scholarly journals Limited activity and social participation after hospital discharge from leprosy treatment in a hyperendemic area in north Brazil

2014 ◽  
Vol 17 (1) ◽  
pp. 91-104 ◽  
Author(s):  
Lorena Dias Monteiro ◽  
Carlos Henrique Alencar ◽  
Jaqueline Caracas Barbosa ◽  
Candice Cristiane Barros Santana Novaes ◽  
Rita de Cássia Pereira da Silva ◽  
...  
Keyword(s):  
Social Participation ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Activity Limitation ◽  
Cross Sectional ◽  
Dermatological Examination ◽  
Safety Awareness ◽  
North Brazil ◽  
Operational Classification

INTRODUCTION: Neural damages are among the main factors that contribute to physical disability in leprosy. Systematic monitoring using a broad physical, psychological and social approach is necessary. OBJECTIVE: The objective of this study was to characterize the limitation of activity and social participation and its correlation with disabilities and/or impairment in individuals after being discharged from a multidrug leprosy therapy. METHOD: A cross-sectional study conducted in Araguaína, state of Tocantins, which is a leprosy hyperendemic municipality. We included cases of patients who were discharged from treatment considered as cured from January 2004 to December 2009. We performed dermatological examination and applied the Screening Activity Limitation and Safety Awareness (SALSA) and social participation scales. RESULTS: We included 282 individuals (mean age: 45.8 years old). The paucibacillary operational classification was more common (170; 60.3%). The eye-hand-foot score ranged from 0 to 12 (mean: 0.7). A total of 84 (29.8%) individuals presented limited activity. A slight restriction in social participation occurred in 18 (6.3%) cases. There was a statistically significant correlation between activity limitation, age (r = 0.40; p < 0.0001) and degree of functional limitation (r = 0.54; p < 0.0001), as well as of restricted social participation, activity limitation (r = 0.56, p < 0.0001) and functional limitations (r = 0.54, p < 0.0001). CONCLUSION: Functional limitation due to leprosy had an impact on the conduct of activities and social participation after the discharge from a leprosy treatment. The association between Screening of Activity Limitation and Safety Awareness and participation scales will assist in designing evidence-based assistance measures.

scholarly journals Factors associated with activity limitation in new leprosy cases in a hyperendemic municipality in the Northeast, Brazil: a cross-sectional study

2021 ◽  
Author(s):  
Gibson Barros de Almeida Santana ◽  
Thiago Cavalcanti Leal ◽  
Leonardo Feitosa da Silva ◽  
Lucas Gomes Santos ◽  
Anderson da Costa Armstrong ◽  
...  
Keyword(s):  
Physical Disability ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Activity Limitation ◽  
Northeastern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reference Center ◽  
Factors Associated

Background: Leprosy is a neglected, chronic and infectious tropical disease, caused by Mycobacterium leprae. It presents with skin and peripheral nerves alterations, responsible for irreversible physical disabilities. Brazil is one of the main countries endemic for the disease, persisting as a public health problem; its position is the first in the world in terms of prevalence coefficient. Objectives: To analyze the magnitude and factors associated with activity limitation in new leprosy cases diagnosed in the reference center in northeastern Brazil. Methods: This is a cross-sectional study, carried out in a reference center located in the municipality of Juazeiro - Bahia, between January and June 2018, involving 50 people diagnosed with leprosy. Clinical and sociodemographic variables were collected in addition to the application of the SALSA scale (Screening of Activity Limitation and Safety Awareness) for the analysis of functional limitation. The data were structured using Microsoft Excel software and, for analysis, IBM SPSS Statistics for Windows was used. Logistic regression was used with the calculation of the Odds Ratio to identify the factors associated with functional limitation. A 95% confidence interval and a 5% significance level were adopted. Results: The presence of functional limitations was registered in 32% (n = 16) of the cases analyzed, especially female (56.3%), elderly (37.5%), low education (87.6%), dimorphic form (62.5%), multibacillary classification (75.0%) and degree 2 of physical disability (50.0%). Functional limitation was associated with: age group ≥ 45 years (OR 3.80; p = 0.047), multibacillary age (OR 4.28; p = 0.021) and OMP score ≥ 6 (OR 4.69; p = 0.041). 75% of individuals with limitations were aged ≥ 45 years and were multibacillary. Conclusions: The factors associated with functional limitation were age equal to or greater than 45 years, multibacillary classification and OMP score greater than or equal to six. Early diagnosis and timely treatment in the routine of health services can contribute to the prevention of physical disability and functional limitations.

