Lower limb muscle strength is associated with functional performance and quality of life in patients with systemic sclerosis
| Autor: | Thaís L. M. Sousa, Mara Negreiros Carvalho, Agnaldo José Lopes, Fernando Silva Guimarães, Sara L. S. Menezes, Tatiana Rafaela Lemos Lima |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Weakness medicine.medical_specialty systemic sclerosis Physical Therapy Sports Therapy and Rehabilitation Isometric exercise Electromyography rehabilitation Pulmonary function testing Quality of life Respiratory muscle Humans Medicine Orthopedics and Sports Medicine Scleroderma Systemic exercise medicine.diagnostic_test business.industry respiratory function tests lcsh:RM1-950 Rehabilitation Original Articles Middle Aged Peripheral nutritional status Cross-Sectional Studies lcsh:Therapeutics. Pharmacology Lower Extremity Quality of Life muscle strength Physical therapy Female medicine.symptom business Bioelectrical impedance analysis |
| Zdroj: | Brazilian Journal of Physical Therapy v.19 n.2 2015 Brazilian Journal of Physical Therapy Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT) instacron:ABRAPG-FT Brazilian Journal of Physical Therapy, Vol 19, Iss 2, Pp 129-136 (2015) Brazilian Journal of Physical Therapy, Volume: 19, Issue: 2, Pages: 129-136, Published: 13 MAR 2015 |
| ISSN: | 1413-3555 |
| DOI: | 10.1590/bjpt-rbf.2014.0084 |
| Popis: | Background: Complaints of peripheral muscle weakness are quite common in patients with systemic sclerosis (SSc). It is likely that the muscle impairments may reduce the patients' exercise performance, which in turn may decrease their functional capacity and exert a direct impact on their quality of life. Objectives: To assess the peripheral and respiratory muscle strength in individuals with SSc and to investigate their correlation with the 6-min walk distance (6MWD) and quality of life measurements. Moreover, we aimed to characterize their nutritional status, pulmonary function, functional capacity, and quality of life compared to the controls. Method: The present cross- sectional study included 20 patients with SSc and 20 control subjects. All of the participants were subjected to isometric dynamometry, surface electromyography, bioelectrical impedance analysis, pulmonary function testing, and the 6-min walk test. Patients with SSc also responded to the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and the Health Assessment Questionnaire Disability Index (HAQ-DI). Results: The individuals with SSc exhibited a reduction in quadriceps strength (p=0.0001), increased quadriceps fatigability (p=0.034), impaired pulmonary function, and a reduced 6MWD (p=0.0001) compared to the controls. Quadriceps strength was significantly correlated with the 6MWD (Rho=0.719; p=0.0004) and the HAQ-DI (Rho=-0.622; p=0.003). We also found significant correlations between quadriceps fatigability and maximal inspiratory (Rho=0.684; p=0.0009) and maximal expiratory (Rho=0.472; p=0.035) pressure. Conclusions: Patients with SSc exhibited reduced respiratory muscle and quadriceps strength and an increase in its fatigability. In these individuals, there was a relationship between quadriceps strength, functional capacity, and quality of life. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|