Classificação internacional de funcionalidade (CIF) em pessoas com dor neuropática secundária à lesão medular

Abstract

Introduction. The spinal cord injury is a condition in the which the individual" loses " certain functions, more not could exercise thern in the same way that previously to the lesion, for that they acquire incapacities, that are limitations that restrict your participation in the daily activities. Besides the motor and sensitivo compromising they still possess complications that, among them, the neuropathic pain is one of the most significant. This study is structured in agreement with the National Prograrn of Human Rights and through the use of universal meas onality, it makes possible larger exchange in the researches, so much national, as International, as well as it subsidizes the elaboration of publíc politics. ' 1 To classify the people's functionality with neuropathic pain secondary 10 tne spinal cord injury, to compare the people's functionality with and without associated pain and to identify the characteristics and intensity of the neuropathic pain. tVlateríais and rnethods: It is a traverse research, developed with 109 people with spinal cord injury assisted in three Institutions of Health of the city of Curitiba - Paraná. For the collection of data they were used the International Classification of Functionality - ICF, summarized version, DN4 anel the Analogical Visual Scale. The treatment of the data had as basic objective the cornparison among patient with lesion medular, with and without neuropathic pain associated. Results: Of the 109 studied patients, 25 (22,9%) did they have neuropathic pain. The individuais more reached by the pain they were the one of the masculine sex, with age below 40 years, single or married, retired, with fundamental teaching, paraplegic in with time of lesion between an and five years. With relationship to the intensity of the pain, the result was that 68% of the patients with neuropathic pain characterize it as strong the intense, with superior value to five in the Analogical Visual Scale. The most comrnon descriptions were burning and electric shock. The patients bearers of neuropathic pain secondary to the spinal cord injury possess larger compromising of the functionality, mainly in the domains Function of the Bocly and Activities and Participation. In the dornain Functions of the Body the most important categories show that the people with pain have less energy (p=0,0000) for the daily activities, they possess more sleep alterations (p~0,0000), emotional disturbances (p=0,0000), bowel alterations (p=0,0277) anel blaclder (p=0,0395), as well as they present more espasticity (p=0,0013), mainly in lower limbs. Already in the dornain Activities and Participation the more categories affect, when comparecí with the people with spinal cord injury, however without associated neuropathic pain, they are the bath (p-0,0002), toiiet (p~-0,0022) and clothes (p=-0,0000). Besides, the people with pain also have more difficulties in your selfcare (p-0,0000), in the domestic tasks (p=0,0001) and in the leisure activities (p-0,0000). In the dornain of Environrnental Factors, it is noticed that tnere was not many significant categories, what suggests that those peopled difficulties resemble each other the one ofthe wheelchair as a whole, with or without associated pain. However, two categories stand out as barriers: the climate (p=0,0000) and the support and friencls' attitude (p=0,0000) the lesion medular is a serious situation that takes day by clay to deficiencies and severa! difficulties in the of the person that rieecls to live together with this new " life stvle ". The neuropathic pain is present in many of those patient ones and your intensity is intense in most of the cases. The people's functionality, in this case, is very smaller, mainly in relatíon to social aspects and you move.