scholarly journals Prevalencia de las limitaciones funcionales durante el envejecimiento en la población española y su relación con el índice de masa corporal (Prevalence of functional limitations during aging in a representative sample of Spanish population and its relati

Retos ◽  
2018 ◽  
pp. 200-204
Author(s):  
Raquel Leirós-Rodríguez ◽  
Vicente Romo-Pérez ◽  
Anxela Soto-Rodríguez ◽  
José L García-Soidán
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Great Difficulty ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Las Mujeres ◽  
Age Range

Objetivo: describir la prevalencia de las limitaciones funcionales y examinar las asociaciones entre IMC, edad, sexo y limitaciones funcionales. Material y Método: en este estudio transversal se emplearon los datos de 5.970 personas mayores de 65 años (rango de edad: 65-94 años) procedentes de la Encuesta Europea de Salud 2014 (EES14) realizados por el Instituto Nacional de Estadística y el Ministerio de Sanidad, Servicios Sociales e Igualdad del Gobierno español. Resultados: los datos mostraron que los hombres tenían una mejor percepción de sus limitaciones funcionales que las mujeres. En todas las variables analizadas, los hombres (sin importar la edad) reportaron menos limitaciones que las mujeres. El índice de masa corporal no obtuvo correlación significativa con el grado de limitación funcional en ninguna de las actividades evaluadas. Conclusiones: las mujeres de 75 años o más y los hombres a partir de los 85 años mostraron una gran dificultad para caminar, subir escaleras, agacharse y transportar cargas de peso medio. De hecho, la edad obtuvo correlaciones significativas con el grado de limitación funcional, al contrario que el índice de masa corporal.Abstract. Objective: to describe the prevalence of functional limitations and examine its association with BMI, age, and sex. Method: in this cross-sectional study, data from 5,970 people aged 65 and over (age range 65-94 years) was retrieved from the European Health Survey 2014 (EES14) conducted by the National Statistics Institute and the Ministry of Health, Services Social and Equality of the Spanish Government. Results: the data showed that men had a better perception of their functional limitations than women. In all variables analyzed, men (regardless of age) reported fewer limitations than women. Body mass index did not correlate significantly with the degree of functional limitation in any of the evaluated activities. Conclusions: women aged 75 years and over and men over 85 years of age showed great difficulty walking, climbing stairs, bending over, and carrying medium weight loads. In fact, age correlated significantly with the degree of functional limitation, unlike body mass index.

scholarly journals Association of Self-Reported Functional Limitations among a National Community-Based Sample of Older United States Adults with Pain: A Cross-Sectional Study

2021 ◽  
Vol 10 (9) ◽  
pp. 1836
Author(s):  
David R. Axon ◽  
Darlena Le
Keyword(s):  
United States ◽  
Medical Expenditure Panel Survey ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Medical Expenditure ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models

The characteristics of self-reported functional limitations among older United States (US) adults with pain are currently unknown. This cross-sectional study aimed to determine the characteristics associated with functional limitations among non-institutionalized older (≥50 years) US adults with pain using 2017 Medical Expenditure Panel Survey (MEPS) data. Eligible subjects were alive for the calendar year, aged ≥50 years, and experienced pain within the past four weeks. Hierarchical logistic regression models were utilized to determine significant characteristics associated with functional limitations (outcome variable; yes, no). Functional limitations included difficulty with bending, stooping, climbing stairs, grasping objects, lifting, reaching overhead, standing for long periods of time, or walking. Extrapolation of national data values was possible by adjusting for the complex MEPS design. We found approximately 22 million of the 57 million older US adults (≥50 years) who reported pain had a functional limitation in 2017. Characteristics associated with functional limitations included: gender, race, ethnicity, employment status, marital status, pain intensity, physical health, number of chronic conditions, and frequent exercise status. Knowledge of characteristics associated with functional limitations may provide an opportunity to identify and resolve gaps in patient care among this population.

scholarly journals Prevalence of Musculo-skeletal Discomfort and Level of Functional Limitations among Physiotherapists in Karachi City

