Associação entre a intensidade do eco do quadríceps femoral, desfechos reportados pelos pacientes e capacidade funcional em pessoas com fibromialgia
DOI:
https://doi.org/10.11606/issn.2317-0190.v33e241431Palavras-chave:
Dor, Estado Funcional, Doenças Reumáticas, UltrassonografiaResumo
Objetivo: Investigar a associação entre a intensidade do eco do quadríceps (qualidade muscular), os desfechos reportados pelos pacientes e a capacidade funcional em pessoas com fibromialgia. Método: Imagens do quadríceps foram geradas usando ultrassom e a intensidade do eco foi medida com o software Image-J. Os desfechos incluíram dor em repouso e durante o movimento, catastrofização da dor e fadiga. A capacidade funcional foi medida com o Teste de Sentar e Levantar Cinco Vezes, o Timed Up and Go (habitual e rápido) e o Teste de Subir Escadas. As correlações entre variáveis foram analisadas com o coeficiente de Spearman. Resultados: Quarenta e quatro pessoas com fibromialgia, média de 48,2 ± 8,9 anos, foram incluídas. Não foram encontradas associações significativas entre a intensidade do eco do quadríceps e os desfechos reportados ou a capacidade funcional. No entanto, os desfechos reportados apresentaram associação significativa com a capacidade funcional, destacando-se associação positiva entre o Timed Up and Go rápido, dor em repouso (r= 0,563, IC 95%: 0,279 a 0,732; p < 0,001),) e fadiga (r= 0,512, IC 95%: 0,281 a 0,705; p < 0,001). Conclusão: Em pessoas com fibromialgia, maiores níveis de dor e fadiga estão associados a pior desempenho no teste de caminhada rápida, enquanto a qualidade muscular do quadríceps não se correlaciona com desfechos autorrelatados ou capacidade funcional.
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