Força de preensão manual como instrumento preditor de mobilidade em pacientes com amputação de membros inferiores

• Ano de defesa: 2018
• Autor(a) principal: Gomes, Caio Ribeiro Azevedo [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Limitação da mobilidade; Amputação; Extremidade inferior; Mãos; Força muscular
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6339588; https://repositorio.unifesp.br/handle/11600/52521

The mobility of lower limb amputees is of great importance to the professionals working with these patients. Among the measures used to aid the prediction of mobility are age, number of comorbidities, global muscle strength and some scales like the Amputee Mobility Predictor (AMP). Simultaneously, the handgrip strength has been shown to be linked to the global muscular strength and the mobility of selected populations. Objective: Evaluate the relation between the handgrip strength and the mobility of lower limb amputees, measured using the AMP. As a secondary objective, the relation between comorbidities and mobility was measured for these patients. Methods: Handgrip strength, a representative measure of muscular strength was used and compared with a well-known scale of mobility of lower limb amputees (AMP), aiming the evaluation of its power of mobility prediction among these patients. The charts of the patients who had both measures, were revised and a total of 102 patients were included in this study. Results: A positive relation between AMP and handgrip strength was found, showing that the higher the handgrip strength, higher the AMP. A negative impact of the comorbidities on the mobility of these patients was found. Conclusion: The handgrip strength is a useful and efficient tool for the prediction of mobility in lower limb amputees. The number of comorbidities had a negative effect on the mobility of these patients.