RESUMO
Introduction: Poor sleep quality have been widely reported in patients with long COVID. Determining the characteristics, type, severity, and relationship of long COVID with other neurological symptoms is essential for the prognosis and management of poor sleep quality. Methods: This cross-sectional study was conducted at a public university in the eastern Amazon region of Brazil between November 2020 and October 2022. The study involved 288 patients with long COVID with self-report neurological symptoms. One hundred thirty-one patients were evaluated by using standardised protocols: Pittsburgh sleep quality index (PSQI), Beck Anxiety Inventory, Chemosensory Clinical Research Center (CCRC), and Montreal Cognitive Assessment (MoCA). This study aimed to describe the sociodemographic and clinical characteristics of patients with long COVID with poor sleep quality and their relationship with other neurological symptoms (anxiety, cognitive impairment, and olfactory disorder). Results: Patients with poor sleep quality were mainly women (76.3%), 44.04 ± 12.73 years old, with >12 years of education (93.1%), and had monthly incomes of up to US $240.00 (54.2%). Anxiety and olfactory disorder were more common in patients with poor sleep quality. Discussion: Multivariate analysis shows that the prevalence of poor sleep quality was higher in patients with anxiety, and olfactory disorder is associated with poor sleep quality. In this cohort of patients with long COVID, the prevalence of poor sleep quality was highest in the group tested by PSQI and were associated with other neurological symptoms, such as anxiety and olfactory dysfunction. A previous study indicates a significant association between poor sleep quality and psychological disorders over time. Recent studies involving neuroimaging found functional and structural changes in Long COVID patients with persistent olfactory disfunction. Poor sleep quality are integral part of complex changes related to Long COVID and should be part of patient's clinical management.
RESUMO
A lesão medular apresenta variadas etiologias, atingem principalmente indivíduos do sexo masculino na faixa etária de alta produtividade, ocasionando danos de grau motores, psicológico e sociais. Dessa forma, as Tecnologias Assistivas contribuem para uma execução satisfatória das ocupações e autocuidado. Dentre elas, as órteses, agindo como auxilio ao método de reabilitação, pois contribuem e colaboram na utilização funcional do segmento lesado. O estudo objetivou a confecção de um dispositivo ortotico dinâmico para assistência de indivíduos com sequelas medulares em altura de cervical 6 e 7. A pesquisa tem caráter exploratório do tipo qualitativo, sendo realizada no laboratório de uma universidade pública da região norte. O processo de fabricaçãoocorreu em 5 fases, resultando em um protótipo de baixo custo resistente a força aplicada, testado em polímeros de policloreto de vinila e fibra sintética de carbono com resina epóxi. Priorizou-se o designer para o dispositivo, seguindo os critérios anatômicos e biomecânicos demovimentação da mão, e assim facilitando suas pressões e pinças.Ponderou-se que a função do dispositivo é diretamente favorecida pela variabilidade dos materiais, e seu acionamento é dado pela tenodesequando ativo e pela mola quando passivo
Spinal cord injury has a variety of etiologies, affecting mainly male individuals in the high productivity age group, causing motor, psychological and social damage. In this way, Assistive Technologies to a satisfactory execution of occupations and self-care. Among them, the othoses, acting as an aid to the rehabilitation method, as they contribute and collaborate in the functional use of the injured segment. The study aimed at making a dynamic orthotic device to assist individuals with spinal cord height at necks 6 and 7. The research has an exploratory character of a qualitative type, being carried out in the laboratory of a public university in the northern region. The manufacturing process took place in 5 phases, resulting in a lowcost prototype resistant to applied force, tested in polymers of polyvinyl chloride and synthetic carbon fiber with epoxy resin. The designer was prioritized for the device, following the anatomical and biomechanical criteria of hand movement, and thus facilitating its pressures and clamps. It was considered that the functions of the device is directly favored by the variability of the materials, and its activation is given by the tenodesis when active and the spring when passive
