Qualidade de vida na hiperidrose: uma reflexão da literatura para o campo da Terapia ocupacional / Quality of life in hyperidrosis: a reflection of literature for the field of Occupational Therapy / Calidad de vida en hiperidrosis: reflexión de la literatura para el campo de la Terapia Ocupacional

ntrodução: A hiperidrose primária é uma condição caracterizada pela excessiva produção de suor. É considerada uma disfunção crônica que atinge aproximadamente 1% da população mundial. Não possui origem conhecida, mas está ligada à hiperatividade do sistema nervoso simpático. Objetivo: Compreender, através da literatura, quais os impactos gerados pela hiperidrose no que se refere à qualidade de vida dos sujeitos acometidos e relacionar os aspectos da qualidade de vida com as ocupações dos mesmos, tendo o terapeuta ocupacional como possível membro integrante da equipe multiprofissional na atenção aos sujeitos comprometidos com hiperidrose. Método: Levantamento bibliográfico de publicações periódicas nas bases de dados BVS, Scielo e Google Acadêmico, artigos completos em português e espanhol. Resultados: Foram encontrados um total de 50 artigos, destes, 19 artigos permaneceram após a leitura na íntegra. A maioria dos relatos sobre a qualidade de vida dos sujeitos com hiperidrose é referida ou está atrelada a algum procedimento médico, sendo escassos estudos de outras áreas profissionais. Quanto à atuação terapêutica ocupacional junto à sujeitos com hiperidrose, não encontramos citações. Conclusão: O estudo demonstrou que os impactos gerados podem ser atribuídos às dificuldades no desempenho de atividades cotidianas, além de afetar aspectos emocionais dos sujeitos, interferindo em suas relações pessoais, na participação social e nas atividades de autocuidado. Sugere-se o desenvolvimento de pesquisas no âmbito da Terapia Ocupacional, para o fomento de debates que promovam aprimoramento técnico da profissão na assistência a pacientes com hiperidrose.(AU) Palavras-chave: Hiperidrose. Qualidade de Vida. Terapia Ocupacional. Atividades Cotidianas. Ocupações.

Introduction: Primary hyperhidrosis is a condition characterized by excessive sweat production. It is considered a chronic dysfunction that affects approximately 1% of the world population. It has no known origin but is linked to hyperactivity of the sympathetic nervous system. Objective: To understand through the literature the impacts generated by hyperhidrosis about the quality of life of the affected and to relate the aspects of quality of life with their occupations, having the occupational therapist as a possible integral member of the multiprofessional team in dealing with problems committed to hyperhidrosis. Method: Bibliographic survey of periodical publications in the BVS, Scielo and Google Scholar databases, complete articles in Portuguese and Spanish. Results: A total of 50 articles were found, of these, 19 articles remained after reading them in full. Most reports on the quality of life of subjects with hyperhidrosis are referred to or linked to some medical procedure, with few studies from other professional areas. As for the occupational therapeutic performance with subjects with hyperhidrosis, we did not find any citations. Conclusion: The study demonstrated that the impacts generated can be attributed to difficulties in the performance of daily activities, in addition to affecting the emotional aspects of the subjects, interfering in their personal relationships, in social participation and in self-care activities. We suggest the development of research in the context of Occupational Therapy, to encourage debates that promote technical improvement of the profession in assisting patients with hyperhidrosis.(AU) Keywords: Hyperhidrosis. Quality of Life. Occupational Therapy. Activities of Daily Living. Occupations.

