Dados do Trabalho

Título

Functional biomarkers of trunk and limb control and quality of life in post-stroke patients

Resumo

Stroke has a great impact on the lives of many individuals. The identification of post-stroke biomarkers is important to assume functional independence and the impact of the disease on the patient, family and society.
The present study aimed to characterize the functional capacity of post-stroke patients, evaluated by the application of functional scales for the trunk (Trust Control Test, TCT) and upper limb (Frenchay Arm Scale), in addition to scale for the assessment of quality of life after stroke using the Specific Quality of Life Scale for stroke (EQVE-AVE). This study was carried out with patients treated in stroke unitat that is reference in the Planalto Norte in the state of Santa Catarina, including total of 20 patients, evaluated in period of six months (out of a total of 48 months of study).
Therefore, the mean age range was 67±17.6 years, 55% were female, and the mean NIHSS for the first 24 hours was 9.7. It was evidenced as a predominant risk factor for SAH (90%), sedentary lifestyle (90%) and DM (45%). As for functional capacity by TCT, the results show great variability, obtaining an average of 51.9±36.03. In this test, the examinee is proposed to perform 4 maneuvers dependent on the skeleton, muscle and axial nerves, responsible for stability and postural integrity - the main disabilities present were: ability to balance while sitting on the edge of the bed with the feet off the floor; activity of rolling to the compromised side and rolling to the healthy side. In the Frenchay Arm Scale, the mean score was 2.4±2.27 points (from 0 to 5 points), which reflects in a heterogeneous sample regarding the capacity of proximal control of the upper limb and manual dexterity. On the analysis of quality of life, through EQVE-AVE, an average value of 125.3±48.8 points were obtained, which reflects their significant impairment - on this, the most affected domains were Mood, Self-care and Social Role; the least affected were work, energy and family roles.
Thus, the present study points to a positive correlation on functional findings and post-discharge reflexes, mainly in emotional and social aspects, not showing significant loss in relation to work (possibly because the majority are already out of the job market). Interestingly, energy and disposition were also less affected. Thus, the important correlation between the loss of trunk and limb functionality and quality of life in relation to mood and self-care is highlighted here.

Palavras Chave

Stroke. Functional biomarkers. Trunk. Limb control. Quality of life.