Avaliação do controle postural em portadores de hanseníase

Mercadante, Fernanda Aparecida

doi:10.11606/d.47.2010.tde-20012011-111933

Cited by 3 publications

(5 citation statements)

References 63 publications

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“…Looking back to other studies alike, it can be found that similarly, the assessment of proprioception and anticipatory reaction to postural response in leprosy patients have no statistically significant difference when compared to control group [13]. However, when visual adjustments were suppressed major shifts at the stabilometry of leprosy patients are reveled, even though this commented study does not take into account unilateral or bilateral sensibility impairment, or MB/PB classification.…”

Section: Discussionmentioning

confidence: 67%

“…However, studies that relate changes in plantar sensibility and stabilometry are scarce. Since postural balance control is dependent on plantar sensibility and on somatossensorial information described by the ankle joint proximal position (through applied pressure and stretching of the tendon and/or muscle), The loss of cutaneous sensibility could be directly related to poor performance for postural control in patients with leprosy, not only by protective and proprioceptive impairment, but also because the disease may affect only one side of the body [13]. The Ministry of Health of Brazil initially adopted a model of classification for leprosy, designating as paucibacillary (PB) or multibacillary (MB) patients with negative and positive bacillus smear, respectively.…”

Section: Body Balance and Plantar Sensibility Impairmentmentioning

confidence: 99%

See 1 more Smart Citation

Postural Balance Control of the Leprosy Patient with Plantar Sensibility Impairment

Cordeiro¹,

Frade²,

Barros³

et al. 2014

Occup Med Health Aff

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Leprosy is a granulomatous disease that affects the peripheral nervous system, leading to loss of thermal, tactile and pain sensibility. Changes in plantar sensibility and proprioception caused by leprosy might affect postural balance control. The Body Center of Pressure (COP) constitutes the neuromuscular response to changes or accelerations of the body's Center of Gravity and can be affected by orthopedic, neurological or rheumatic injuries. Fifteen multibacillary (MB) and 6 paucibacilary (PB) leprosy subjects were randomly selected, as well as 11 subjects without leprosy for the control group (GC). The MB and PB had their plantar sensibility checked by the SemmensWeinstein test; all groups had their COP evaluated (stabilometry) using a baropodometer, during standing position with eyes opened and barefooted. The balance variations were measured by the displacement of the COP, as in COP ML (medial-lateral direction) and COP AP (anterior-posterior direction) for right and left feet and total body projection. The stabilometric analysis regarding COP AP revealed no statistically significant difference between groups MB, PB and GC, despite the presence of impaired sensibility in all leprosy patients. The same occurred with the COP ML. The comparison between right and left feet of MB, PB and GC did not show statistically significant differences, although the MB group present the highest variation between the COP projection over right and left feet There were found no consistent evidence suggesting in this study that patients with abnormal plantar sensibility might show disparities when compared to the GC for postural balance control. This is probably due to compensatory adjustments by the vision or ankle joint proprioception. Therefore, it was showed that the reduction on plantar sensibility alone might not be decisive to affect the postural body balance control on leprosy patients, and further investigation is needed.

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Section: Discussionmentioning

confidence: 67%

Section: Body Balance and Plantar Sensibility Impairmentmentioning

confidence: 99%

Postural Balance Control of the Leprosy Patient with Plantar Sensibility Impairment

Cordeiro¹,

Frade²,

Barros³

et al. 2014

Occup Med Health Aff

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“…Pode-se dizer que esta diferença ocorreu devido a dificuldade de encontrar indivíduos do sexo masculino saudáveis na faixa etária estudada e que se adequasse aos critérios de inclusão deste trabalho. A diferença na proporção do gênero foi observada em outros estudos 8,11 .…”

Section: Discussionunclassified

“…Levando-se em conta a escassez na literatura sobre este assunto 8 , o presente estudo avaliou se essas alterações de sensibilidade promovem alguma alteração no equilíbrio dos pacientes com sequelas de hanseníase, em tratamento fisioterapêutico. Assim,o objetivo principal deste estudo foi analisar o controle postural de sujeitos com sequelas de hanseníase, por meio da plataforma de força e do mini-BESTest, e comparar com sujeitos saudáveis.…”

Section: Introductionunclassified

Equilíbrio postural em pacientes com sequelas de hanseníase

Mendes,

Concicovski,

Malacarne

et al. 2014

Hansen. Int.

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O Mycobacterium leprae é a bactéria causadora da hanseníase, o qual possui como preferência as células nervosas, podendo provocar ausência ou diminuição das sensibilidades, isto pode limitar o controle do equilíbrio. O presente estudo objetivou analisar o controle postural de sujeitos com sequelas de hanseníase e comparar com sujeitos saudáveis. Materiais e métodos: a amostra foi composta por 28 voluntários, com idade entre 25 e 67 anos, sendo subdivididos em dois grupos: o Grupo Controle (GC) e o Grupo Hansen (GH). Os indivíduos foram submetidos ao teste de equilíbrio funcional pelo mini-BESTest e logo após, realizou-se o teste laboratorial de integração sensorial com estabilografia. Resultados: a análise da área do centro de pressão nas condições olhos fechados em superfície estável e em superfície instável do GC e GH possuíam diferenças significativas (p<0,001). Já os resultados da realização do mini-BESTest não mostraram variação significativa. Assim, observou-se que há uma semelhança no padrão da área de oscilação corporal dentro dos grupos, entretanto, quando comparados GH com GC, os pacientes com sequela de Mal de Hansen foram piores na habilidade de manter a estabilidade corporal. Contudo, essas alterações não refletiram os resultados pelo mini-BESTest.

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“…Also, it has been noticed that a faster walking speed leads to more independency to perform chores inside and outside their home. When it comes to daily activities performed by patients with leprosy, it has been proved by the BESTest-balance evaluation that sensory loss on foot and hands could be related to a bad performance in postural control [19,20].…”

Section: Journal Of Neurology and Neuroscience Issn 2171-6625mentioning

confidence: 99%