Introdución: La hiperhidrosis primaria es una condición caracterizada por una producción excesiva de sudor. Se considera una disfunción crónica que afecta aproximadamente al 1% de la población mundial. No tiene un origen conocido, pero está relacionado con la hiperactividad del sistema nervioso simpático. Objetivo: Comprender, a través de la literatura, los impactos que genera la hiperhidrosis en cuanto a la calidad de vida de los sujetos afectados y relacionar los aspectos de la calidad de vida con sus ocupaciones, con el terapeuta ocupacional como posible integrante de la multidisciplinariedad. equipo en la atención a sujetos comprometidos con hiperhidrosis. Método: Estudio bibliográfico de publicaciones periódicas en las bases de datos de la BVS, Scielo y Google Scholar, artículos completos en portugués y español. Resultados: Se encontraron un total de 50 artículos, de estos, quedaron 19 artículos después de leerlos íntegramente. La mayoría de los informes sobre la calidad de vida de los sujetos con hiperhidrosis están referidos os vinculados a algún procedimiento médico, con pocos estudios de otras áreas profesionales. En cuanto al desempeño terapéutico ocupacional con sujetos con hiperhidrosis, no encontramos citas. Conclusión: El estudio demostró que los impactos generados pueden atribuirse a dificultades en el desempeño de las actividades diarias, además de afectar los aspectos emocionales de los sujetos, interfiriendo en sus relaciones personales, participación social y actividades de autocuidado. Sugerimos el desarrollo de investigaciones en el contexto de la Terapia Ocupacional, para fomentar debates que promuevan la mejora técnica de la profesión en la asistencia a pacientes con hiperhidrosis.(AU) Palabras clave: Hiperhidrosis. Calidad de vida. Terapia ocupacional. Actividades diarias. Ocupaciones.

Effectiveness of Nighttime Orthoses in Controlling Pain for Women With Hand Osteoarthritis: A Randomized Controlled Trial.

IMPORTANCE: Hand osteoarthritis is a musculoskeletal problem that is associated with hand pain, stiffness, functional limitation, decreased grip strength, and reduced quality of life. OBJECTIVE: To evaluate the effectiveness of nighttime orthoses on the second or third finger of the dominant hand in controlling pain in women with symptomatic osteoarthritis (OA) in the interphalangeal joint. DESIGN: Randomized controlled trial. SETTING: Outpatient clinic. PARTICIPANTS: Fifty-two women with symptomatic OA and presence of Heberden's and Bouchard's nodes, allocated randomly to the intervention group or the control group. INTERVENTION: The intervention group used a nighttime orthosis on the second or third finger of the dominant hand. Both groups participated in an educational session. OUTCOMES AND MEASURES: The following parameters were measured: pain (numerical rating scale, Australian/Canadian Osteoarthritis Hand Index), grip and pinch strength, function (Cochin Hand Functional Scale), and manual performance (Moberg Pick Up Test). RESULTS: The intervention group showed a statistically significant improvement in pain (p < .001) and hand function. The improvement in pain correlated with Cochin Hand Functional Scale scores and the absence of Bouchard's nodes in the third finger, which are predictors of the best prognosis for treatment with a nighttime orthosis. CONCLUSIONS AND RELEVANCE: This study demonstrates that nighttime orthoses are effective in reducing pain and lead to improvement in hand function in women with hand OA. They are therefore specifically recommended for nonpharmacological treatment of hand OA. WHAT THIS ARTICLE ADDS: Orthoses can be considered, together with manual exercises and joint protection, as an intervention to reduce symptoms and improve hand function in people with hand OA. This study is an important step in empowering occupational therapists to determine appropriate and effective intervention for clients with OA.

Moberg Picking-Up Test in patients with hand osteoarthritis.

STUDY DESIGN: Clinical measurement. INTRODUCTION: The Moberg Pick-up Test (MPUT) was previously used to evaluate functional performance in patients with hand inflammatory disease. This is the first study using the MPUT in hand osteoarthritis (OA). PURPOSE OF THE STUDY: Compare the functional performance (MPUT) in hand OA patients and healthy controls. METHODS: Fifty hand OA patients and 50 controls were assessed using the MPUT, AUSCAN and Cochin questionnaires, grip and pinch strength, pain using a visual analog scale and a Likert scale regarding difficulty to perform MPUT. RESULTS: In the MPUT evaluation, the OA group presented a statistically significant difference from the control group. The OA group spent more time executing test. The grip and pinch strength measurements showed higher values for the control group. The OA group reported a greater difficulty than the control group in performing the test. CONCLUSION: The MPUT is a short and easy to apply test, which can be safely used to assess the functional performance of the hand OA. LEVEL OF EVIDENCE: II.

Assessment of light touch sensation in the hands of systemic sclerosis patients.

