Relação entre estado de incapacidade e força de músculos respiratórios na esclerose múltipla
DOI:
https://doi.org/10.34024/rnc.2020.v28.10659Palavras-chave:
Esclerose múltipla, Força muscular, Músculos respiratóriosResumo
Introdução. A fraqueza acomete músculos respiratórios, sendo fator importante para morbidade e mortalidade na Esclerose Múltipla (EM). Objetivo. Analisar a relação entre força muscular respiratória, eficácia de tosse e capacidade funcional com o tempo de diagnóstico e estado de incapacidade de pacientes com EM. Método. Estudo ex post facto correlacional. Foram incluídos pacientes com EM do tipo surto-remissão, com estado de incapacidade ≤ 6,5 na escala Expanded Disability Status Scale (EDSS). Os participantes foram avaliados quanto ao escore na EDSS, à força muscular respiratória (pressão inspiratória e expiratória máximas − PImáx e PEmáx), à eficácia da tosse (PFE) e à capacidade funcional (TC2M). Aplicou-se o teste de normalidade de Shapiro-Wilk e os testes de correlação de Pearson e Spearman. Resultados. Participaram deste estudo 23 pacientes. As médias para PImáx e PEmáx foram de 76,78±30,76 e 96,39±32,75 cmH2O, respectivamente. O PFE médio foi de 415,22±131,28 L/min e a distância média percorrida no TC2M foi de 164,63±39,69 metros. O escore na EDSS apresentou correlação negativa com a PImáx e a PEmáx. Houve correlação negativa entre a EDSS e a distância percorrida no TC2M. Conclusão. Quanto pior o estado de incapacidade gerado pela EM, menor será a força muscular respiratória e capacidade funcional.
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Publicado: 2020-08-06