Aplicabilidade da vinculação entre a MIF e a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) em indivíduos com doenças neurodegenerativas

Objetivo: Analisar a aplicabilidade da vinculação entre as tarefas da Medida de Independência Funcional MIF e as categorias de atividade e participação da CIF. Materiais e métodos: Estudo clínico transversal realizado no Centro Especializado de Reabilitação III da cidade de Lagarto, Sergipe, Brasil, entre junho de 2019 e fevereiro de 2021. Foram recrutados pacientes diagnosticados doença neurodegenerativa com idade ≥18 anos. Inicialmente, foram aplicados questionários sociodemográficos e clínicos, em seguida, foi realizada mensuração da funcionalidade através da MIF. Posteriormente, de forma cega, dois pesquisadores realizaram vinculações entre a MIF e a CIF, com subsequente vinculação das pontuações da MIF e os qualificadores da CIF. As concordâncias interexaminadores foram avaliadas Teste de Kappa de Cohen, o Coeficiente de Correlação de Pearson foi aplicado para análise das vinculações das pontuações/qualificadores. Resultados: 30 indivíduos foram incluídos, com idade média de 58,7±18,3 anos. A concordância interexaminador alcançou 84,61% e a confiabilidade foi substancial (Kp=0.6090). Além disto, foram encontradas fortes correlações entre pontuações e qualificadores. Conclusão: Este estudo identificou  adequada aplicabilidade da vinculação entre a MIF e a CIF,  sendo um potencial facilitador para construção de indicadores de saúde e funcionalidade, além de melhor descrever a funcionalidade e a interoperabilidade entre profissionais

The impact of pain and nocturnal cramps on sleep quality in Charcot Marie Tooth disease: a case-control study

Introduction: Charcot-Marie-Tooth disease is an inherited neuropathy that presents two main forms - type 1 and type 2 -, differentiated by the speed of the nervous conduction. Our goal was to assess sleep in Charcot-Marie-Tooth disease and its relationship with pain perception and nocturnal cramps. Material and Methods: This was a case-control study. The case group was composed of 10 volunteers diagnosed with the type 1 and 23 with the type 2. The control group was composed of 22 individuals from the same family matched by age and gender. Volunteers underwent clinical screening to assess the presence of nocturnal cramps and filled the brief pain inventory, the Chalder fatigue scale, the Epworth sleepiness scale, and the Pittsburgh sleep quality index. Sleep was evaluated by actigraphy. Results: Type 2 patients presented a more severe perception of pain and fatigue, more time spend awake after sleep onset, and had lower sleep efficiency. The individuals who reported nocturnal cramps also had worse perception of pain, reduced sleep latency, and increased sleep fragmentation. Conclusion: The Charcot-Marie-Tooth type 2 was related with worse sleep quality, perception of pain, and fatigue and these parameters were negatively related

Effectiveness of a specific physical therapy program for Charcot-Marie-Tooth on sleep quality, pain perception, and nocturnal cramps: a pilot study

Introduction: Chronic pain, nocturnal cramps, and sleep alterations are prevalent symptoms and signals in Charcot-Marie-Tooth disease patients. Sleep and pain are bidirectionally related and physical therapy can improve the binomial sleep and pain/nocturnal cramps. Therefore, we hypothesized that the application of a specific physical therapy program for Charcot-Marie-Tooth disease would improve sleep quality, pain perception, and nocturnal cramps. Material and Methods: A non-randomized controlled study that included 9 Charcot-Marie-Tooth disease patients (intervention group - physical therapy program) and 8 controls (active control group - booklet on sleep hygiene). The intervention lasted 8 weeks, three sessions per week. The effects were evaluated ten days before (baseline) and ten days after the intervention (post). Our primary outcome was sleep quality (subjective and objective, assessed by Pittsburgh sleep quality index and actigraphy, respectively); and secondary outcomes were pain perception (brief pain inventory) and nocturnal cramps (self-report). Results: The program was able to improve the subjective sleep quality (p=0.005) and nocturnal cramps (p0.05) neither on pain perception (p>0.05). Conclusion: Our initial hypothesis was partially corroborated: the improvement in subjective quality of sleep and nocturnal cramps is already beneficial for the health promotion of the volunteers in this study affected by the disease. Our findings may serve as a basis for future research to develop a program focused on the treatment of analgesia, which can improve pain perception and alter the objective quality of sleep