INTRODUCTION: Systemic sclerosis is a relatively rare connective tissue disorder characterized by severe and progressive fibrosis of the skin. Due to the current lack of available information on this subject, the aim of the present study was to assess light touch sensations in the hands of patients with systemic sclerosis. METHODS: We completed a cross-sectional comparative study. Light touch sensations were evaluated in 30 individuals, including 15 patients with systemic sclerosis who exhibited changes in the dermis of their hands without loss of the distal phalanx and 15 subjects who did not exhibit changes in the upper limbs (control group). The groups were age- and sex-matched. Tactile sensory evaluations were performed using the Semmes-Weinstein monofilament test and the two-point discrimination test. RESULTS: Statistically significant differences were found between groups in the monofilament test. The study group had lower scores across all points of the hand when compared with the control group. Differences were also found when dominant and non-dominant hands were compared (p<0.05). Statistically significant differences were found between groups for a subset of the assessed points in the two-point discrimination test. CONCLUSIONS: The results of a monofilament test showed that tactile sensation, specifically light touch and deep pressure sensations, is altered in the hands of systemic sclerosis patients.

Assessment of light touch sensation in the hands of systemic sclerosis patients

INTRODUCTION: Systemic sclerosis is a relatively rare connective tissue disorder characterized by severe and progressive fibrosis of the skin. Due to the current lack of available information on this subject, the aim of the present study was to assess light touch sensations in the hands of patients with systemic sclerosis. METHODS: We completed a cross-sectional comparative study. Light touch sensations were evaluated in 30 individuals, including 15 patients with systemic sclerosis who exhibited changes in the dermis of their hands without loss of the distal phalanx and 15 subjects who did not exhibit changes in the upper limbs (control group). The groups were age- and sex-matched. Tactile sensory evaluations were performed using the Semmes-Weinstein monofilament test and the two-point discrimination test. RESULTS: Statistically significant differences were found between groups in the monofilament test. The study group had lower scores across all points of the hand when compared with the control group. Differences were also found when dominant and non-dominant hands were compared (p<0.05). Statistically significant differences were found between groups for a subset of the assessed points in the two-point discrimination test. CONCLUSIONS: The results of a monofilament test showed that tactile sensation, specifically light touch and deep pressure sensations, is altered in the hands of systemic sclerosis patients. .

Effectiveness of a night-time hand positioning splint in rheumatoid arthritis: a randomized controlled trial.

OBJECTIVE: To evaluate the effectiveness of a night-time hand positioning splint in patients with rheumatoid arthritis. DESIGN: Randomized controlled trial. METHODS: Fifty patients with rheumatoid arthritis were divided randomly into 2 groups. The study group used a night-time splint starting at baseline, while the control group used the splint only during evaluations. All patients attended evaluations wearing their splints, so that the assessor remained blinded to patient allocation. The splints used in the control group were stored in a cabinet between assessments. Participants were evaluated at baseline, 45 and 90 days, using the visual analogue scale for pain; the Jamar dynamometer for grip strength; a pinch gauge for pinch strength; a Health Assessment Questionnaire for function; the Disability of the Arm, Shoulder and Hand (DASH) questionnaire for upper limb disability and symptoms; and a Likert scale for patient satisfaction with treatment. RESULTS: The groups were homogenous for all parameters at baseline. Pain, Health Assessment Questionnaire score, DASH score, grip strength and pinch strength were significantly different between groups over time and satisfaction with the splint was reported as "better" and "much better" by most participants. CONCLUSION: The use of a night-time hand positioning splint reduces pain, improves grip and pinch strength, upper limb function and functional status in patients with rheumatoid arthritis.

Functional thumb orthosis for type I and II boutonniere deformity on the dominant hand in patients with rheumatoid arthritis: a randomized controlled study.

OBJECTIVE: To evaluate the effectiveness of a functional thumb orthosis on the dominant hand of patients with rheumatoid arthritis and boutonniere thumb. METHODS: Forty patients with rheumatoid arthritis and boutonniere deformity of the thumb were randomly distributed into two groups. The intervention group used the orthosis daily and the control group used the orthosis only during the evaluation. Participants were evaluated at baseline as well as after 45 and 90 days. Assessments were preformed using the O'Connor Dexterity Test, Jamar dynamometer, pinch gauge, goniometry and the Health Assessment Questionnaire. A visual analogue scale was used to assess thumb pain in the metacarpophalangeal joint. RESULTS: Patients in the intervention group experienced a statistically significant reduction in pain. The thumb orthosis did not disrupt grip and pinch strength, function, Health Assessment Questionnaire score or dexterity in either group. CONCLUSION: The use of thumb orthosis for type I and type II boutonniere deformities was effective in relieving pain.