Fatores preditivos da velocidade de condução nervosa motora distal em doentes com neuropatia diabética: um estudo transversal

Autores

  • Adel M Ibrahim Lecturer of Physical Therapy, Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Egypt.
  • Reda Kotb Abdelrazik Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.
  • Adel Motawea Elsayed Zedan Lecturer, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.
  • Ahmed Magdy Alshimy Lecturer, Department of Physical Therapy, Mohammed Al-Mana College for Medical Sciences, Dammam 34222, Saudi Arabia & Department of Physical Therapy for Neurology and Its Surgery, Faculty of Physical Therapy, Al Ryada University for Science & Technology, Sadat City, Menoufia, Egypt.
  • Reham M. Abdelrahim Associate Professor of Basic Science, Faculty of Physical Therapy, Modern University for Technology and Information, Egypt.
  • Ezzat Moubarak Assistant Professor, Department of Orthopaedic Physical Therapy, Faculty of Physical Therapy, Horus University-Egypt & Assistant Professor of Orthopaedic Physical Therapy, Zagazig University, Egypt.
  • Raghda Nasr Nassar Lecturer, Department of Physical Therapy for Neuromuscular Disorders and its Surgery. Faculty of Physical Therapy, Benha University, Egypt.
  • Ashraf Helal Farag Ammaar Fellow of Physical Therapy, Cairo University Hospital, Egypt.
  • Khaled A. Shalash Department of Physical Therapy for Musculoskeletal Disorders and Their Surgeries, Faculty of Physical Therapy, King Salman International University, Egypt.

DOI:

https://doi.org/10.47197/retos.v81.119409

Palavras-chave:

Diabetes mellitus tipo 2 (DM2), neuropatia periférica diabética, velocidade de condução nervosa, força muscular intrínseca do pé, estudo transversal

Resumo

Contexto: A diabetes mellitus tipo 2 reduz a velocidade de condução nervosa (VCN), levando à neuropatia diabética (ND) com manifestações sensoriais, motoras e autonómicas. O estudo dos preditores de VCN é necessário para melhorar a avaliação, o tratamento e o prognóstico dos doentes afetados.   Objectivo: Determinar preditores de VCN motora distal (nervos tibial e fibular) em doentes com ND.   Métodos: Quarenta e quatro doentes ambulatórios com ND foram incluídos no estudo. Para além dos dados demográficos, a VCN motora dos nervos tibial e fibular e a força do músculo flexor longo dos dedos foram avaliadas através de um dinamómetro. Foram realizadas correlações através do coeficiente de correlação de Pearson e regressão linear.   Resultados: A análise univariada mostrou que a força e o índice de massa corporal (IMC) estão associados à VCN motora do nervo peroneal, e a idade está associada à VCN motora do nervo tibial (p ≤ 0,2). O modelo de regressão não mostrou qualquer preditor significativo de cardiopatia congénita motora peroneal ou tibial (p < 0,05). Conclusão: A força isométrica dos flexores dos dedos, a idade e o IMC não são preditores independentes de cardiopatia congénita motora distal em doentes com pé diabético. São necessários estudos mais amplos para explorar possíveis métodos alternativos de rastreio clínico.

Biografias do Autor

  • Adel M Ibrahim, Lecturer of Physical Therapy, Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Egypt.

    Lecturer of Physical Therapy, Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Egypt.

  • Reda Kotb Abdelrazik, Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.

    Assistant Professor, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt. 

  • Adel Motawea Elsayed Zedan, Lecturer, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt.

    Lecturer, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Qaluybia, Egypt. 

  • Ahmed Magdy Alshimy, Lecturer, Department of Physical Therapy, Mohammed Al-Mana College for Medical Sciences, Dammam 34222, Saudi Arabia & Department of Physical Therapy for Neurology and Its Surgery, Faculty of Physical Therapy, Al Ryada University for Science & Technology, Sadat City, Menoufia, Egypt.

    Lecturer, Department of Physical Therapy, Mohammed Al-Mana College for Medical Sciences, Dammam 34222, Saudi Arabia & Department of Physical Therapy for Neurology and Its Surgery, Faculty of Physical Therapy, Al Ryada University for Science & Technology, Sadat City, Menoufia, Egypt. 

  • Reham M. Abdelrahim, Associate Professor of Basic Science, Faculty of Physical Therapy, Modern University for Technology and Information, Egypt.

    Associate Professor of Basic Science, Faculty of Physical Therapy, Modern University for Technology and Information, Egypt.

  • Ezzat Moubarak, Assistant Professor, Department of Orthopaedic Physical Therapy, Faculty of Physical Therapy, Horus University-Egypt & Assistant Professor of Orthopaedic Physical Therapy, Zagazig University, Egypt.

    Assistant Professor, Department of Orthopaedic Physical Therapy, Faculty of Physical Therapy, Horus University-Egypt & Assistant Professor of Orthopaedic Physical Therapy, Zagazig University, Egypt.

  • Raghda Nasr Nassar, Lecturer, Department of Physical Therapy for Neuromuscular Disorders and its Surgery. Faculty of Physical Therapy, Benha University, Egypt.

    Lecturer, Department of Physical Therapy for Neuromuscular Disorders and its Surgery. Faculty of Physical Therapy, Benha University, Egypt. 

  • Ashraf Helal Farag Ammaar, Fellow of Physical Therapy, Cairo University Hospital, Egypt.

    Fellow of Physical Therapy, Cairo University Hospital, Egypt.

  • Khaled A. Shalash, Department of Physical Therapy for Musculoskeletal Disorders and Their Surgeries, Faculty of Physical Therapy, King Salman International University, Egypt.

    Department of Physical Therapy for Musculoskeletal Disorders and Their Surgeries, Faculty of Physical Therapy, King Salman International University, Egypt. 

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Ibrahim, A. M., Abdelrazik, R. K., Zedan, A. M. E., Alshimy, A. M., Abdelrahim, R. M., Moubarak, E., Nassar, R. N., Ammaar, A. H. F., & Shalash, K. A. (2026). Fatores preditivos da velocidade de condução nervosa motora distal em doentes com neuropatia diabética: um estudo transversal. Retos, 81, 797-808. https://doi.org/10.47197/retos.v81.119409