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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
54
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MOBILITY ASSESSMENT OF PATIENTS WITH DIABETIC FOOT ASSISTED AT THE AMBULATORY OF TECHNOLOGICAL INNOVATIONS IN HUMAN REHABILITATION (INOVAFISIO - UFC)
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Bhárbara Luíza de Araújo Pontes1, Fernanda Leal Viana1, Felipe Vieira Clemente1, Andressa Lima de Araújo1, José Carlos Tatmatsu-Rocha1
1 Faculty of Medicine, Department of Physiotherapy, Postgraduate Program in Physiotherapy and Functionality, Federal University of Ceará (UFC), Fortaleza, Ceará, Brazil
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Vol. 28. Issue S1

1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)

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Background

Diabetes mellitus (DM) is considered a chronic disease that affects about 3% of the world's population and is in ninth position among the diseases that shorten the years of life in a healthy way. DM generates repercussions on the body's systems, causing comorbidities, such as diabetic foot disease, considered one of the most serious complications of DM, causing effects in various aspects of the patient's life. Wounds in diabetic feet resulting from changes in gait causing falls, tissue injuries, hospitalizations, and amputations, compromising functionality and quality of life. Thus, it becomes a model of biopsychosocial care, based on the concepts examined in the International Classification of Functioning.

Objectives

Assess the mobility of patients with diabetic foot treated at the outpatient clinic for technological innovations in human rehabilitation (INOVAFISIO-UFC), investigating the main limitations and the degree of difficulty encountered in locomotion and/or movement of patients with diabetic foot.

Methods

This is a descriptive cross-sectional study. Participants of both sexes, over 18 years of age, diagnosed with type 2 DM with wounds on diabetic feet were included. People with intellectual disabilities that compromised the application of questionnaires, infected wounds and/or with an area greater than 15cm² were excluded. Data was collected between 2021 and 2022, at the INOVAFISIO outpatient clinic in Fortaleza - CE. The participants signed the Informed Consent Term. The World Health Organization Disability Assessment Schedule questionnaire (WHODAS 2.0-36 items) was applied to assess functionality in the last 30 days. In this study, the mobility domain was explored with 5 questions about locomotion with answers included in a scon a scale of 5 degrees of difficulty (none, mild, moderate, severe, treme or unable). Data analysis was descriptive, and results expresser sed as mean and standard deviation. The software used was Stata version 17.

Results

The sample consisted of 36 participants, divided equally between men and women, most of whom were married (55.56%) with a mean age of 55.58+15.25. When asked if they had difficulties standing for long periods, 83.33% reported some degree of difficulty, 27.78% (extreme or unable), 66.67% had difficulty getting up from a sitting position (22.22% moderate); 63.89% with difficulty moving around the house (30.56% mild); 63.89% reported difficulties leaving their home (22.22% moderate); 86.11% reported difficulty walking long distances (38.89% extreme or unable).

Conclusion

Participants with diabetic feet had limitations in the mobility domain, with the item standing up and walking long distances having a greater impact, with more than 27% of these patients having extreme difficulty or not being able to perform satisfactory mobility, compromising their quality of life.

Implications

Knowing the sample profile and associating an instrument that evaluates the kinetic-functional implications generated by diabetic wounds allows a targeted treatment based on the individual's functional independence.

Keywords:
Diabetic foot
International Classification of Functioning
Diabetes Mellitus
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Conflict of interest: The authors declare no conflict of interest.

Acknowledgment: Research Program for SUS/PPSUS-CE Funcap-SESA Decit/SCTIE/MS CNPq-PPSUS: Process SPU 07939902/2020. Call 02/2020 -Agreement 900394/2020.

Ethics committee approval: CEP/PROPESQ/UFC number 3.212.729.

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Brazilian Journal of Physical Therapy
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