2021 ◽  
pp. 445-449
Author(s):  
Nazar DEEN ◽  
Munair BADSHAH ◽  
Muhammad Omar SHAMIM
Keyword(s):  
Health Care Professionals ◽  
Physical Therapists ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Neck Disability Index ◽  
Cross Sectional Study ◽  
Patient Handling ◽  
Musculoskeletal Discomfort ◽  
Cross Sectional ◽  
Neck Disability

Introduction: Musculoskeletal discomfort is one of the most prevalent muscular pain condition hindering normal activities reported by physical therapists and health care professionals generally engaged in handling and mobilizing patients. The study was conducted to find the prevalence of musculoskeletal discomfort and level of functional limitations in physiotherapists. Method: This research was questionnaire based cross sectional study conducted in Karachi city from January to April 2019.Data collection was completed from registered physical therapists employed in different institutions. Two questionnaires were filled by the physiotherapists. Questionnaire 01, including thirteen questions on functional activities of daily life which are potentially related to functional areas of Neck Disability Index (NDI). Questionnaire 02 was based on 1987 version of Nordic musculoskeletal questionnaire. Results: Participation of 80 physical therapists in the study.75% was directly involved with patient handling and 25% were teachers. A total of 35% therapists reported 7 days symptoms prevalence with a higher prevalence in cervical (77.1%), lower back (68.6%) and upper back (51.4%).Similarly 65% workers showed previous 12 month symptoms with higher prevalence in neck (72.3%). Gender prevalence of 7days and 12 months was high in female therapist. Conclusion: It has been concluded that 12 month prevalence of musculoskeletal discomfort was 65%, whereas 7 days was 35% and level of functional limitation from activities was insignificant. Keywords: Epidemiology, musculoskeletal discomfort, Severity, Physical therapy,

scholarly journals Networks and social support and its relationship with functional limitation in Chilean older adults

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L de Albuquerque Araújo ◽  
G Icaza Noguera ◽  
C Albala Brevis
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Daily Living ◽  
Protective Factor ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Material Support

Abstract Social relationships are multifaceted and can act in many ways on physical and emotional well-being. We aim to study whether social networks and support are associated with functional limitations in Chilean older adults. Cross-sectional study with baseline of two cohort studies: the SABE cohort (born before 1940) and the Alexandros cohort (born between 1940 and 1948 from Primary Health Care centers), from Santiago. Were considered 1733 elderly. Performance variables were studied in 7 Instrumental Activity of Daily Living (IADL): preparing food, managing money, leaving home alone, making purchases, making calls, doing light housework, organizing and taking medications, and 6 basic Activities of Daily Living (ADL): bathing, dressing, use of the bathroom, transfer, continence of urine and feeding. Having difficulties or inability to perform at least 1 activity was classified with having functional limitations (FL). Social network variables were: housing arrangement and marital status; social support variable was perception of material support, company or advice. Adjustment variables were: sex, age, education, income, depression, cognitive impairment, multimorbidity. Robust Poisson Regression was performed, prevalence ratios (PR) of FL were reported (α ≤ 0.5). Living accompanied (PR 0.96; 95% CI 0.88-1.03) and being married or live as a couple (PR 0.99; 95% CI 0.85-1.6) were not significantly related to functional limitation in IADL, similar in relation to living accompanied and performance in ADL (PR 0.96; 95% CI 0.88-1.03). Married or living couples have a lower prevalence of FL in ADL (PR 0.86; 95% CI 0.81-0.92). Having material support, company or advice was associated with a higher prevalence of FL in ADL (PR 1.84; 95% CI 1.11-3.06) and in IADL (PR 2.48; 95% CI 1, 64-3.74). Being married or living as a couple in old age is a protective factor for functional limitation while having a positive perception of material support, company or advice showed to be a risk factor. Key messages Single, widowed or separated Chilean older adults are at greater risk of functional limitation, regardless of sociodemographic and health characteristics. The findings of this study should be confirmed with prospective design studies since the transversal design does not clarify the temporality of the relationship.

scholarly journals PROFILE OF PATIENTS RECEIVING TOTAL KNEE ARTHROPLASTY: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 25 (5) ◽  
pp. 202-205 ◽  
Author(s):  
MARCELO JOSÉ CORTEZ BEZERRA ◽  
IGOR MAGALHÃES BARBOSA ◽  
THALES GONÇALVES DE SOUSA ◽  
LARISSA MEIRELES FERNANDES ◽  
DIEGO LEONARDO MENEZES MAIA ◽  
...  
Keyword(s):  
Medical Records ◽  
Severe Disease ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Lequesne Index ◽  
Total Knee ◽  
Epidemiological Profile

