OCCURRENCE OF PAIN AND MUSCLE WEAKNESS IN POSTOPERATIVE PATIENTS WITH LOWER LIMB TRAUMA IN A HOSPITAL IN NORTH-CENTRAL GOIÂNIA
Palavras-chave:
Postoperative pain, Muscle strength, Pain measurement, RehabilitationResumo
Postoperative pain is common and can delay recovery, impacting quality of life. Correct identification is crucial to avoid complications such as chronic pain and disability. Early mobilization helps preserve muscle strength (MS), but inadequate pain management can prolong rehabilitation. Thus, this study aimed to analyze the occurrence of pain and its association with muscle weakness in volunteers in the immediate postoperative period (PP) of lower limbs (LL) at a referral hospital in north-central Goiás. This is a cross-sectional study that investigated the relationship between pain intensity and muscle weakness, using the Visual Analog Scale (VAS) and the Medical Research Council (MRC) Muscle Strength Rating Scale, respectively, in postoperative patients with LLT in a hospital in north-central Goiás. A total of 92 volunteers were surveyed, with a mean age of 39.18 (+11.28) years, of whom 68.5% were male and 31.5% female. When stratified, the occurrence of pain was 59.8% mild, 32.6% moderate, and 7.6% severe. The analysis revealed that 46.9% of patients had significant weakness in the lower limbs. Although the average age was higher in the group with weakness, this difference was not significant (p = 0.142), indicating that factors other than age may influence muscle weakness in the postoperative period of lower limb trauma. The high prevalence of muscle weakness has important clinical implications, suggesting the need for future studies to explore other contributing factors.
Referências
ÅSTRÖM, M. et al., Use of the visual analogue scale for health state valuation: a scoping review. Quality Of Life Research, [S.L.], v. 32, n. 10, p. 2719-2729, Apr. 7, 2023. Available at: http://dx.doi.org/10.1007/s11136-023-03411-3. Accessed on: Feb. 29, 2024.
FERRAZ, A.. et al.,. Hip morphology and its relationship with hip strength, mobility and lower limb biomechanics: a systematic review in adults. Revista Brasileira de Cineantropometria & Desempenho Humano, [S.L.], v. 22, p. 1-17, Feb. 2020. FapUNIFESP (SciELO). Available at: http://dx.doi.org/10.1590/1980-0037.2020v22e67085. Accessed on: Jan. 12, 2024.
FERRER-PEÑA, R.; MUÑOZ-GARCÍA, D.; CALVO-LOBO, C.; FERNÁNDEZ-CARNERO, J. Pain expansion and severity reflect central sensitization in primary care patients with greater trochanteric pain syndrome. Pain Medicine, v. 20, n. 5, p. 961-970, 2019. DOI: 10.1093/pm/pny199. Available at: https://pubmed.ncbi.nlm.nih.gov/30312451/. Accessed on: Mar. 1, 2024.
FYFE, J. J.; HAMILTON, D. L.; DALY, R. M. Minimal dose resistance training to improve muscle mass, strength, and function: a narrative review of the current evidence and practical consider . Sports Medicine, v. 52, p. 463–479, 2022. Available at: https://doi.org/10.1007/s40279-021-01605-8. Accessed on: Aug. 27, 2024
HENRIKSEN, M. et al., Experimental knee pain reduces muscle strength. The Pain Journal: Official Journal of the American Pain Society, v. 12, n. 4, p. 460-467, 2011. Available at: https://doi.org/10.1016/j.jpain.2010.10.004. Accessed on: Aug. 26, 2024.
KIPER, P. et al., Does the Score on the MRC Strength Scale Reflect Instrumented Measures of Maximal Torque and Muscle Activity in Post-Stroke Survivors? Sensors, [S.L.], v. 21, n. 24, p. 8175, Dec. 7, 2021. MDPI AG. Available at: http://dx.doi.org/10.3390/s21248175. Accessed on: Jan. 17, 2024.
KORTLEVER, J. T. P. et al., Using the Tampa Scale for Kinesiophobia Short Form in Patients With Upper Extremity Specific Limitations. Hand, [S.L.], v. 16, n. 6, p. 847-853, Jan. 22, 2020. SAGE Publications. Available at: http://dx.doi.org/10.1177/1558944719898830. Accessed on: Jan. 11, 2024.
LANFREDINI, R.; CIPRIANI, L. The experience of pain and its ontological modeling from a philosophical point of view: Phenomenological description and ontological revision of the McGill Pain Questionnaire. Journal of Evaluation in Clinical Practice, p. 1211-1221, June 26, 2023. Accessed on: Dec. 3, 2023.
LIN, Chiao-Ling et al., Effect of Music Therapy on Pain After Orthopedic Surgery ‐A Systematic review and Meta‐Analysis. Pain Practice, v. 20, n. 4, Nov. 30, 2019. Accessed on: Mar. 17, 2024.
SZULC, P. Impact of Bone Fracture on Muscle Strength and Physical Performance—Narrative Review. Current Osteoporosis Reports, [S.L.], v. 18, n. 6, p. 633-645, Oct. 8, 2020. Available at: http://dx.doi.org/10.1007/s11914-020-00623-1. Accessed on: May 28, 2024.
THIELO, L. F.; QUINTANA, L. D.; RABUSKE, M. Physiotherapy protocol based on the Perme Intensive Care Unit Mobility Score scale for critically ill patients. Assobrafir Ciência, [S.L.], v. 11, n. 1, p. 1-6, Jan. 2021. Brazilian Association of Cardiorespiratory Physiotherapy and Physiotherapy in Intensive Care. Available at: http://dx.doi.org/10.47066/2177-9333.ac.2020.0009. Accessed on: Jan. 5, 2024.
