Functionality and respiratory function in patients with Amyotrophic Lateral Sclerosis
DOI:
https://doi.org/10.34024/rnc.2022.v30.12901Keywords:
Amyotrophic lateral sclerosis, pulmonary function, daily activitiesAbstract
Introduction. Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease that affects the upper and lower motoneurons. The clinical picture involves progressive muscle weakness and respiratory failure (RI). Objective. To relate the global functionality and respiratory changes reported by ALS patients using the Amyotrophic Lateral Sclerosis Rating Functional Scale (ALSFRS- R/BR) with the results of Peak Cough Flow (PCF) and Forced Vital Capacity (FVC). Method. This is a quantitative study with an analytical cross-sectional design carried out in a rehabilitation center in Goiás. Individuals diagnosed with ALS participated in the study. Data collection was carried out through the analysis of medical records. Respiratory function was evaluated through the PCF and FVC, and the global functionality through the ALSFRS-R/BR. A correlation was made between respiratory function and global functionality assessed using the ALSFRS-R/BR with PCF and FVC. Results. 38 individuals with ALS participated in the study. The mean age was 57.68±11.23 years. There was a significant negative correlation between FVC and RI, and a significant positive correlation between the total ALSFRS-R/BR score and PCF. Conclusion. There was a positive correlation between global functionality assessed by ALSFRS-R/BR and respiratory function by PCF. Individuals who do not use ventilatory support have lower FVC values when compared to those who used it.
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References
Alencar MA, Silva IMM, Hilário SM, Rangel MFA, Araújo CM. Quality of life, disability, and clinical variables in amyotrophic lateral sclerosis. Arq Neuropsiquiatr 2022;80:1-7. https://doi.org/10.1590/0004-282X-ANP-2021-0201
Rúben AM, Iria DCC, Alejandra AC, Yohana GG. Respiratory phisioteraphy in patients with amyotrophic lateral sclerosis. A sistematic review. Arch Neurocien 2020;25;9-22. https://doi.org/10.31157/archneurosciencesmex.v25i4.213
Chagas JMA, Martins APM, Mendanha JVE, Carneiro GH, Almeida FS, Ramos RF. A importância da fisioterapia motora na esclerose lateral amiotrófica: uma breve abordagem bibliográfica. Braz J Health Rev 2022;5:2305-10. https://doi.org/10.34119/bjhrv5n1-204
Gomes CMS, Zuqui AC, Schiavo KV, Oliveira JFP. Funcionalidade e qualidade de vida de pessoas com esclerose lateral amiotrófica e percepção da sobrecarga e apoio social de cuidadores informais. Acta Fisiatra 2020;27:166-73. https://doi.org/10.11606/issn.2317-0190.v27i3a172216
Nunes JD, Saes MO, Nunes BP, Siqueira FCV, Soares DC, Fassa MEG. Indicadores de incapacidade funcional e fatores associados em idosos: estudo de base populacional em Bagé, Rio Grande do Sul. Epidemiol Serv Saúde 2017;26:295-304. http://dx.doi.org/10.5123/s1679-49742017000200007
Pinto S, Gromicho M, Carvalho M. Assesing upperlimb function with ALSFRS-R in amyotrophic lateral sclerosis patients. Amyotroph Lat Scler Frontotemporal Deg 2019;20:445-8. https://doi.org/10.1080/21678421.2019.1606243
Gomez MFD, Corredor FO. Diseño y validación de un sistema de clasificación para evaluar el grado de discapacidad de los pacientes con esclerosis lateral amiotrófica. Rev Neurol 2017;64:112-8. https://revistacmfr.org/index.php/rcmfr/article/view/3
Guedes K, Pereira C, Pavan K, Valério BCO. Cross-Cultural and Validation of ALS functional rating Scale-Revised in portuguese language. Arq Neuropsiquiatr 2010;68:44-7. https://doi.org/10.1590/S0004-282X2010000100010
Paranhos R, Filho DBF, Rocha EC, Silva Júnior JAS, Neves JAC, Santos MLD. Desvendando os Mistérios do Coeficiente de Correlação de Pearson: o retorno. Avaliação da incapaciddae funcional e fatores associados em idosos. Rev Bras Geriatr Gerontol 2019;2:1-11. https://doi.org/10.1590/1981-22562019022.180163
