Objective: To investigate occurrences of swallowing disorders after ischemic stroke. Method: This was a retrospective study on 596 medical files. The inclusion criterion was that the patients needed to have been hospitalized with a diagnosis of ischemic stroke; the exclusion criteria were the presence of associated cardiac problems and hospital stay already more than 14 days. Results: 50.5% were men and 49.5% women; mean age 65.3 years (SD=±11.7) (p≤0.001). Among the risk factors, 79.4% had hypertension, 36.7% had diabetes (p≤0.001) and 42.7% were smokers. 13.3% of the patients died. Swallowing disorders occurred in 19.6%, among whom 91.5% had mild difficulty and 8.5% had severe difficulty. 87.1% had spontaneous recovery after a mean of 2.4 months. A lesion in the brainstem region occurred in 6.8% (p≤0.001). Conclusion: Swallowing disorders occurred in almost 20% of the population and most of the difficulty in swallowing found was mild. The predictors for swallowing disorders were older age, diabetes mellitus and lesions in the brainstem region.
RESUMO -O objetivo deste estudo consiste em avaliar o esporte como método de reabilitação e analisar os aspectos físicos, psicológicos e sociais dos portadores de limitação física, especialmente com enfermidades crônicas e que já não se encontram em programa de reabilitação. Foram avaliados 30 deficientes físicos, de causas diversas, sendo 15 iniciados ao basquetebol e outros 15 à natação, de acordo com a preferência específica de cada atleta. Foram utilizadas a escala social (Rivermead), a classificação funcional do esporte, a aplicação das escalas funcionais (Barthel e Rivermead) e o teste do perfil psicológico (POMS). Essas escalas e o perfil psicológico foram aplicados antes da prática do esporte e dois anos depois. O sexo masculino predominou nos dois grupos e a idade variou entre 17 e 59 anos. Não notamos alterações nas avaliações fisioterápias, nas escalas de Barthel e Rivermead. No teste psicológico os dois grupos apresentaram um alto vigor e baixa depressão. Nos aspectos sociais houve importante mudança principalmente nos seus relacionamentos com uma ou mais pessoas e nas atividades da vida diária (social, lazer e doméstica). Este estudo mostra que o esporte pode trazer para o portador de limitação física uma melhor integração social e adaptação a sua condição física. PALAVRAS-CHAVES: reabilitação, esporte, limitação física. Sport as integration factor of the physically handicapped in our societyABSTRACT -The objective of this study was to make use of sports as a rehabilitation method, as well as to assess the physical, psychological, and social aspects of those present some physical handicap, particulary those who have some kind of chronic disease and are no longer taking part in any rehabilitation program. Thirty handcapped people were evaluated: fifteen started with basketball and fifteen with swimming, according either to the specific preference of each one of them or to the degree and kind of physical impairment. They were submmited to the following evaluations: clinical examination, physiotherapy assessment, social interview and use of the Rivermead Social Scale, functional classification of the sport, use of the Barthel and Rivermead Functional Scales, and the psychological profile test (POMS). After two years, no relevant change in the moving evolution of the athletes were reported. Concerning the POMS psychological test, both basketball and swimming groups presented with high vigor and low depression levels. Considering the social aspects, both groups presented substantial improvement, specially regarding their relationship to one person or more people and also in the everyday activities (be it social, leisure, or domestic), thus leading them to better social integration. This essay shows that sport can bring people who are physically impaired a better social integration and physical conditions. KEY WORDS: rehabilitation, sport, physically handicapped.A participação em diferentes atividades, tem recebido atenção crescente, oferecendo aos portadores de deficiência física a oportunidade, de exper...
The Jebsen-Taylor Test is a reliable and valid measure of timed performance for people with Muscular Dystrophy.
As neuropatias, frequentemente, desafiam os neurologistas devido aos variados diagnósticos etiológicos. Na maioria dos casos exigem dispendiosos recursos financeiros e de tempo aplicados ao diagnóstico, bem como na escolha de uma abordagem terapêutica eficaz, podendo ocasionar grandes prejuízos à qualidade de vida dos pacientes. Neste artigo, fornecemos uma visão da abordagem diagnóstica aplicada no Setor de Investigação e Tratamento de Doenças Neuromusculares da Universidade Federal de São Paulo (UNIFESP), com o intuito de direcionarmos o raciocínio clínico, com base nos aspectos clínicos e anatômicos individuais de cada paciente.
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