Efeitos de programa de reabilitação em regime de internação em paciente amputado transfemoral unilateral: relato de caso
DOI:
https://doi.org/10.11606/issn.2317-0190.v28i4a192612Palavras-chave:
Amputação, Reabilitação, Termografia, Resultado do TratamentoResumo
O programa de reabilitação em regime de internação pode trazer diversos benefícios aos indivíduos amputados. Objetivo: Verificar a temperatura dos membros inferiores e a funcionalidade de indivíduo amputado submetido a um programa de reabilitação em regime de internação. Método: Paciente do sexo masculino com amputação transfemoral distal à esquerda foi avaliado por meio da termografia (infrared sensor FLIR T650sc) da região da coxa, teste Timed Up and Go, teste de caminhada de 2 minutos e a Escala AMP - Amputee Mobility Predictor antes e após programa de internação para reabilitação durante 4 semanas. Resultados: Em relação a avaliação termográfica, houve diminuição da diferença de temperatura entre as coxas direita e esquerda, passando de 1,9°C para 0,6°C na vista anterior e de 3,4°C para 0,3°C na vista posterior após o programa de reabilitação. O tempo de execução do TUG passou de 17,17 s para 13,08 s e a escala AMP passou de 38 para 43 após o programa de reabilitação. Conclusão: Indivíduo amputado unilateral de membro inferior submetido a programa de 4 semanas de reabilitação em regime de internação pode ser beneficiado em relação a simetria de distribuição da temperatura cutânea da coxa, mobilidade funcional e funcionalidade.
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Jorge LL, Brito AM, Marchi FH, Hara AC, Battistella LR, Riberto M. New rehabilitation models for neurologic inpatients in Brazil. Disabil Rehabil. 2015;37(3):268-73. Doi: https://doi.org/10.3109/09638288.2014.914585
Filippo TRM, Alfieri FM, Daniel CR, Souza DR, Battistella LR. Modelo de reabilitação hospitalar após acidente vascular cerebral em país em desenvolvimento. Acta Fisiatr. 2017;24(1):44-47. Doi: https://doi.org/10.5935/0104-7795.20170009
Utiyama DMO, Alfieri FM, Santos ACA, Ribeiro CPC, Sales VC, Battistella LR. Effects of an inpatient physical rehabilitation program designed for amputees of traumatic or vascular etiologies. J Prosthet Orthot. In press 2021.
Sinha R, Van Den Heuvel WJ. A systematic literature review of quality of life in lower limb amputees. Disabil Rehabil. 2011;33(11):883-99. Doi: https://doi.org/10.3109/09638288.2010.514646
Rommers GM, Vos LD, Groothoff JW, Schuiling CH, Eisma WH. Epidemiology of lower limb amputees in the north of The Netherlands: aetiology, discharge destination and prosthetic use. Prosthet Orthot Int. 1997;21(2):92-9. Doi: https://doi.org/10.3109/03093649709164536
Pernot HF, Winnubst GM, Cluitmans JJ, De Witte LP. Amputees in limburg: incidence, morbidity and mortality, prosthetic supply, care utilisation and functional level after one year. Prosthet Orthot Int. 2000;24(2):90-6. Doi: https://doi.org/10.1080/03093640008726531
Narang IC, Mathur BP, Singh P, Jape VS. Functional capabilities of lower limb amputees. Prosthet Orthot Int. 1984;8(1):43-51. Doi: https://doi.org/10.3109/03093648409145345
Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa amputada. Brasília (DF): Ministério da Saúde; 2013.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. Doi: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Brooks D, Parsons J, Hunter JP, Devlin M, Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1478-83. Doi: https://doi.org/10.1053/apmr.2001.25153
Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, et al. The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee's ability to ambulate. Arch Phys Med Rehabil. 2002;83(5):613-27. Doi: https://doi.org/10.1053/ampr.2002.32309