ABSTRACT Objective: To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. Methods: Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms. Results: Females were more prevalent (76.7%), as were patients over 65 years of age (61.6%) and non-whites (81.6%). As for comorbidities, 83.3% had hypertension and 31.7% had diabetes. Of the total, 76.5% cases were genu varum, and 23.5% genu valgum. According to the Lequesne index findings, 61.6% cases were “extremely severe,” and women had higher scores. Conclusion: Females were more prevalent and whites were less prevalent. The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. Level of Evidence II, Prospective Study.

scholarly journals Social participation and self-assessment of health status among older people in Brazil

2021 ◽  
Vol 26 (2) ◽  
pp. 581-592
Author(s):  
Bruno Luciano Carneiro Alves de Oliveira ◽  
Sara Fiterman Lima ◽  
Andréa Suzana Vieira Costa ◽  
Alécia Maria da Silva ◽  
Maria Teresa Seabra Soares de Britto e Alves
Keyword(s):  
Health Status ◽  
Older People ◽  
Social Participation ◽  
Public Transportation ◽  
Positive Association ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Self Assessment ◽  
Cross Sectional ◽  
Crude Model

Abstract To estimate the prevalence of social participation (exposure) and its association with positive self-assessment of overall health status (SAH) (outcome) among 7,712 Brazilian elderly interviewed in the National Health Survey 2013. A cross-sectional study that used Propensity Score (PS) to improve comparability between the group exposed and no exposed to social participation. Poisson regression was performed to determine the prevalence and association of interest using crude and adjusted by inverse probability of selection of PS. Social participation was reported by 25.1% (CI95%: 23.4-26.9) and was lower among poor older people, who depend on public transportation and live in more precarious contexts. Most did not SAH positively, but the proportion was higher when they had social participation (48.0%; CI95%: 46.0-51.0). There was a positive association of social participation with SAH positive. The association using the adjusted model (PR: 1.15; CI95%: 1.08-1.22) attenuated the estimated in the crude model. Elderly exposed were 15% more likely to provide a positive SAH. Despite low levels in Brazil, there was a positive association between of social participation and SAH, confirming that engagement in such activities provides important gains for the health and quality of life.

Association between visual status and social participation in older Japanese: The JAGES cross-sectional study

2020 ◽  
Vol 253 ◽  
pp. 112959 ◽  
Author(s):  
Yuto Yoshida ◽  
Yoshimune Hiratsuka ◽  
Ichiro Kawachi ◽  
Akira Murakami ◽  
Katsunori Kondo ◽  
...  
Keyword(s):  
Social Participation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Visual Status

scholarly journals Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria

2011 ◽  
Vol 2011 ◽  
pp. 1-13 ◽  
Author(s):  
I. S. Abdulraheem ◽  
A. R. Oladipo ◽  
M. O. Amodu
Keyword(s):  
Physical Disability ◽  
Assessment Tool ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Sampling Technique ◽  
Female Gender ◽  
The Elderly ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Increased Risk

Background. The number of people surviving into old age is increasing, and it has now become a global phenomenon. Studies on the prevalence and correlates of physical disability and functional limitation among elderly Nigerians are scanty.Methodology. This is a community-based cross-sectional study conducted in 3 local government areas (LGAs) in Nigeria, using a multistage sampling technique. Functional limitations of 1824 elderly persons were tested using Tinetti performance-oriented mobility assessment tool (TPOMAT) and self-reported activities of daily living (ADL). ADL disability of ten, six, and five basic items were compared.Results. The prevalence ratios (PRs) of physical disability using the ten, six, and five basic ADL items were 28.3 (95% CI 25.2–31. 5), 15.7 (95% CI 13.4–19.8), and 12.1 (95% CI 9.8–15.3), respectively, while functional limitation was 22.5 (95% CI 18.1–24.4). Increased risk of disability was independently associated with female gender PR 3.6 (95% CI 1.5–7.4), advanced age ≥75 years; PR 22.2 (95% CI 14.5, 36.8), arthritis PR 3.7 (95% CI 2.6–4.6), stroke PR 4.8 (95% CI 3.7–7.9) and diabetes PR 6.1 (95% CI 4.3–7.1).Conclusions. The findings from this study are pointers to unmet needs of the elderly disabled Nigerians.

Sign in / Sign up

Export Citation Format

Share Document