La selección de la silla de ruedas y la satisfacción de indivíduos con lesión medular / The selection of the wheelchair and the satisfaction of individuals with spinal cord injury with your device

Objetivos. Evaluar la satisfacción de individuos con lesión de la médula espinal con su silla de ruedas, tanto como para conocer los aspectos relevantes en el proceso de selección y adquisición de este dispositivo. Material y métodos. Se trata de un estudio de evaluación. Se invitó a participar en el estudio 25 individuos parapléjicos o tetrapléjicos por lesión de la médula espinal, usuarios de silla de ruedas, que realizan la terapia física en el ambulatorio de fisioterapia da Universidad Estatal de Londrina. Todos aceptaron participar siendo sometidos a una entrevista para aplicación de un cuestionario hecho por los autores de este estudio, con preguntas referentes al proceso de selección y adquisición de la silla de ruedas, así como a la satisfacción con su equipo. Resultados. En el proceso de selección y adquisición de la silla de ruedas, la mayor parte de las personas hizo referencia al peso (52%) y a la manejabilidad (32%). La mayoría (66,4%) de los pacientes mostró estar totalmente satisfecho con su equipo. Los aspectos en los cuales hubo mayor predominancia de satisfacción total o parcial fueron: durabilidad (84%) y la facilidad para montar y desmontar la silla (96%). Conclusión. La satisfacción del usuario con su equipo es un factor importante que debe ser considerado en el proceso de rehabilitación del individuo con lesión de la médula espinal (AU)

Objective. Evaluate the spinal cord injuried individuals’ with their wheelchair, and identify the relevant points of the selection and acquiring process of the equipament. Materials and methods. This is an evaluation study. Twenty-five spinal cord injuried individuals with paraplegia or quadriplegia, who use wheelchair for mobility and receive physical therapy treatment at the Physiotherapy's Ambulatory of the Londrina State University, were invited to participate in this study. All them agreed to participate and underwent an interview for administering a questionnaire made by the authors of this study, with questions about the selection and acquisition of the wheelchair, as well as satisfaction with their device. Results. At the time of choosing and acquiring the wheelchair, the aspects taken into consideration of most of the individuals were weight (52%) and praticity (32%). The majority (66.4%) of patients were totally satisfied with their wheelchair. The aspects in which there was greater prevalence of total or partial satisfaction were: durability (84%) and praticity for mounting and dismounting the device (96%). Conclusion. User satisfaction with his wheelchair is an important factor to be considered in the rehabilitation process of individuals with spinal cord injury (AU)

Mobilidade articular dos dedos não lesados pós-reparo em lesão dos tendões flexores da mão / Joint range of motion of uninjured fingers after repairs to flexor tendon injuries of the hand

OBJETIVO: Verificar a amplitude de movimento (ADM) em mãos que sofreram reparo tendinoso dos músculos flexores superficial e profundo dos dedos, comparando os dados de cada dedo na mão lesada e entre mãos lesadas e não lesadas. MÉTODOS: Foi realizada a goniometria ativa em 15 pacientes e 120 dedos, 60 dedos de mãos lesadas e 60 de mãos controle não lesadas. Os sujeitos foram avaliados no momento da retirada da tala gessada, tendo sido realizada a movimentação precoce pelo método de Duran modificado. A partir dos dados goniométricos, foram registrados os valores do índice TAM (Total Active Motion) dos dedos nas mãos lesadas e controle. Para análise dos dados, foi acessada a fórmula de índices funcionais proposta pela American Society for Surgery of the Hand (ASSH) e para cálculo estatístico, foi escolhido o Modelo de Efeitos Mistos. RESULTADOS: A fórmula da ASSH para os dedos lesados mostrou que 18,33 por cento tiveram a classificação do movimento "bom", 18,33 por cento, "regular" e 63,34 por cento, "pobre". Foram comparadas as médias das medidas em graus de todos os dedos entre si dentro de cada grupo, controle ou lesado, e as médias das medidas entre os grupos, encontrando-se um p-valor significante apenas entre os grupos controle e lesado. Não houve diferença estatística entre o TAM de cada dedo na mão lesada. CONCLUSÃO: Independente de quantos dedos tenham sofrido lesão tendinosa em uma mão, os dedos não lesados também terão suas ADMs ativas diminuídas no período logo após a retirada da imobilização.

OBJECTIVE: To assess the range of motion (ROM) in hands that underwent tendon repair in the flexor digitorum superficialis and flexor digitorum profundus muscles of the fingers, comparing the data between the fingers on the injured hand, and between the injured and uninjured hands. METHOD: Active goniometry was performed on 15 patients, making a total of 120 fingers (60 on injured hands and 60 on noninjured control hands). The patients were examined at the time of removing the plaster splint. Early mobilization was performed using the modified Duran method. Goniometric data were used for recording the TAM (total active motion) values of the fingers on the injured and uninjured (control) hands. To analyze the data, the functional index formula proposed by the American Society for Surgery of the Hand (ASSH) was utilized, and for statistical calculations the mixed-effect model was selected. RESULTS: The ASSH formula for the injured fingers classified the movement as "good" in 18.33 percent, "fair" in 18.33 percent and "poor" in 63.34 percent. The means, in degrees, of the measurements for all the fingers were compared with each other within each group (control and injured) and between the groups. A significant difference was found between control and injured groups. There was no statistical difference between the TAM of each finger on the injured hand. CONCLUSION: Independent of how many fingers on one hand had suffered tendon injuries, the uninjured fingers also presented diminished active ROM during the period immediately after removal of the immobilization.