Spence VA, Walker WF, Troup IM, Murdoch G. Amputation of the ischemic limb: selection of the optimum site by thermography. Angiology. 1981;32(3):155-69. Doi: https://doi.org/10.1177/000331978103200302
Luk KD, Yeung PS, Leong JC. Thermography in the determination of amputation levels in ischaemic limbs. Int Orthop. 1986;10(2):79-81. Doi: https://doi.org/10.1007/BF00267745
Kristen H, Lukeschitsch G, Plattner F, Sigmund R, Resch P. Thermography as a means for quantitative assessment of stump and phantom pains. Prosthet Orthot Int. 1984;8(2):76-81. Doi: https://doi.org/10.3109/03093648409145352
Peery JT, Ledoux WR, Klute GK. Residual-limb skin temperature in transtibial sockets. J Rehabil Res Dev. 2005;42(2):147-54. Doi: https://doi.org/10.1682/jrrd.2004.01.0013
Klute GK, Huff E, Ledoux WR. Does activity affect residual limb skin temperatures? Clin Orthop Relat Res. 2014;472(10):3062-7. Doi: https://doi.org/10.1007/s11999-014-3741-4
Hagberg K, Brånemark R. Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int. 2001;25(3):186-94. Doi: https://doi.org/10.1080/03093640108726601
Hegedűs B. The Potential Role of Thermography in Determining the Efficacy of Stroke Rehabilitation. J Stroke Cerebrovasc Dis. 2018;27(2):309-314. Doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.08.045
Nowak I, Mraz M, Mraz M. Thermography assessment of spastic lower limb in patients after cerebral stroke undergoing rehabilitation. J Therm Anal Calorim. 2020;140:755-62. Doi: https://doi.org/10.1007/s10973-019-08844-y
Ülger Ö, Yıldırım Şahan T, Çelik SE. A systematic literature review of physiotherapy and rehabilitation approaches to lower-limb amputation. Physiother Theory Pract. 2018;34(11):821-34. Doi: https://doi.org/10.1080/09593985.2018.1425938
Szentkuti A, Kavanagh HS, Grazio S. Infrared thermography and image analysis for biomedical use. Periodicum Biologorum. 2011;113(4):385-92.
Jiang LJ, Ng EY, Yeo AC, Wu S, Pan F, Yau WY, Chen JH, Yang Y. A perspective on medical infrared imaging. J Med Eng Technol. 2005;29(6):257-67. Doi: https://doi.org/10.1080/03091900512331333158
Ring EFJ, Ammer K. The Technique of Infrared Imaging in Medicine. In: Ring F, Jung A, Zuber J. Infrared imaging: a casebook in clinical medicine. Bristol: IOP; 2015. p. 1-10. Doi: https://doi.org/10.1088/978-0-7503-1143-4ch1
Ring EF, Ammer K. Infrared thermal imaging in medicine. Physiol Meas. 2012;33(3):R33-46. Doi: https://doi.org/10.1088/0967-3334/33/3/R33
Fernández-Cuevas I, Bouzas Marins JC, Arnáiz-Lastras J, Gómez Carmona PM, Piñonosa Cano S, García-Concepción MA, et al. Classification of factors influencing the use of infrared thermography in humans: a review. Infrared Phys Technol. 2015;71:28-55. Doi: https://doi.org/10.1016/j.infrared.2015.02.007
Ammer K. The Glamorgan Protocol for recording and evaluation of thermal images of the human body. Thermol Int. 2008;18:125-44.
Marins JC, Fernandes AA, Cano SP, Moreira DG, Silva FS, Costa CM, et al. Thermal body patterns for healthy Brazilian adults (male and female). J Therm Biol. 2014;42:1-8. Doi: https://doi.org/10.1016/j.jtherbio.2014.02.020
Kakuta N, Yokoyama S, Mabuchi K. Human thermal models for evaluating infrared images. IEEE Eng Med Biol Mag. 2002;21(6):65-72. Doi: https://doi.org/10.1109/memb.2002.1175140
Alfieri FM, Battistella LR. Body temperature of healthy men evaluated by thermography: A study of reproducibility. Technol Health Care. 2018;26(3):559-564. Doi: https://doi.org/10.3233/THC-171164
Brooks D, Parsons J, Hunter JP, Devlin M, Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1478-83. Doi: https://doi.org/10.1053/apmr.2001.25153
Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, et al. The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee's ability to ambulate. Arch Phys Med Rehabil. 2002;83(5):613-27. Doi: https://doi.org/10.1053/ampr.2002.32309
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