RELAÇÃO ENTRE A FUNÇÃO E A PRESENÇA E TIPO DE DEFORMIDADE NO PACIENTE COM PARALISIA CEREBRAL

Daher, Murilo Tavares; Martins, Paulo Leandro Souza; Esperidião, Adriano Passáglia; Felisbino Júnior, Pedro; Nascimento, Vinício Nunes; Pereira Júnior, José Humberto; Cardoso, André Luiz Passos; Araújo, Brenda Cristina Ribeiro; Daher, Sérgio

doi:10.1590/S1808-185120161504157842

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Articles • Coluna/Columna 15 (4) • Oct-Dec 2016 • https://doi.org/10.1590/S1808-185120161504157842 copiar

RELAÇÃO ENTRE A FUNÇÃO E A PRESENÇA E TIPO DE DEFORMIDADE NO PACIENTE COM PARALISIA CEREBRAL

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

Avaliar a função motora grossa (GMFCS) com relação à prevalência e ao tipo de escoliose no paciente com paralisia cerebral (PC).

Métodos:

Estudo transversal analítico. Foram avaliados prontuários e exames de imagem de 100 pacientes escolhidos aleatoriamente em centro de reabilitação especializado no cuidado desse tipo de paciente. Os pacientes foram classificados de acordo com a função motora (GMFCS) e os que tinham deformidade foram classificados de acordo com o tipo da escoliose, segundo a classificação de Lonstein e Akbarnia. Foi feita uma correlação entre a presença de deformidade, as diversas variáveis entre o tipo de deformidade e a função motora pelo GMFCS.

Resultados:

Dos 100 pacientes avaliados, 69 apresentavam escoliose. A média de idade entre os pacientes com escoliose foi superior à dos pacientes sem deformidade (12,63 e 10,46 anos). Trinta e nove (57%) pacientes apresentavam tetraparesia espástica e 32 (46%) diparesia espástica. O padrão de curva mais frequente foi o toracolombar e o valor angular médio da curva principal foi de 27 graus. Houve uma correlação positiva entre a presença de escoliose e GMFCS nível V. Também houve correlação positiva entre o Grupo II de Lonstein e GMFCS V.

Conclusão:

Existe uma correlação positiva entre a presença de escoliose e maior acometimento da função motora grossa (GMFCS V). Nos pacientes com deformidades, também existe uma correlação positiva entre o Grupo II de Lonstein e o GMFCS V.

Descritores:
Coluna vertebral; Paralisia cerebral; Escoliose; Epidemiologia.

