Evaluation of the motor function of patients with renal failure undergoing hemodialysis: a cross-sectional study
Souza, Felipe Heylan Nogueira de; Pessoa, Raynara Maritsa Cavalcante; Silva Filho, Edson Meneses da; Cezarino, Leandro Gonçalves; Chagas, Nadla di Karlla; Pereira, Rodrigues Ramos; Ferreira, Pamela de Sousa; Cacho, Ênio Walker Azevedo
Abstract
Introduction: Chronic Kidney Disease (CKD) is becoming a public health problem, due its chronic, progressive and irreversible kidney function. Objective: To evaluate the motor function of patients with CKD undergoing hemodialysis (HD) treatment. Method: a cross‑sectional study carried out at João XXIII hospital in the city of Campina Grande-Brazil, from August to September 2016. Inclusion criteria were: subjects aged between 20 and 60 years old of both gender and who were undergoing HD treatment for more than 1 year. Those who presented cognitive and visual impairment, amputees, history of stroke or traumatic brain injury and underwent surgical procedure in the 6 months prior to the approach were excluded. Motor function assessment was performed by Motor Function Measurement Scale, which is divided into three dimensions: Dimension 1 (D1): standing position and transfers; Dimension 2 (D2): axial and proximal motor function; Dimension 3 (D3): distal motor function. To evaluate the muscular strength was used the Oxford scale and for the range of motion a goniometer was used. Results: The sample consisted of 20 patients. The correlation between D1 and D2 showed a significant positive association. Significant positive correlation was also observed on the strength of the lower limbs and D1 for all muscle evaluated. On the other hand, the strength of the upper limbs, relative to D2 and D3 showed a moderate positive correlation only between the flexors of the right shoulder and D2. Right elbow flexion was the only variable that presented a negative and moderate correlation with hemodialysis time. Conclusion: The strength and range of motion of the sample were lower than expected for people without pathology, in addition the evaluation methods present in this study were not sensitive to detect any dysfunction.
Keywords
References
2. Spanaus K, Kollerits B, Ritz E, Hersberger M, Kronenberg F, Eckardstein A. Creatinina sérica, cistatina C e proteína ß-traço no estadiamento disgnóstico e na predição da progressão da doença renal crônica não diabética. J. bras. patol. med. Lab. 2011;47(1):13-23.
3. Riella MC. Princípios de nefrologia e distúrbios hidroeletrolíticos. 5. ed. Rio de Janeiro: Guanabara Koogan; 2010.
4. Perl J, Hasan O, Bargman JM, Jiang D, Na Y, Gill JS et al. Impact of dialysis modality on survival after kidney transplant failure. Clin J Am Soc Nephrol. 2011;6(3):582–90.
5. Romão Junior JE. Doença renal crônica: definição epidemiologia e classificação. J. bras. Nefrol. 2004;26(3 supl.1):1-3.
6. Moura RM, Silva FC, Ribeiro GM, Sousa LA. Efeitos do exercício físico durante a hemodiálise em indivíduos com insuficiência renal crônica: uma revisão. Fisioterapia e Pesquisa. 2008;15(1):86-91.
7. Zidan M, Arcoverde A, Araújo NB, Vasques P, Rios A, Laks J et al. As Alterações motoras e funcionais em diferentes estágios da doença de Alzheimer. Revista de Psiquiatria Clínica. 2012;39(5):161-5.
8. Vandenbroucke JP, Elm EV, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007;18(6):805-35.
9. Iwabe C, Miranda-Pfeilsticker BH, Nucci A. Medida da função motora: versão da escala para o português e estudo de confiabilidade. Brazilian Journal of Physical Therapy. 2008;12(5):417-24.
10. Kendall FP, Mccreary EK, Provance PG, Rodgers M, Romani WA. Músculos: provas e funções – com postura e dor. 5 edição. Editora Manole; 2007.
11. Andrade JA, Leite VM, Teixeira-Salmela L, Araújo PM, Juliano Y. A comparative study between visual estimation and goniometry for the assessment of range of motion of the shoulder joint. Acta fisiátrica. 2003;10(1):12-6.
12. Kovelis D, Pitta F, Probst VS, Peres CP, Delfino VD, Mocelin AJ et al. Função pulmonar e força muscular respiratória em pacientes com doença renal crônica submetidos à hemodiálise. Jornal Brasileiro de Pneumologia. 2008;34(11):907-12.
13. Soares A, Zehetmeyer M, Rabuske M. Atuação da fisioterapia durante a hemodiálise visando a qualidade de vida do paciente renal crônico. Rev Saúde UCPEL. 2007;1:7-12.
14. Medeiros RH, Pinent CE, Meyer F. Aptidão física de indivíduo com doença renal crônica. J Bras Nefrol. 2002;24(2):81-7.
15. Vieira WP, Gomes KW, Frota NB, Andrade JE, Vieira RM, Moura FE et al. Manifestações musculoesqueléticas em pacientes submetidos à hemodiálise. Rev Bras Reumatol. 2005;45(6):357-64.
16. Silva A, Silveira R, Fernandes G, Lunardi V, Backes V. Percepções e mudanças na qualidade de vida de pacientes submetidos à hemodiálise. Revista Brasileira de Enfermagem. 2011;64(5):839-44.
17. Braz AS, Duarte AL. Manifestações musculoesqueléticas nos pacientes em programa de hemodiálise. Rev. bras. Reumatol. 2003;43(4):223-31.
18. Adams GR, Vaziri ND. Skeletal muscle dysfunction in chronic renal failure: effects of exercise. American Journal of Physiology-Renal Physiology. 2006;290(4):753-61.
19. Tikkanen O, Haakana P, Pesola AJ, Häkkinen K, Rantalainen T, Havu M et al. Muscle activity and inactivity periods during normal daily life. PLoS One. 2013;8(1):522-28.
20. Basturk T, Koc Y, Kayalar AO, Yilmaz F, Hasbal NB, Sakaci T et al. Frequency of polyneuropathy in patients on long term peritoneal dialysis treatment. J Clin Diagn Res. 2017;11(6):37-40.
21. Hanewinckel R, Ikram MA, Franco OH, Hofman A, Drenthen J, van Doorn PA. High body mass and kidney dysfunction relate to worse nerve function, even in adults without neuropathy. J Peripher Nerv Syst. 2017;22(2):112-20.
22. Shiromoto CE, Oliveira Filho A, Bertolini SM. Implicações da prática de exercícios resistidos sobre a flexibilidade. Revista da Educação Física. 2008;13(1):55-62.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email