Neuropsychological aspects of a population of patients with vascular lower extremity amputations
DOI:
https://doi.org/10.11606/issn.2317-0190.v25i3a162674Keywords:
Neuropsychology, Cognition, Psychological Tests, Peripheral Arterial Disease, AmputationAbstract
Objective: To describe the neuropsychological profile of patients with major lower limb amputation and to investigate the existence of correlations between these cognitive aspects, socio-demographic and clinical aspects. Method: This is a cross-sectional, analytic, descriptive study carried out at an outpatient rehabilitation center. The instruments used were Hospital Anxiety and Depression Scale (HADS), a brief neuropsychological assessment instrument (Neupsilin) along with a questionnaire to characterize the sample. Results: Cognitive performance was worse in functions that require arithmetic skills (42,2% of the patients underperformed); perception (46,3% underperformed); executive functions, notably in constructive praxis (40,6% underperformed) and verbal fluency (35,9% underperformed) and language (31,2% underperformed). The best performances were in spacial orientation (92,2% performed as expected) and verbal memory (87,5% performed as expected). Conclusion: The cognitive profile of these patients revealed alterations in most of the assessed cognitive functions, especially in functions directly related to functionalities of the patient.
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References
Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa amputada. Brasília: Ministério da Saúde; 2013.
Chamlian TR, Varanda RR, Pereira CL, Resende JM, Faria CC. Perfil epidemiológico dos pacientes amputados de membros inferiores atendidos no Lar Escola São Francisco entre 2006 e 2012. Acta Fisiatr. 2013;20(4):219-23. DOI: http://dx.doi.org/10.5935/0104-7795.20130036
Frengopoulos C, Burley J, Viana R, Payne MW, Hunter SW. association between montreal cognitive assessment scores and measures of functional mobility in lower extremity amputees after inpatient rehabilitation. Arch Phys Med Rehabil. 2017;98(3):450-5. DOI: http://dx.doi.org/10.1016/j.apmr.2016.06.012
Ferreira NV, Cunha PJ, Costa DI, Santos F, Costa FO, Consolim-Colombo F, et al. Association between functional performance and executive cognitive functions in an elderly population including patients with low ankle-brachial index. Clin Interv Aging. 2015;10:839-46. DOI: http://dx.doi.org/10.2147/CIA.S69270
Zimmermann LJ, Ferrucci L, Kiang Liu, Lu Tian, Guralnik JM, Criqui MH, et al. Poorer clock draw test scores are associated with greater functional impairment in peripheral artery disease: the Walking and Leg Circulation Study II. Vasc Med. 2011;16(3):173-81. DOI: http://dx.doi.org/10.1177/1358863X11407109
Fuentes D, Malloy-Diniz LF, Camargo CHP, Consenza RM. Neuropsicologia: teoria e prática. 2 ed. Porto Alegre: Artmed; 2014.
Coffey L, O'Keeffe F, Gallagher P, Desmond D, Lombard-Vance R. Cognitive functioning in persons with lower limb amputations: a review. Disabil Rehabil. 2012;34(23):1950-64. DOI: http://dx.doi.org/10.3109/09638288.2012.667190
American Psychiatric Association. Manual diagnóstico e estatístico de transtorno DSM-5. 5 ed. Porto Alegre: Artmed; 2014.
Pawlowski J. Instrumento de avaliação neuropsicológica breve Neupsilin: evidências de validade de construto e de validade incremental à avaliação neurológica [Dissertação]. Porto Alegre: UFRGS; 2011.
Pawlowski, J, Trentini CM, Bandeira DR. Discutindo procedimentos psicométricos a partir da análise de um instrumento de avaliação neuropsicológica breve. PsicoUSF 2007;12(2):211-9.
Botega, NJ, Bio MR, Zomignani MA, Garcia Junior C, Pereira WAB. Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Rev Saúde Pública.1995; 29(5):359-63. DOI: http://dx.doi.org/10.1590/S0034-89101995000500004
Prion S, Haerling KA. Making sense of methods and measurement: Spearman-Rho Ranked-Order Correlation Coefficient. Clin Simulation in Nursing. 2014;10:535-6. DOI: https://doi.org/10.1016/j.ecns.2016.08.003
Scott H, Patel R, Hebenton J. A survey of the lower limb amputee population in Scotland, 2010. Glasgow: University of Strathclyde; 2012.
Machado Vaz I, Roque V, Pimentel S, Rocha A, Duro H. Caracterização psicossocial de uma população portuguesa de amputados do membro inferior. Acta Med Port. 2012; 25(2):77-82.
Roepke AM, Williams RM, Turner AP, Henderson AW, Norvell DC, Henson H, et al. A longitudinal study of social participation after dysvascular lower extremity amputation. Am J Phys Med Rehabil. 2017;96(10):741-7. DOI: https://doi.org/10.1097/PHM.0000000000000745
Rafnsson SB, Deary IJ, Fowkes FG. Peripheral arterial disease and cognitive function. Vasc Med. 2009;14(1):51-61. DOI: https://doi.org/10.1177/1358863X08095027
Zibetti MR, Gindri G, Pawlowski J, Salles JF, Parente MA, Bandeira DR, et al. Estudo comparativo de funções neuropsicológicas entre grupos etários de 21 a 90 anos. Rev Neuropsicologia Latinoamericana. 2010;2(1):55-67.
Wessels AM, Lane KA, Gao S, Hall KS, Unverzagt FW, Hendrie HC. Diabetes and cognitive decline in elderly African Americans: a 15-year follow-up study. Alzheimers Dement. 2011;7(4):418-24. DOI: https://doi.org/10.1016/j.jalz.2010.07.003
Lopes RMF, Nascimento RFL, Wendt GW, Argimon IIL. A diabetes mellitus causa deterioro cognitivo em idosos? Um estudo de revisão. Avances en Psicología Latinoamericana. 2013;31(1):131-9.
Almeida-Pititto B, Almada Filho CM, Cendoroglo MS. Déficit cognitivo: mais uma complicação do diabetes melito? Arq Bras Endocrinol Metab. 2008;52(7):1076-83. DOI: http://dx.doi.org/10.1590/S0004-27302008000700003
Kopper H, Teixeira AR, Dorneles S. Cognitive performance of a group of elders: influence of hearing, age, sex, and education. Int Arch Otorhinolaryngol. 2009;13(1):39-43.
Zunzunegui MV, Alvarado BE, Del Ser T, Otero A. Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. J Gerontol B Psychol Sci Soc Sci. 2003;58(2):S93-S100. DOI: http://dx.doi.org/10.1093/geronb/58.2.s93
Duron E, Hanon O. Vascular risk factors, cognitive decline, and dementia. Vasc Health Risk Manag. 2008;4(2):363-81. DOI: http://dx.doi.org/10.2147/vhrm.s1839
d'Orsi E, Xavier AJ, Ramos LR. Trabalho, suporte social e lazer protegem idosos da perda funcional: estudo epidoso. Rev Saúde Pública. 2011; 45(4):685-92. DOI: http://dx.doi.org/10.1590/S0034-89102011000400007
O'Neill BF, Evans JJ. Memory and executive function predict mobility rehabilitation outcome after lower-limb amputation. Disabil Rehabil. 2009;31(13):1083-91. DOI: http://dx.doi.org/10.1080/09638280802509579
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