Patient	Sex	Age	Presence of scoliosis	Type of CP	GMFCS
1	Female	16.41	Negative	Diparetic spastic CP	2
2	Female	14.00	Positive	Diparetic spastic CP	4
3	Male	16.19	Negative	Hemiparetic spastic CP	1
4	Female	5.21	Positive	Diparetic spastic CP	5
5	Male	9.98	Negative	Hemiparetic spastic CP	2
6	Male	7.37	Positive	Diparetic spastic CP	5
7	Female	6.49	Negative	Hemiparetic spastic CP	3
8	Male	10.74	Negative	Hemiparetic spastic CP	2
9	Male	12.97	Positive	Tetraparetic spastic CP	4
10	Male	12.19	Positive	Hemiparetic spastic CP	4
11	Male	14.63	Negative	Hemiparetic spastic CP	5
12	Female	17.33	Positive	Tetraparetic spastic CP	4
13	Female	7.66	Positive	Tetraparetic dyskinetic CP	5
14	Female	11.21	Negative	Diparetic spastic CP	2
15	Male	15.22	Positive	Diparetic spastic CP	5
16	Male	7.70	Negative	Hemiparetic spastic CP	1
17	Male	8.83	Positive	Diparetic spastic CP	5
18	Male	17.05	Negative	Diparetic spastic CP	2
19	Female	13.90	Positive	Diparetic spastic CP	2
20	Female	8.04	Positive	Tetraparetic spastic CP	2
21	Female	7.64	Positive	Hemiparetic spastic CP	5
22	Male	14.04	Positive	Tetraparetic spastic CP	3
23	Male	8.46	Negative	Diparetic spastic CP	2
24	Male	8.04	Negative	Diparetic spastic CP	5
25	Female	9.65	Positive	Diparetic spastic CP	5
26	Female	15.00	Positive	Dyskinetic CP	4
27	Male	13.25	Negative	Diparetic flaccid CP	2
28	Male	19.69	Positive	Tetraparetic spastic CP	5
29	Female	10.24	Negative	Hemiparetic spastic CP	1
30	Male	8.37	Negative	Tetraparetic spastic CP	2
31	Male	13.37	Positive	Diparetic spastic CP	5
32	Male	8.67	Negative	Tetraparetic spastic CP	5
33	Male	18.69	Positive	Tetraparetic spastic CP	5
34	Male	8.61	Negative	Diparetic spastic CP	1
35	Male	8.55	Positive	Diparetic spastic CP	5
36	Male	9.14	Negative	Tetraparetic dyskinetic CP	5
37	Male	17.69	Positive	Tetraparetic spastic CP	5
38	Male	16.39	Positive	Diparetic spastic CP	5
39	Female	8.66	Negative	Tetraparetic spastic CP	2
40	Female	7.88	Negative	Hemiparetic spastic CP	4
41	Female	14.97	Positive	Diparetic spastic CP	1
42	Female	11.74	Positive	Tetraparetic spastic CP	4
43	Male	6.11	Negative	Tetraparetic spastic CP	1
44	Male	7.82	Positive	Diparetic spastic CP	2
45	Male	12.83	Positive	Tetraparetic spastic CP	5
46	Male	16.50	Positive	Tetraparetic spastic CP	3
47	Male	17.61	Positive	Diparetic spastic CP	5
48	Male	23.87	Positive	Tetraparetic spastic CP	2
49	Male	9.23	Positive	Diparetic spastic CP	1
50	Male	12.50	Negative	Tetraparetic spastic CP	4
51	Male	12.25	Positive	Hemiparetic spastic CP	5
52	Male	19.39	Positive	Tetraparetic spastic CP	5
53	Male	16.43	Negative	Diparetic spastic CP	2
54	Male	8.46	Positive	Diparetic spastic CP	5
55	Female	7.55	Positive	Tetraparetic dyskinetic CP	5
56	Female	7.35	Positive	Dyskinetic CP	5
57	Male	14.06	Positive	Tetraparetic spastic CP	5
58	Male	18.29	Positive	Diparetic spastic CP	3
59	Male	16.27	Positive	Hemiparetic spastic CP	5
60	Male	14.25	Positive	Tetraparetic spastic CP	2
61	Male	14.27	Positive	Diparetic spastic CP	2
62	Male	16.65	Positive	Tetraparetic spastic CP	4
63	Female	8.15	Positive	Hemiparetic spastic CP	4
64	Female	14.24	Positive	Tetraparetic spastic CP	5
65	Female	7.96	Positive	Tetraparetic spastic CP	4
66	Female	7.27	Positive	Diparetic spastic CP	4
67	Male	7.26	Positive	Hemiparetic spastic CP	5
68	Male	7.23	Positive	Tetraparetic spastic CP	5
69	Female	7.49	Negative	Tetraparetic spastic CP	5
70	Male	14.90	Positive	Tetraparetic dyskinetic CP	2
71	Female	9.62	Negative	Tetraparetic spastic CP	5
72	Female	16.06	Positive	Tetraparetic dyskinetic CP	2
73	Female	9.11	Positive	Diparetic spastic CP	3
74	Female	12.61	Negative	Tetraparetic spastic CP	1
75	Female	11.87	Positive	Tetraparetic spastic CP	2
76	Male	9.10	Positive	Hemiparetic spastic CP	4
77	Male	7.30	Positive	Tetraparetic spastic CP	2
78	Male	4.64	Positive	Dyskinetic CP	1
79	Female	10.20	Negative	Diparetic spastic CP	4
80	Male	13.49	Positive	Dyskinetic CP	5
81	Male	10.80	Positive	Tetraparetic spastic CP	5
82	Female	6.42	Negative	Diparetic flaccid CP	4
83	Male	19.11	Positive	Diparetic spastic CP	5
84	Male	11.57	Positive	Diparetic spastic CP	5
85	Female	9.80	Negative	Tetraparetic spastic CP	5
86	Male	8.31	Positive	Hemiparetic spastic CP	5
87	Male	19.14	Positive	Tetraparetic spastic CP	5
88	Female	8.91	Positive	Tetraparetic spastic CP	5
89	Female	7.12	Positive	Tetraparetic spastic CP	3
90	Male	14.48	Positive	Tetraparetic spastic CP	5
91	Female	36.29	Positive	Tetraparetic dyskinetic CP	5
92	Male	7.82	Positive	Tetraparetic dyskinetic CP	2
93	Female	9.63	Negative	Hemiparetic spastic CP	5
94	Female	8.21	Positive	Tetraparetic spastic CP	5
95	Female	14.27	Positive	Diparetic spastic CP	1
96	Male	10.36	Negative	Tetraparetic spastic CP	1
97	Male	14.49	Positive	Tetraparetic spastic CP	1
98	Male	11.37	Negative	Diparetic spastic CP	4
99	Male	13.57	Positive	Diparetic flaccid CP	5
100	Female	12.10	Positive	Tetraparetic spastic CP	2

Scoliosis	Negative		Positive		p	OR	CI 95%
Scoliosis	n	%	n	%			Min	Max
GMFCS
I	7	22.6	5	7.2
II	10	32.3	12	17.4
III	1	3.2	5	7.2
IV	5	16.1	11	15.9
V	8	25.8	36	52.2
Total	31	100.0	69	100.0	0.004	1.54	1.15	2.06

Lonstein Classification	I A		I B		II A		II B		p
Lonstein Classification	n	%	n	%	n	%	n	%
GMFCS
I	3	7.5	1	7.7	1	50.0	0	0.0
II	10	25.0	2	15.4	0	0.0	0	0.0
III	4	10.0	1	7.7	0	0.0	0	0.0
IV	9	22.5	0	0.0	0	0.0	2	14.3
V	14	35.0	9	69.2	1	50.0	12	85.7
Total	40	100.0	13	100.0	2	100.0	14	100.0	0.046

Sociedade Brasileira de Coluna Al. Lorena, 1304 cj. 1406/1407, 01424-001 São Paulo, SP, Brasil, Tel.: (55 11) 3088-6616 - São Paulo - SP - Brazil
E-mail: coluna.columna@uol.com.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Rua 70, 351, apto 302, Jardim Goiás, Goiânia, GO, Brazil. 74810-350. murilodaher@uol.com.br