Navegando por Assunto "Neuropatia hansênica"
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Item Acesso aberto (Open Access) Análise da ação do tratamento de mobilização neural em pacientes com neuropatia hansênica(Universidade Federal do Pará, 2014) CABRAL, André dos Santos; QUARESMA, Juarez Antônio Simões; http://lattes.cnpq.br/3350166863853054Historically Leprosy is one of the most disabling diseases in the world. The symptoms of the disease shows a resultant infectious mixed peripheral neuropathy of an insidious inflammatory process involving an ecological relationship between Mycobacterium leprae and man. Clinical disease turns around, both positive signs such as pain, paresthesia and dysesthesia; as negative signals such as sensorimotor loss and autonomic disturbances. Clinic is similarly developed in patients affected by peripheral compressive neurological syndromes. The neural mobilization has proven an effective manual therapeutic resource in controlling the symptoms of these compression syndromes. The inflammatory nature of leprosy neuropathy perform a compressive action and limiting of the mobility of peripheral nerve, impacting negatively with part of the pathology of the disease. This work aimed to investigate the neural mobilization technique is able to improve the symptoms of leprosy neuropathy. Therefore developed a clinical study, longitudinal, non-randomized, self-control, with an experimental analysis of quantitative character, consisting of four different moments, evaluation, experimental intervention period and revaluation 1 and 2. Were examined 12 upper limbs of six patients with high poliquimioterapêutico scheme for multibacillary for clinical form Borderline, who had neurological neurological impairment and remaining neural symptoms. A total of 23 nerve trunks still were symptomatic during the evaluation, taking an average of 3.8 ± 1.8 per patient nerve trunks. Most incidents symptoms to palpation assessment were paresthesia (20) and pain (09). The average intensity of neuropathic pain of each MS was 6.33±3.24. It still has measured grip strength and the sensitivity of the palm side for comparison after the intervention. After 12 sessions of neural mobilization upper limbs there was a slight improvement of sensitivity and grip strength but it was not significant. At the end of the experimental treatment, the number of symptomatic nerve trunks of upper limb decreased significantly. It was also observed analgesia of all upper limbs treated, with maintenance of this benefit after a post-expiration month of the intervention period. With these results we can conclude that the treatment of neural mobilization proved to be effective in controlling leprosy neuropathic pain.Item Acesso aberto (Open Access) Dano neural em pacientes hansênianos: um estudo de evolução pós-alta(Universidade Federal do Pará, 2012) CONCEIÇÃO, Adélia Oliveira da; XAVIER, Marília Brasil; http://lattes.cnpq.br/0548879430701901The leprosy causes inflammation, immune responses and compression processes that can evolve from a mild temporary nerve damage to a complete lesion of the nerve. It is the leading cause of non-traumatic peripheral neuropathies where about 20% of patients have some type of physical disability after discharg.There are few studies that discuss the risk factors that can cause these disabilities. In this work we investigated the neural damage in a cohort of clinical leprosy patients post-discharge medication in Cologne Plate, from 1997 to 2009 and you are at risk for physical disability at diagnosis and post-discharge.The study was historical cohort of 63 patients in the period 1997 to 2009 - Vila Santo Antonio do Prata in Igarapé-Açu, Pará. Data were collected from the notification form / Research of the National Information Appeal Notification (NIAN) and the records of post-high for the degree of physical disability.The sociodemographic, clinical and neural functions were organized in spreadsheets Microsoft Excel ® 2003 and analyzed using the Epi Info version 3.5.2 and version 5.3 BioEstat and presented in tables, charts and graphs. In diagnosing the factors that offered more opportunity for physical disability were: sensory owns 21.67 more chance of incapacity, introduce shock / pain / nerve trunk thickness increases to 20 the chance of disability, leprosy reaction 9 times more likely to have pain palpation of the nerve trunk 7.32 offers more chances, be presented multibacillary 7.29, lepromatous be increased by 6.68 times and the presence of engine damage increases by 6.38 times the odds of disability in physical diagnosis. In post-high only 63 cases were evaluated for which risk factors were most important: the presence of damage in sensitive diagnosis is 1.89 more risks, physical disability at diagnosis 1.55 more risks and be multibacillary offers 1, 36 times greater risk for physical disability after discharge for healing. Within the four groups formed from the 63 cases of damage sensitive worsening in most cases where the clinical form was borderline degree of disability remained stable and had worsened in some cases. Allowed to conclude that the study population: present some type of nerve damage (sensory and / or motor) at diagnosis increases the chances of disability at diagnosis and aggravate the nerve damage after cure, the presence of disability physics at diagnosis may be a risk factor for the development of new or worsening disability already installed and there was worsening of the damage (sensory or motor) after discharge for healing even without the change in the degree of disability according to the classification of Ministry of Health, which can affect the quality of life and independence of the individual.