ABSTRACT
Aims: Evaluate the impact of the physical activity in individuals with muscular atrophy on the inferior members (wheelchair users) considering two main aspects: the quality of life and the self-perception of the venous return symptoms. Place and Duration of Study: Data of handicapped non athletes were collected from a universitary physiotherapy clinic at the University of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil. Data of the athletes’ sample (basketball players) were obtained from Cava do Bosque, Ribeirão Preto, São Paulo, Brazil, between September 2013 and December 2013. Methodology: This is a cross-sectional study, with a convenience sampling of wheelchair users: non athletes (n=12) and athletes (n=13). A socio-demographic questionnaire was applied. Self-perception of functional performance and of venous symptoms was evaluated by the VEINES-QOL/Sym, and the quality of life was evaluated by the WHOQOL-Bref. The statistical analysis was performed by the Chi-square test for VEINES-QOL/Sym, Student’s t-test for WHOQOL-Bref and Student’s t-test, proportion test and G-test for the socio-demographic questionnaire. Results: Twenty-three subjects were men (92%). Data of physical conditions, environmental and psychological domains from WHOQOL-bref questionnaire demonstrated no significant differences between the groups. On the other hand, social relations domain had higher values in athletes compared to non athletes (P<.05). Results from VEINES-QOL/Sym questionnaire (the questions 1, 2, 3, 4(a, b, c), 5(b, c), 6, 7 and 8 showed no statistically significance between the groups. Analyzing the 4d (leisure activity) and 5a (time spent for daily activities) questions, higher values were observed for the athletes (P<.05). Conclusion: Considering the data obtained by WHOQOL/Bref survey, physical exercise improves the quality of life of wheelchair individuals. However, it has not been possible to establish the relationship between physical exercise and the improvement of self-perception on venous symptoms in wheelchair individuals.
ABSTRACT
Objetivo: O objetivo foi avaliar portadores de distrofia muscular de Duchenne (DMD) e Becker (DMB) por meio de escalas e análise postural. Metodologia: Foram avaliados 13 pacientes, idade 16,75 (± 6,9) sendo 9 DMD, 4 DMB, 7 cadeirantes, 6 não cadeirantes, nas escalas: Índice de Barthel e EK (Egen klassifikation). A avaliação postural sentada foi feita no software SAPO. Resultados: Os dados revelam que: aumento da idade (p<0.01), dependência de cadeira de rodas (p<0.01) e uso de ventilador (p<0.01) indicaram menor independência. Na avaliação postural tanto dos não cadeirantes quanto dos cadeirantes, verificou-se que aumentam os agrupamentos nos cadeirantes, remetendo às limitações impostas pela postura. Conclusão: Esses achados mostram que pacientes com DMD e DMB têm sua funcionalidade e atividades de vida diária debilitadas com o avanço da idade, dependência de cadeira de rodas e uso de ventilador. Assim, associação de escalas com avaliações convencionais e análise postural são ferramentas essenciais para a investigação.
Objective: The objective was to evaluate patients with Duchenne muscular dystrophy (DMD) and Becker (BMD) in scales and postural analysis. Methods: We evaluated 13 patients, age 16.75 (± 6.9) and 9 DMD, BMD 4, 7 wheelchair, wheelchair not 6, on the scales: Barthel Index and EK (Egen Klassifikation). The evaluation was performed in sitting posture software SAPO. Results: Data show that: increasing age (p <0.01), dependence on a wheelchair (p <0.01) and use of ventilator (p <0.01) showed less independence. Postural assessment of both the wheelchair and not the wheelchair, it was found that increase in the wheelchair groups, referring to the restrictions imposed by posture. Conclusion: These findings show that patients with DMD and BMD have its functionality and activities of daily living impaired with advancing age, dependence on a wheelchair and ventilator use. Thus, association of scales with conventional assessments and postural analysis are essential tools for research.