Dupla deficiência motora em um centro de reabilitação: hemiparesia após acidente vascular cerebral e amputação de membro inferior - Quem são eles?
DOI:
https://doi.org/10.11606/issn.2317-0190.v27i1a169617Palavras-chave:
Acidente Vascular Cerebral, Paresia, Amputação, Reabilitação, EpidemiologiaResumo
Objetivo: Estimar a prevalência da dupla deficiência motora e identificar as características social, demográficas, clinicas e relacionadas á reabilitação desses indivíduos. Métodos: Estudo descritivo retrospectivo realizado em um centro de reabilitação com indivíduos com dupla deficiência motora decorrente de amputação de membro inferior associada à hemiparesia após acidente vascular cerebral (AVC). Características sociodemografica, clinica e relacionada a reabilitação foram coletadas através de consulta a prontuários. Resultados: A prevalência da dupla deficiência motora foi de 5,4%. Dos 76 indivíduos avaliados, 69,7% eram do sexo masculino, com média de idade de 65,6 (±9,3). A hipertensão arterial sistema estava presente em 96,1% dos indivíduos e 25% eram tabagistas. Mais que 73% dos pacientes tiveram o AVC prévio à amputação. O tempo entre as lesões foi, em mediana, de 23 meses, as sequelas foram ipsilaterais em 51,3% dos pacientes. Desses, 54 pacientes (71%) foram encaminhados para as terapias físicas. O tempo entre a dupla deficiência e o início da terapia foi de 28 meses, com tempo de reabilitação total de 14,3 meses. Ao fim do processo de reabilitação 36% alcançaram suas metas, mas 30% teve alta devido a falta de adesão ao tratamento. Conclusão: A prevalência da dupla deficiência motora devido a hemiparesia após AVC e amputação de membro inferior foi 5,4%, e a população estudada apresentou características singulares relacionada ao processo de reabilitação, como um longo tempo entre a ocorrência da dupla deficiência e o inicio da reabilitação, e um longe tempo na reabilitação.
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