Uma característica comum que a maioria das pessoas com fibromialgia apresenta é uma dor difusa que afeta uma grande parte do corpo. Este sintoma desconcertante é geralmente acompanhado de rigidez articular matinal, parestesias nas mãos e pés, como sensação de formigamento e dormência, distúrbios do sono e, acima de tudo, sensação de cansaço e fadiga que os acompanha ao longo do dia. Essa fadiga contribui para que a fibromialgia tenha pouca tolerância ao esforço que afeta até 90% dos pacientes.

É por isso que um estudo realizado por uma equipe da Universidade de Granada, e publicado em janeiro de 2011 na revista Archives of Physical Medicine and Rehabilitation, analisou a resistência que esses pacientes apresentam em suas mãos, para poder utilizá-lo como um complemento. ferramenta na avaliação da gravidade da fibromialgia em mulheres.

O objetivo foi determinar a capacidade do teste de força na mão, ao discriminar entre a presença e ausência de fibromialgia e a gravidade do mesmo em 81 mulheres com a doença e 44 mulheres saudáveis. Eles mediram a resistência da força na mão com um teste de força isométrica máxima, com a ajuda de um dinamômetro manual. As mulheres foram classificadas de acordo com a pontuação obtida em: fibromialgia moderada (<70) e fibromialgia grave (70 ou mais). Os resultados que eles observaram foram:

A resistência da força limiar na mão que melhor discrimina entre a presença e ausência de fibromialgia foi de 23,1 kg.
O limiar que melhor discrimina entre fibromialgia grave e moderada foi 16,9 kg.
Uma resistência da força da mão de 23,1 kg ou menos foi associada com uma probabilidade 33,8 vezes maior de sofrer fibromialgia após a idade limite.

No grupo fibromialgia, uma força de força na mão de 16,9 kg ou menos foi associada com uma probabilidade 5,3 vezes maior de sofrer de fibromialgia grave.

As conclusões apresentadas por esses pesquisadores são: que a resistência da força na mão é reduzida em mulheres com fibromialgia, assim como naquelas com fibromialgia grave em relação a seus parceiros com fibromialgia moderada. Ressaltam, ainda, que as mulheres que não atendem aos padrões propostos podem orientar o médico a fazer um bom diagnóstico, uma vez que seria utilizado como ferramenta útil e informativa.

Você já percebeu que tem menos resistência e força nas mãos do que seus amigos / familiares? Em que aspectos da vida cotidiana é uma desvantagem?
Esperamos que você compartilhe suas impressões conosco, as quais enviaremos aos nossos pacientes membros.


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