Arquivos de Neuro-Psiquiatria, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(08): 509-514
DOI: 10.1590/0004-282X20170088

ARTICLES

The relationship between motor function, cognition, independence and quality of life in myelomeningocele patients

Relação entre função motora, cognição, independência funcional e qualidade de vida em pacientes com mielomeningocele

Carolina Lundberg Luz

¹Universidade de São Paulo, Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Ciências da Comunicação e Terapia Ocupacional, São Paulo SP, Brasil;

,

Maria Clara Drummond Soares de Moura

¹Universidade de São Paulo, Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Ciências da Comunicação e Terapia Ocupacional, São Paulo SP, Brasil;

,

Karine Kyomi Becker

¹Universidade de São Paulo, Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Ciências da Comunicação e Terapia Ocupacional, São Paulo SP, Brasil;

,

Rosani Aparecida Antunes Teixeira

²Universidade de São Paulo, Instituto de Psicologia, São Paulo SP, Brasil.

,

Mariana Callil Voos

¹Universidade de São Paulo, Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Ciências da Comunicação e Terapia Ocupacional, São Paulo SP, Brasil;

,

Renata Hydee Hasue

¹Universidade de São Paulo, Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Ciências da Comunicação e Terapia Ocupacional, São Paulo SP, Brasil;

› Institutsangaben

ABSTRACT

Motor function, cognition, functional independence and quality of life have been described in myelomeningocele patients, but no study has investigated their relationships. We aimed to investigate the relationships between motor function, cognition, functional independence, quality of life, age, and lesion level in myelomeningocele patients, and investigate the influence of hydrocephalus on these variables. We assessed 47 patients with the Gross Motor Function Measure (motor function), Raven’s Colored Progressive Matrices (cognition), Pediatric Evaluation of Disability Inventory (functional independence) and the Autoquestionnaire Qualité de vie Enfant Imagé (quality of life). Spearman’s correlation tests determined relationships between the variables. The Friedman ANOVAs determined the influence of hydrocephalus. Motor function was strongly related to mobility and lesion level, and moderately related to cognition, self-care and social function. Cognition and quality of life were moderately related to functional independence. Age correlated moderately with functional independence and quality of life. Hydrocephalus resulted in poorer motor/cognitive outcomes and lower functional independence.

RESUMO

Função motora, cognição, independência funcional e qualidade de vida foram descritos em pacientes com mielomeningocele (MMC), mas sua correlação não foi investigada. Esse estudo investigou correlações entre função motora, cognição, independência funcional, qualidade de vida, idade, nível de lesão em pacientes com MMC e a influência da hidrocefalia nessas variáveis. Quarenta e sete pacientes foram avaliados com a Medida de Função Motora Grossa, Matrizes Progressivas de Raven, Inventário de Avaliação Pediátrica de Incapacidade e Autoquestionnaire Qualité de vie Enfant Imagé. Testes de Spearman investigaram as correlações. ANOVAS de Friedman investigaram a influência da hidrocefalia. A função motora correlacionou-se fortemente com mobilidade e nível de lesão e moderadamente com cognição, auto-cuidado e função social. Cognição e qualidade de vida correlacionaram-se moderadamante com independência funcional. Idade correlacionou moderadamente com independência funcional e qualidade de vida. Hidrocefalia associou-se a piores desfechos motores/cognitivos e menor independência funcional.

meningomyelocele - quality of life - cognition

meningomielocele - qualidade de vida - cognição

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