DANIELE DOS SANTOS SCARCELLA

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Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina

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  • conferenceObject
    OSTEOARTHRITIS OF THE HAND: THE USE OF JOINTS PROTECTION, ASSISTIVE TECHNOLOGY WITH AND WITHOUT EXERCISES
    (2020) SCARCELLA, D.; SILVA, T. Da; MASSETTI, T.; LUZO, M.; OCAMPOS, G.; REZENDE, M. De; LACMAN, S.; MONTEIRO, C.
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  • conferenceObject
    RHIZOARTHRITIS CAN BE IMPROVED BY A MULTIPROFESSIONAL EDUCATIONAL PROGRAM AND CARE
    (2018) OCAMPOS, G. P. O.; REAES, F. M. R.; IVO, M.; SCARCELLA, D. S. S.; ALMEIDA, L. C. A.; SUZUKI, R. M. S.; REZENDE, M. U. R.
  • article 0 Citação(ões) na Scopus
    EFFECT OF THE PARQVE ON RHIZARTHRITIS
    (2018) REAES, Fabio Mazetti; IVO, Mauricio Menezes Aben Athar; SCARCELLA, Daniele dos Santos; ALMEIDA, Ligia Cortez; SUZUKI, Rosana Mayumi; REZENDE, Marcia Uchoa de
    Objective: To evaluate the effect of a clinical management program involving education on hand function in patients with rhizarthritis. Methods: One hundred and eight patients with rhizarthritis and multiple arthritis (191 hands with clinical and radiographic rhizarthritis) followed for two years as part of an educational program on osteoarthritis were administered the SF-36, DASH, and HAQ questionnaires and measured for the strength of their palmar grip, pulp to pulp pinch, key (lateral) pinch, and tripod pinch at the time of inclusion and after 24 months. Age, race, level and frequency of physical activity, sex, body mass index, percentage of body fat, and degree of osteoarthritis were correlated to the test outcomes. Results: Women improved less than men on the HAQ (p=0.037). Each 1% reduction in fat percentage increased the chance of HAQ score improvement by 9.2% (p=0.038). Physical activity did not influence improvement in the parameters evaluated (p>0.05). Palmar grip improvement was affected by age and presence of rhizarthritis (p<0.05); patients with unilateral rhizarthritis improved 5.3 times more than patients without the disease (p=0.015), while improvement in palmar grip strength decreased 6.8% per year (p=0.004). Pulp pinch grip strength improved more in women than in men (p=0.018). Conclusion: Patients with rhizarthritis and multiple arthritis improved quality of life and grip strength through clinical treatment, an educational program, and fat loss.
  • conferenceObject
    RADIOGRAPHIC ASSESSMENT OF THE SEVERITY OF THUMB CARPOMETACARPAL OSTEOARTHRITIS IN THE DOMINANT AND NON-DOMINANT HAND: A DESCRIPTIVE, CROSS-SECTIONAL STUDY
    (2013) SUZUKI, R. M.; ALMEIDA, L. C. de; SCARCELLA, D. D.; SOUZA, J. M.; IMAMURA, A.; LUZO, M. D.; REZENDE, M. U.
    a. Purpose: thumb carpometacarpal osteoarthritis is a disabling condition that can lead to pain at the base of the thumb and impairment of hand function. Considering that usage of the hand is within the risk factors for hand osteoarthritis and that the dominant hand is more demanded in occupational activities, especially during tasks that require precision pinches, the purpose of this study was to compare the radiographic changes at the carpometacarpal (CMC) thumb in the dominant and non-dominant hand. b. Methods: we studied 108 (19 male and 89 female) subjects, between 40 and 80 years old, with radiographic changes of the thumb CMC joint. The individuals represented 65% of the participants enrolled in a group education programme for patients with knee osteoarthritis (OA) in the Institute of Orthopaedics and Traumatology of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Patterns of the use of the hand was varied among the subjects, including occupations such as housekeepers, secretaries, seamstress, teachers, nursing assistants, workers of metallurgical plant, etc. Two orthopedic surgeons assessed bilateral thumb CMC joint radiographs according to Kellgren and Lawrence (KL) scale. The participants were asked by telephone call or in their follow up visit which was their dominant hand and what was the main occupational activity they did most during the last years. We examined the data for correlation between the grades of severity of osteoarthritis in the thumb CMC, handedness and occupational usage of the hand. c. Results: 25% (95% CI: 18-33) of the 108 subjects had a higher KL grade in the thumb CMC of the dominant hand comparing with the non-dominant (dominant KL mean: 2; non-dominant KL mean: 0,75; range1 to 4) ; 18% (95% CI:10-25) had a higher KL grade in the thumb CMC of the non-dominant hand (non-dominant KL mean: 2,35; dominant KL mean: 1; range 1 to 4); and 55% (95% CI: 45-64) had no difference in the severity of the thumb CMC comparing the dominant with non-dominant hand (KL mean 1,7; range 1-4). We did not find an association between occupational use of the hand and severity OA of the thumb CMC joint because there were too many subgroups of occupational activities and patterns of use of the hand. d. Conclusion: The results suggest that there is no association between joint destruction and the overuse of the thumb CMC of the dominant hand comparing with the non-dominant hand in individuals with thumb CMC and knee osteoarthritis. In this sense, our initial hypothesis seems to be not true. Comparison and analysis of pain and hand function in dominant and non-dominant hand will possibly show different findings. Correlation between occupational use of the hand (work activities) and thumb CMC severity OA should be done with a bigger or more homogenous sample.