RESUMO
INTRODUCTION: Increased demands on the upper extremities (UE) have been associated with a higher occurrence of musculoskeletal pain in individuals with spinal cord injury (SCI). STUDY DESIGN: This is a cross-sectional retrospective study. OBJECTIVE: The aim of this study was to characterize SCI subjects with musculoskeletal pain in the UE and to determine which variables could predict musculoskeletal pain in these individuals. SETTING: The study was conducted in SARAH Network of Rehabilitation Hospitals, Brasília, Brazil. METHODS: Five hundred sixty-four electronic medical records were investigated through a retrospective, exploratory and descriptive analysis to identify individuals with UE pain. A logistic regression model was applied to estimate (odds ratios) whether gender, age, the level of injury, severity of injury, time of injury, body mass index, type of mobility and locomotion aid could predict the occurrence of musculoskeletal pain. RESULTS: The prevalence of musculoskeletal pain in the UE was 27.7%. The odds of having musculoskeletal pain were two times higher among woman and tetraplegic patients; those over 41 years of age had twice the frequency of pain than did those <24.7 years; <1 year of injury was a predictor of musculoskeletal pain, compared with the other quartiles (1.1-2.8, 2.9-6.8 and 6.9+ years of injury). There were no differences between the wheelchair and ambulatory individuals. CONCLUSION: Female individuals, those with tetraplegia, aged >40 years and <1 year of injury showed an increased risk of musculoskeletal pain.
Assuntos
Artralgia/diagnóstico , Artralgia/epidemiologia , Quadriplegia/epidemiologia , Traumatismos da Medula Espinal/diagnóstico , Traumatismos da Medula Espinal/epidemiologia , Extremidade Superior , Adolescente , Adulto , Distribuição por Idade , Idoso , Brasil/epidemiologia , Causalidade , Comorbidade , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/estatística & dados numéricos , Prevalência , Prognóstico , Quadriplegia/psicologia , Reprodutibilidade dos Testes , Estudos Retrospectivos , Medição de Risco/métodos , Sensibilidade e Especificidade , Distribuição por Sexo , Adulto JovemRESUMO
Following the accidental finding of inclusion bodies similar to Anaplasma platys in a stained blood smear from a cat, DNA analysis of the 16S rRNA gene was performed and 100 percent identity was found with different strains of A. platys. These data confirm that cats are susceptible to parasitism by A. platys.
Assuntos
Animais , Gatos , Infecções por Anaplasmataceae , Anaplasma/genética , Anaplasmataceae/genética , Técnicas e Procedimentos Diagnósticos , DNA , Gatos , Métodos , Métodos , VirulênciaRESUMO
Following the accidental finding of inclusion bodies similar to Anaplasma platys in a stained blood smear from a cat, DNA analysis of the 16S rRNA gene was performed and 100% identity was found with different strains of A. platys. These data confirm that cats are susceptible to parasitism by A. platys.
