas do Center of Disease Control (DCD); para avaliar a percepção de competência foi utilizada a Pictorial Scale of Perceived Competence and Acceptance. Os resultados do presente estudo, evidenciam mudanças positivas na motricidade ampla e fina, nos níveis de atividade física, na percepção de competência motora e no estado nutricional da criança. A intervenção motora foi efetiva em potencializar o desenvolvimento de uma criança com meningocele.

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Escalas clínicas e funcionais no gerenciamento de indivíduos com Lesões Traumáticas da Medula Espinhal

Cited by 7 publications

References 15 publications

Knowing to care: characterization of individuals with spinal cord injury treated at a rehabilitation center

Knowing to care: characterization of individuals with spinal cord injury treated at a rehabilitation center

Spinal Metastasis: Diagnosis, Treatment and Prognosis - Integrative Review From 2012 to 2017

Benefícios De Uma Intervenção Motora Para Uma Criança Com Meningocele: Um Estudo De Caso

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