Azevêdo da Costa F, Araujo da Silva D L, da Rocha V M
Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Post-Graduate Program in Health Sciences, Petropolis, Brazil.
Rev Neurol. 2006;42(10):591-5.
Most patients who suffer a cerebrovascular accident (CVA) belong to the adult-elderly age group. Thus, such patients are likely to display a certain degree of functional compromise as a result of the natural process of aging, regardless of whether they have suffered a CVA or not. AIM. To examine the functional condition of patients with CVA, as well as that of healthy individuals who have never suffered a stroke.
An analytical cross-sectional study was conducted with a control group made up of 82 individuals -41 of whom were CVA patients (G1) and 41 were individuals with no history of CVA (G2)-. These subjects were paired according to sex, age and educational level.
The sample was predominantly made up of females (60%), who were married (70%), with ischaemic CVA (70%), in the right hemisphere of the brain (56%) and with a primary education (36%). The prevalence rate of patients with severe functional impairment was 58.53%, whereas in the control group there were no subjects with this level of deficiency. A relationship was found to exist (p < 0.05) between the functional condition and the variables age and causation of CVA for G1, and also between the functional condition and the variable age for the individuals in G2, which indicates that functional compromise is greater in more elderly subjects.
Findings suggest that the functional compromise of patients with CVA is higher than that of individuals with no history of CVA with the same sex, age and educational level. This clearly shows that there is an association between CVA and functional impairment in these patients.
大多数脑血管意外(CVA)患者属于中老年年龄组。因此,这类患者无论是否发生过CVA,都可能因自然衰老过程而出现一定程度的功能受损。目的:研究CVA患者以及从未发生过中风的健康个体的功能状况。
进行了一项分析性横断面研究,对照组由82名个体组成,其中41名是CVA患者(G1组),41名是无CVA病史的个体(G2组)。这些受试者根据性别、年龄和教育水平进行配对。
样本主要由女性(60%)组成,她们已婚(70%),患有缺血性CVA(70%),病变位于右脑半球(56%),接受小学教育(36%)。严重功能障碍患者的患病率为58.53%,而对照组中没有达到这种缺陷水平的受试者。发现G1组的功能状况与年龄和CVA病因变量之间存在关系(p < 0.05),G2组个体的功能状况与年龄变量之间也存在关系,这表明年龄越大的受试者功能受损越严重。
研究结果表明,在性别、年龄和教育水平相同的情况下,CVA患者的功能受损程度高于无CVA病史的个体。这清楚地表明这些患者的CVA与功能障碍之间存在关联。