Fortunato HL, Vitorino PVO, Prudente COM, Siqueira SC, Santana TS, Sousa AC, et al. Avaliação do desempenho funcional de pacientes com esclerose lateral amiotrófica. In: Silva E. (org.). Avanços na Neurologia e na sua Prática Clínica. Ponta Grossa: Atena Ed. 2019, pp.44-55. https://doi.org/10.22533/at.ed.9391923126
Silva LP, Gusmão, CA, Pithon, KR, Gomes, TBP, Pinto, EP. Esclerose lateral amiotrófica: descrição de aspectos clínicos e funcionais de uma série de casos numa região de saúde no nordeste do Brasil. J Health Biol Sci 2018;6:293-8. https://doi.org/10.12662/2317-3076jhbvs.v6i3.1811.p293-298.2018
Morais LC, Valle, MHF, Pessoa BP, Polesse, JC. Perfil epidemiológico, função pulmonar e incidência de hipoventilação dos pacientes com Esclerose Lateral Amiotrófica de um hospital referência de uma capital brasileira: um estudo transversal retrospectivo. Rev Con Ciência 2020;15;93-102. https://doi.org/10.24862/cco.v15i2.1243
Sancho J, Martínez D, Bures H, Días JL, Ponz A, Servera E. Bulbar impairment score and survival of stable amyotrophic lateral sclerosis patients after noinvasive ventilation iniation. Eur Resp Soc 2018;4:1-10. https://10.1183/23120541.00159-2017
Heiman-Patterson TD, Khazaal O, Yu D, Sherman ME, Kasarkis EJ. Pulmonary function decline in amyotrophic lateral sclerosis. Amyotroph Lat Scler Frontotemporal Deg 2021;22:54-61. https://doi.org/10.1080/21678421.2021.1910713
Matsuda SRN, Smimizu, TMD, Nakayama Y, Hagarushi M. Cough peak flow decline rate predicts survival in patients with amyotrophic lateral sclerosis. Muscle Nerve 2019;59:168-73. https://doi.org/10.1002/mus.26320
Pinto S, Carvalho M. Correlation between Forced Vital Capacity and Slow Vital Capacity for the assessment of respiratory involvement in Amyotrophic Lateral Sclerosis: a prospective study. Amyotr Lat Scler Frontotemporal Deg 2017;18:86-91. https://doi.org/10.1080/21678421.2016.1249486
Morais LC, Valle MHF, Pessoa BP, Polesse GC. Perfil epidemiológico, função pulmonar e incidência de hipoventilação dos pacientes com esclerose lateral amiotrófica de um hospital de refrencia brasileira: um estudo longitudinal retrospectivo. Rev Con Ciência 2020;15:93-102. https://doi.org/10.24862/cco.v15i2.1243
Santos Junior LAS, Cangussu DDD, Santana CA, Donatti ALF. Ventilação mecânica em pacientes com esclerose lateral amiotrófica: revisão de literatura e reflexão. REVISA 2020;9:327-43. https://doi.org/10.36239/revisa.v9.n2.p327a343
Lima NMFV, Guerra CC, Teixeira LC, Silva LBC, Sordi M, Mourão M, et al.Tradução e validação da versão brasileira da escala de gravidade na Esclerose Lateral Amiotrófica (Egela). Fisioter Pesq 2009;16:316-22. https://doi.org/10.1590/S1809-29502009000400006
Dorst J, Ludolph AC. Non-invasive ventilacion in amyotrophic lateral sclerosis. Therap Adv Neurol Disord 2019;12:1-14. https://doi.org/10.1177/1756286419857040
Prestes D, Bilheri DFD, Nascimento JR, Righi NC, Baldissera C, Silva AFS, et al. Relação entre risco de disfagia e o estado de saúde de indivíduos com a doença pulmonar obstrutiva crônica. Eat Assessment Tool 2019;32:1-5. https://doi.org/10.1590/2317-1782/20202019036
Ito H, Odake, S, Fukutake, S, Kohriki S, Kawachi Jkamei T. Diaphragm pacing could have efficacy for sleep condition in patients with amyotrophic lateral sclerosis. Neurol Clin Neurosci 2020;8:284-8. https://doi.org/10.1016/S0022-510X(99)00045-3
Ackrivo J, Hsu JY, Hansei-Flaschen J, Elman L, Kawut SM. Noninvasive ventilation use is associated with better survival in amyotrophic lateral sclerosis. Ann Am Thor Soc 2021;18:486-94. https://doi.org/10.1513/AnnalsATS.202002-169OC
O’Brien D, Stavroulakis T, Baxter S, Norman P, Bianchi S, Elliot M, et al. The optimization of non invasive ventilation in amyotrophic lateral sclerosis: a sistematic review. Eur Resp J 2019;54:1-14. https://doi.org/10.1183/13993003.00261-2019
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Copyright (c) 2022 Letícia Cristina Lima Carvalho, Letícia Araújo de Morais, Paulo Fernando Lôbo Corrêa

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Accepted 2022-04-08
Published 2022-05-27
