HIV-related neurological disability and prospects for rehabilitation

O’Dell, Michael W.

doi:10.3109/09638289609165882

Cited by 9 publications

(16 citation statements)

References 22 publications

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“…Although 79% were considered independent for the activities of daily living, approximately 46% were not able to return to their previous activities and 49% had already left their professional lives because of the HIV infection (disease-related factors). In a study made of 391 persons with AIDS, disability was relatively unusual, mild and moderate disability were more common, data also confirmed by our study [14].…”

Section: Discussionsupporting

confidence: 90%

“…Presently, some patients are receiving orientation about physical activity but only a few were directed towards professional help, especially at the onset of the illness. HIV infection has a propensity to produce a great variety of disabling conditions, and functional disability is generally the patient's primary problem [14]. Our data confirm this in the great majority of patients (91%) presenting some degree of functional disability.…”

Section: Discussionsupporting

confidence: 78%

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Functional assesment of patients with AIDS disease

Zonta¹,

Almeida²,

Carvalho³

et al. 2003

Braz J Infect Dis

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We documented the types and degree of functional disability in 74 patients with AIDS at the Hospital de Clínicas of the Federal University of Paraná, Brazil. Few of these patients are referred for rehabilitation services and there is only a limited team approach in their care. We found that 91% of the patients had some degree of functional impairment; in 81% the complaint was weakness and in 47% it was neurological involvement. According to the Barthel Index, 79% were considered functionally independent, 14% partially dependent and 7% dependent. For most of them, independence requires effort and their quality of life is reduced. Severe disability was rather unusual, while mild or moderate disability levels were not. The functional physical disability found in 21% of the patients required management by a rehabilitation team. We conclude that it is important to focus attention on the quality of life of patients with AIDS.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 78%

Functional assesment of patients with AIDS disease

Zonta¹,

Almeida²,

Carvalho³

et al. 2003

Braz J Infect Dis

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“…The QOL of those infected with HIV has been assessed by many researchers [ 25–27]. However, little is known about specific physical functional deficits [ 16, 28], although one of the most important determinants of QOL in HIV‐infected haemophiliacs is their physical functional status. AIMS 2 is an appropriate means of evaluating the physical functional status of asymptomatic HIV‐positive haemophiliacs, because it is a comprehensive measure of health status in patients with arthropathy, is considered valid and reliable, and is widely used across the world.…”

Section: Discussionmentioning

confidence: 99%

Health status and satisfaction of asymptomatic HIV‐positive haemophiliacs in Kyushu, Japan

et al. 1999

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The purpose of this study was to elucidate the effects of human immunodeficiency virus (HIV) on haemophiliacs with physical functional disabilities induced by haemophilia in Kyushu, Japan. The subjects were 38 adult haemophiliacs who were selected from 129 patients registered with the North Kyushu Haemophilia Centre. They were divided into 21 asymptomatic HIV-positive and 17 HIV-negative adult haemophiliacs. Coagulation factor levels, modified DePalma classification, Arthritis Impact Measurement Scale 2 (AIMS 2), and a satisfaction in daily life (SDL) questionnaire were used to investigate the clinical severity of their haemophilia and arthropathy, physical functional disabilities, and satisfaction. Although there were no significant differences in the objective assessments of health status between the HIV-positive and -negative haemophiliacs, the HIV-positive haemophiliacs were significantly more dissatisfied with their social activities and mood, according to AIMS 2, and with social intercourse, job, self-development, and social security and pension according to SDL assessment. These dissatisfactions were due to the effects of HIV, in addition to the physical functional disabilities that were caused by haemophilia. Dissatisfaction with social security and pension may be a specific feature in HIV-positive haemophiliacs in Japan resulting from the origin of HIV infection.

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“…Las manifestaciones de discapacidad son de naturaleza multidimensional, impredecible y episódica, con dificultades para enfrentar el día a día, desafíos para la inclusión social y la incertidumbre sobre el futuro, por lo tanto el rol de la rehabilitación debe aumentar (14,18,15,16).…”

Section: Rev CL Emed Ucrunclassified

“…Un tercio de los pacientes con SIDA después de estar hospitalizados, al egreso terminan con una discapacidad significativa, con dificultad para su movilidad y autocuidado (3). También puede haber anormalidades del asta anterior de la médula y de la unión neuromuscular (18).…”

Section: Sidaunclassified

TEMA 7-2016: Rehabilitación en VIH/SIDA

Villalobos

Reyes

2016

RC_UCR-HSJD

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<p>Los primeros casos reportados de VIH remontan a la fecha de 1983, desde entonces se ha desarrollado una pandemia de la infección a nivel mundial. Siendo esta una de las enfermedades emergentes que han incrementado en los últimos años y Costa Rica no escapa a esta tendencia. Los efectos adversos a los medicamentos, las infecciones oportunistas y la sintomatología del HIV hacen que ésta población quede predispuesta a la limitación de sus capacidades funcionales. Los efectos secundarios a los anti retrovirales generan toxicidad que alteran la homeostasis del organismo creando paso a una serie de síndromes y cuadros clínicos que afectan al aparato locomotor como lo son neuropatías, lipohipertrofia, lipoatrofia, miopatías, entre otras. La rehabilitación puede ser ampliamente definida como cualquiera de los servicios y actividades que tratan o previenen deficiencias, limitaciones en la actividad diaria o participaciones de restricciones experimentadas por un individuo, cuyos beneficios podrían satisfacer y ayudar a contribuir con el bien estar físico, emocional, social, laboral y funcional de una persona creando una autonomía en la dependencia de las actividades diarias o adaptaciones para los pacientes que así lo requieran.</p>

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HIV-related neurological disability and prospects for rehabilitation

Cited by 9 publications

References 22 publications

Functional assesment of patients with AIDS disease

Functional assesment of patients with AIDS disease

Health status and satisfaction of asymptomatic HIV‐positive haemophiliacs in Kyushu, Japan

TEMA 7-2016: Rehabilitación en VIH/SIDA

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