The physical, social and emotional aspects are the most affected in the quality of life of the patients with cervical dystonia
Document title: The physical, social and emotional aspects are the most affected in the quality of life of the patients with cervical dystonia
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000377524
ISSN: 0004-282X
Authors: 1
1
1
2
1
Institutions: 1Universidade Federal do Parana, Hospital de Clinicas, Curitiba, Parana. Brasil
2Universidade Estadual do Oeste do Parana, Cascavel, Parana. Brasil
Year:
Season: Jun
Volumen: 72
Number: 6
Pages: 405-410
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract Objective : Describe the functional, clinical and quality of life (QoL) profiles in patients with cervical dystonia (CD) with residual effect or without effect of botulinum toxin (BTX), as well as verify the existence of correlation between the level of motor impairment, pain and QoL. Method : Seventy patients were assessed through the Craniocervical dystonia questionnaire-24 (CDQ-24) and the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Results : The greater the disability, pain and severity of dystonia, the worse the QoL (p<0.0001). Greater severity relates to greater disability (p<0.0001). Pain was present in 84% of the sample, being source of disability in 41%. The most frequent complaints were: difficulty in keeping up with professional and personal demands (74.3%), feeling uneasy in public (72.9%), hindered by pain (68.6%), depressed, annoyed or bitter (47.1%), lonely or isolated (32.9%). Conclusion : The physical, social and emotional aspects are the most affected in the QoL of these patients
Portuguese abstract Objetivo : Descrever o perfil funcional, clínico e de qualidade de vida (QV) de pacientes com distonia cervical (DC) com efeito residual ou sem efeito da toxina botulínica (BTX), bem como verificar a existência de correlação entre o nível de comprometimento motor, dor e QV. Método : Setenta pacientes foram avaliados através do Craniocervical dystonia questionnaire-24 (CDQ 24) e Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Resultados : Quanto maior a incapacidade, dor e gravidade da distonia pior a QV (p<0,0001). A maior gravidade está relacionada à maior incapacidade (p<0,0001). A dor esteve presente em 84% da amostra sendo fonte de incapacidade em 41%. Dificuldade em manter-se com as demandas profissionais e pessoais (74,3%), sentir-se desconfortável em público (72,9%), prejudicado pela dor (68,6%), deprimido, irritado ou amargurado (47,1%), solitário ou isolado (32,9%) foram as queixas mais frequentes. Conclusão : Os domínios físico, social e emocional são os mais prejudicados na QV desses pacientes
Disciplines: Medicina
Keyword: Farmacología,
Neurología,
Distonia cervical,
Tortícolis,
Dolor cervical,
Toxina botulínica,
Calidad de vida
Keyword: Medicine,
Neurology,
Pharmacology,
Cervical dystonia,
Torticollis,
Cervical pain,
Botulinum toxin,
Quality of life
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