Azevedo, Valderilio Feijó; Müller, Carolina de Souza; Rinaldi, Luciane; Bredt, Murilo Cézar; Giovanni, Karizianni; Pereira, MarcelaAbou Chami; VoIaco, Fernanda Copabianco
April 2009
Acta Reumatológica Portuguesa;2009, Vol. 34 Issue 2, p228
Academic Journal
Introduction: Systemic Sclerosis (SSc) is an inflammatory disease that decreases functional capacity through muscular atrophy, skin sclerosis and loss of joint function. Scleroderma patients suffer from movement's restriction. In addition, the disease affects the nutritional status, compromising the quality of life in varying degrees. The gastrointestinal involvement appears to be the main responsible for the nutritional impairment. Objective: To evaluate the physical and nutritional status of patients with SSc. Methods: We conducted a cross-sectional and descriptive study in 20 patients with SSc. All patients were evaluated in Physioteraphy Clinic of the Catholic University of Paraná, from July 2003 to April 2004. The evaluation was performed by Bioimpedance Body (BIA), the questionnaires Nutritional Risk Assessment (Determine), Mini Nutritional Assessment of Aging and Health Assessment Questionnaire (HAQ) and Visual Analogue Scale (VAS) for pain. The work muscle ability was assessed by measuring the peak torque of flexor and extensor muscles of the elbow in the isokinetic dynamometer Cybex Norm® model 7000. We have calculated the mean and standard deviation for each variable analyzed, in addition to the percentage of peak torque deficit. Results: The values of the VAS ranged from zero to 97.8 mm (mean: 48.9 ± 32.9 mm). The HAQ scores ranged from zero to 2.75 (average: 0.95 ± 0.8). The average BMI was 22.4 ± 3.9kg/m2. The average deficit of mass was: 1.3 ± 2.1 kg. Ten patients had high nutritional risk. 1 patient was malnourished and 15 were at high risk for malnutrition. The average peak torque to the muscle groups of elbows was 19.2 ± 5 N / m to the flexor and 21.9 ± 6.6 N/m for the extensors, with an average deficit of 17% and 13% for the both groups. Conclusions: We found that SSc patients were in poor nutritional status and had decreased functional and physical capacity by the weakening of the muscles of the elbow demonstrated by the isokinetic evaluation. We concluded that our SSc patients were at high risk for malnutrition and this may indicate that scleroderma patients need a better nutritional orientation. We do consider that SSc patients also must be included in physical activity programs in order to achieve better physical performance.


Related Articles

  • Cross-cultural adaptation and validation of the Brazilian version of the Scleroderma Health Assessment Questionnaire (SHAQ). Rocha, Luiza; Marangoni, Roberta; Sampaio-Barros, Percival; Levy-Neto, Mauricio; Yoshinari, Natalino; Bonfa, Eloisa; Steen, Virginia; Kowalski, Sergio // Clinical Rheumatology;May2014, Vol. 33 Issue 5, p699 

    The Scleroderma Health Assessment Questionnaire (SHAQ) is a feasible multisystem specific tool that has been extensively used as an additional assessment for systemic sclerosis (SSc). The aim of this study is to cross-culturally adapt and validate the Brazilian version of the SHAQ. Construct...

  • Severe gastrointestinal involvement in systemic sclerosis. Plastiras, Sotiris C.; Tzivras, Michael; Vlachoyiannopoulos, Panayiotis G. // Clinical Rheumatology;Jun2007, Vol. 26 Issue 6, p1025 

    Gastrointestinal tract (GIT) is the most common organ system involved in systemic sclerosis (SSc). GIT involvement is mainly attributed to GIT dismobility and wide mouth diverticular. GIT involvement in SSc can be also severely debilitating and even life threatening. To our knowledge, the...

  • Efficacy of Low Level Laser Therapy After Hand Flexor Tendon Repair. Ayad, K. E.; El Gohary, H. M.; Elrahman, M. Abd; El Mejeed, S. F. Abd; Bekheet, A. B. // AIP Conference Proceedings;9/27/2009, Vol. 1172 Issue 1, p133 

    Flexor tendon injury is a common problem requiring suturing repair followed by early postoperative mobilization. Muscle atrophy, joint stiffness, osteoarthritis, infection, skin necrosis, ulceration of joint cartilage and tendocutaneous adhesion are familiar complications produced by prolonged...

  • The Italian version of the Mouth Handicap in Systemic Sclerosis scale (MHISS) is valid, reliable and useful in assessing oral health-related quality of life (OHRQoL) in systemic sclerosis (SSc) patients. Maddali Bongi, S.; Del Rosso, A.; Miniati, I.; Galluccio, F.; Landi, G.; Tai, G.; Matucci-Cerinic, M. // Rheumatology International;Sep2012, Vol. 32 Issue 9, p2785 

    In systemic sclerosis (SSc), mouth and face involvement leads to problems in oral health-related quality of life (OHRQoL). Mouth Handicap in Systemic Sclerosis scale (MHISS) is a 12-item questionnaire specifically quantifying mouth disability in SSc, organized in 3 subscales. Our aim was to...

  • Anorectal motility and sensation abnormalities and its correlation with anorectal symptoms in patients with systemic sclerosis: a preliminary study. Sallam, Hanaa S.; McNearney, Terry A.; Chen, Jiande Z. // ISRN Gastroenterology;2011, Special section p1 

    Gastrointestinal (GI) hypomotility and symptoms are common in Scleroderma (SSc) patients yet so far uncorrelated. Eight SSc patients and matched controls were queried about their GI dysmotility symptoms and quality of life (QoL) and underwent anorectal motility and sensory tests. Specific...

  • Functioning and health-related quality of life in Chinese patients with systemic sclerosis: a case-control study. Chan, P.; Mok, C.; Chan, K.; Ho, L. // Clinical Rheumatology;May2014, Vol. 33 Issue 5, p659 

    The objective of the study was to study the functioning and health-related quality of life (HRQoL) in patients with systemic sclerosis (SSc) and its associated factors. Consecutive SSc patients and an equal number of age- and gender-matched healthy controls were recruited for the assessment of...

  • Malnutrition-Sarcopenia Syndrome: Is This the Future of Nutrition Screening and Assessment for Older Adults? J. Vandewoude, Maurits F.; Alish, Carolyn J.; Sauer, Abby C.; Hegazi, Refaat A. // Journal of Aging Research;2012, p1 

    Malnutrition is common across varying patient populations, particularly older adults, and sarcopenia prevalence increases with advancing age. Both malnutrition and sarcopenia are associated with substantial adverse outcomes affecting both the patient and the healthcare system, including...

  • Fatigue: an overlooked determinant of physical function in scleroderma. S. B. Sandusky; L. McGuire; M. T. Smith; F. M. Wigley; J. A. Haythornthwaite // Rheumatology;Feb2009, Vol. 48 Issue 2, p165 

    Objectives. To examine the frequency and correlates of fatigue and its impact on physical and social functioning in patients with scleroderma, and to investigate whether fatigue mediates an association between pain and physical function. Methods. One hundred and seven scleroderma patients...

  • Abstracts. Levine, David // Physical Therapy;Feb1996, Vol. 76 Issue 2, p198 

    Presents a summary of the study `Concentric and Eccentric Strength of Trunk Muscles: Influence of Test Postures on Strength and Characeristics of Patients with Chronic Low-Back Pain,' by O. Shirado, T. Ito, K. Kaneda, et al, from the `Arch. Phys. Med. Rehabil.' 1995 issue.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics