Avaliação da mobilidade funcional do tronco após abdominoplastia

Abstract

Introduction – Abdominoplasty has been improved over decades. It is the treatment of choice for patients with changes in the abdominal wall after pregnancy, aging and weight fluctuations. Increasingly, considering the technical improvement, special attention has been given to early rehabilitation and increased safety of this procedure. With regard to quality of life, functional and pain improvement, as well as trunk mobility are subjects that have been extensively studied. CvMob is a technological tool that, through videos, manages to quantify the range of motion and mobility of the trunk of operated patients. Objective –To evaluate the functional mobility of the trunk after abdominoplasty. Methods –This is an observational, prospective cohort study, with trunk mobility as its object, measuring the range of motion of the lumbar spine and its relationship with the abdomen, quality of life, and assessment of postoperative pain. For this, in 12 patients who underwent abdominoplasty, the following were studied: right and left lateral inclination, dorsal extension and right and left trunk rotation. Concomitantly, a questionnaire on quality of life, SF-36, and a visual pain scale were applied. A total of 15 recordings were taken in four moments, from the preoperative to the late postoperative period, using CvMob as the computer program. Results – Five hundred forty-six (546) recordings were taken, allowing the assessment of differences between the pre and postoperative periods in CvMob. There was a limitation in the movement of the trunk, in the postoperative period of one month, and, with three months, there was a return to the expansion of the movement. There was greater gain, on average, in the domains: general state of health, vitality and limitation by emotional aspect. However, the domains of limitation due to physical aspects and social aspects showed statistically significant changes during the postoperative period. The VAS showed that, after one month, there is low-intensity pain, with improvement after three months. Conclusion –The research project evaluated the functional mobility of the trunk from a quantitative parameter CvMob, which is based on the measurement of trajectories and angles of moving images. There was a decrease in temporary mobility in the postoperative period of one month, in relation to the preoperative data, followed by a good return of functionality after three months. There was also a significant difference in the variables of trunk extension, left rotation and left lateral inclination. According to the visual analogue pain scale (VAS), there was a postoperative period with low levels of pain and rapid average improvement in the third month. The SF-36 showed data related to quality of life, and changes in the limitation domain due to physical and emotional aspects were observed during the postoperative period.