RESUMO
BACKGROUND: Joint hypermobility is defined as a wide range of movements beyond the physiological limits, it has been recognized in healthy people, gymnasts, acrobats, and carriers of genetic affections of connective tissue. A survey among young adults was conducted to describe the frequency of joint hypermobility, estimating its impact on function and quality of life. METHODS: Volunteer university students aged 18 to 25 years old who answered a valid 5-item questionnaire about hypermobility, a physical activity questionnaire, and the Brazilian version of the Medical Outcome Survey Short Form 36 (SF-36) were included. Hypermobility was also assessed by a guided self-examination, with Beighton's criteria being scored and scores greater than or equal to 4 or less than 4 being discriminated. RESULTS: A total of 388 subjects were included, of which 299 were women (77.06%) and 89 were men (22.94%); the median age was 23 years old. Generalized joint hypermobility (Beighton score ≥ 4) was observed in 104 individuals (26.8%). Localized hypermobility (Beighton score 1-3) was observed in 135 (34.79%) individuals, where the hypermobility of the 5th finger was the most frequent in 165 (57.47%) individuals, followed by hypermobility of the thumb in 126 (32.56%) individuals, hypermobility of the elbows and knees each in 72 (18.6%) individuals, and hypermobility of the spine in 69 (17.79%) individuals. The descriptive observation of physical activity indicated regular practice. The correlation coefficients between the SF-36 domains and hypermobility scores were very low and statistical comparison not significant. CONCLUSION: In this population of youngsters, predominantly women, localized hypermobility was more frequent than generalized hypermobility; however, with low impact on health domains and quality of life scores, estimated in each domain of the SF-36, the physical and mental component scores, and the time dedicated to physical activity.
Assuntos
Instabilidade Articular/epidemiologia , Estudantes/estatística & dados numéricos , Adulto , Exercício Físico , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Instabilidade Articular/classificação , Masculino , Qualidade de Vida , Distribuição por Sexo , Universidades , Adulto JovemRESUMO
Objetivo: Determinar el estado de salud general percibida por los pacientes jóvenes sometidos a artroplastia total de cadera con el implante tipo minivástago. Material y método: Se administró el cuestionario de salud SF-36 para evaluar el estado de salud percibido por 13 pacientes varones, con una media de edad de 46.62 (34 a 53) años, en los que se realizó una artroplastia total de cadera no cementada tipo MiniHip (CorinMedical) tras un seguimiento medio de 23.2 (12 a 47) meses. Los resultados obtenidos se compararon con los valores de referencia de la población española en varones de 45 a 54 años. Resultados: En las respuestas del cuestionario SF-36 se hallaron diferencias en aspectos como rol físico y rol emocional, desempeño físico, desempeño social y dolor; mientras que en el resto de los ítems la puntuación obtenida fue similar a la de la población de referencia. Discusión: Existe la necesidad de conocer en qué grado nuestras intervenciones afectan la calidad de vida de los pacientes y la manera en que son percibidas por ellos mismos para complementar la valoración de los resultados de nuestrasintervenciones. Conclusión: Es necesaria una nueva perspectiva para la valoración funcional y de calidad de vida de los pacientes jóvenes sometidos a una artroplastia total de cadera.
Objective: To determine the general health status perceived by patients undergoing total hip arthro-plasty with a mini-stem implant. Material and Methods: SF-36 health questionnaire was used to assess perceived health status in 13 male patients with a mean age of 46.62 (34-53) years after the implanta-tion of an uncemented, MiniHip® (CorinMedical) total hip arthroplasty, with a mean follow-up of 23.2 (12-47) months. Results were compared with the reference values for Spanish males aged from 45 to 54 years. Results: In the responses to the SF-36 questionnaire differences were found in areas such as physi-cal and emotional role, physical function, social function and pain; while scores for the remaining items were similar to those of the reference population. Discussion: It is important to know to what extent our surgical actions affect the quality of life of patients and how it is perceived by them to complement the results of our surgeries. Conclusion: A new perspective of function and quality of life evaluation is required in young patients undergoing total hip arthroplasty.