Estado de inquietação das pernas: fator confundidor da síndrome das pernas inquietas/Doença de Willis-Ekbom

• Ano de defesa: 2019
• Autor(a) principal: Carlos, Karla [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Restlessness; Movement; Restless Leg Syndrome (RLS); Willis-Ekbom Disease (DWE); Cognition; Inquietação; Movimento; Síndrome das Pernas Inquietas (SPI); Doença de Willis-Ekbom (DWE); Cognição
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=7772890; https://repositorio.unifesp.br/handle/11600/59284

Background. Restless Leg Syndrome / Willis-Ekbom Disease (RLS/WED) is often mistaken with the habit of moving the legs. This behavioral pattern is also characterized by the desire of moving the legs and occurs during rest. Objectives. To verify the prevalence of self-diagnosis of RLS in newly graduated physicians and compare with the clinical interview. To ascertain whether the presence of the fifth diagnostic criterion of the IRLSSG (International Restless Legs Syndrome Study Group), is necessary for RLS/WED diagnosis when the term “Willis-Ekbom disease” is used. To describe the main movements associated with this benign behavioral state in order to characterize a possible clinical condition that can contribute to the differential diagnosis of RLS. Describe the pattern of leg movements performed by newly graduated physicians. Verify which denomination newly graduated doctors assign to their leg-moving habit. To evaluate the relationship between the habit of moving the legs and the performance in the tests of the selection process of the Medical Residency of Escola Paulista de Medicina. Methods. We studied a large population of newly graduated physicians of both sexes without age or ethnicity restriction. We obtained data while participants waited in appropriate rooms for the beginning of the tests for entry into the Medical Residency of the Escola Paulista de Medicina. To answer the various scientific questions, we use printed information and drawings to be interpreted according to specific conditions relevant to the purpose of each study stage.. We also used the scores from the various tests performed by the newly graduated physicians in this selection process to compare their performance with the various behavioral patterns of leg movements. Results. RLS is easily mistaken for usual leg movements. The presence of the fifth IRLSSG criterion did not influence self-diagnosis of WED. We described 13 leg movements commonly reported by people that do not have RLS/WED. A large number of newly graduated physicians reported having RLS when, in fact, they only had a state of behavioral leg restlessness. Candidates who have the habit of performing the air kicking movement performed worse on the computerized test. Among individuals who have the habit of moving their legs when seated, the most frequent movements were: kicking the floor, kicking the air, shaking the foot and opening and closing the thighs. Conclusions. RLS/DWE and leg moving habit are easily mistaken and the 5th IRLSSG criterion does not make any difference when the name WED is used. The restlessness of the legs associated with the habit of moving them can be represented in 13 easy-to-understand figures and candidates with the habit of kicking the air performed worse on the computerized tests.