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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(04): 221-227
DOI: 10.1590/0004-282X20170022
ARTICLE

Home-based exercise program in TSP/HAM individuals: a feasibility and effectiveness study

Programa de exercícios domiciliares em indivíduos com PET/MAH: um estudo de viabilidade e efetividade
Lívia D Facchinetti
1   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Serviço de Fisioterapia, Rio de Janeiro RJ, Brasil;
,
Abelardo Q Araújo
2   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Neuroinfecção, Rio de Janeiro RJ, Brasil;
,
Marcus TT Silva
2   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Neuroinfecção, Rio de Janeiro RJ, Brasil;
,
Ana Claudia C Leite
2   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Neuroinfecção, Rio de Janeiro RJ, Brasil;
,
Mariana F Azevedo
1   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Serviço de Fisioterapia, Rio de Janeiro RJ, Brasil;
,
Gisele L Chequer
1   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Serviço de Fisioterapia, Rio de Janeiro RJ, Brasil;
,
Raquel VC Oliveira
3   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Epidemiologia Clínica, Rio de Janeiro RJ, Brasil;
,
Arthur S Ferreira
4   Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Laboratório de Simulação Computacional e Modelagem em Reabilitação, Rio de Janeiro RJ, Brasil;
5   Universidade Salgado de Oliveira, Programa de Graduação em Fisioterapia, Rio de Janeiro RJ, Brasil.
,
Marco Antonio Lima
2   Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Neuroinfecção, Rio de Janeiro RJ, Brasil;
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ABSTRACT

Objective

To investigate the feasibility and effectiveness of a home-based exercise program in TSP/HAM individuals.

Methods

Twenty-three TSP/HAM individuals divided in two groups according to Timed Up and Go (TUG) score (<20s vs ≥20s) performed a 20-week home-based exercise program. The primary outcomes were exercise adherence, maximum voluntary isometric contraction of lower limbs (MVIC), Barthel Index and SF-36. Secondary outcomes were adverse effects and barriers to exercise practice.

Results

MVIC and the social functioning domain in SF-36 improved significantly in TUG <20s group. The individuals in the TUG ≥20s group improved significantly their physical functioning domain in SF-36. The total adherence to the 20-week home-based exercise program was 90%. There were mild to moderate adverse events related to exercise program. There were no adverse events related to MVIC test.

Conclusions

The home-based exercise program was feasible and effective in improving disability and quality of life in individuals with TSP/HAM.

RESUMO

Objetivo

Investigar a viabilidade e eficácia de um programa de exercícios domiciliares (PED) em indivíduos com PET/MAH.

Métodos

23 indivíduos com PET/MAH divididos em dois grupos conforme teste Timed Up and Go - TUG (<20s vs ≥20s) realizaram o PED durante 20 semanas. Desfechos primários – adesão aos exercícios, contração isométrica voluntária máxima dos membros inferiores (CIVM), Índice de Barthel e SF-36. Desfechos secundários – ocorrência de eventos adversos e presença de barreiras à prática de exercícios.

Resultados

CIVM e componente “Aspectos Sociais” da SF-36 aumentaram significativamente no grupo TUG <20s. Os indivíduos do grupo TUG ≥20s aumentaram significativamente componente “Capacidade Funcional” da SF-36. A adesão ao PED foi de 90%. Foram observados eventos adversos de intensidade leve a moderada relacionados ao PED. Não foram encontrados eventos adversos relacionados à CIVM.

Conclusões

O PED é viável e eficaz em melhorar a incapacidade e a qualidade de vida de indivíduos com PET/MAH.

paraparesis, tropical spastic - physical therapy speciality - exercise; muscle strength - quality of life
paraparesia espástica tropical - fisioterapia - exercício - força muscular - qualidade de vida


Publication History

Received: 15 April 2016

Accepted: 22 December 2016

Article published online:
05 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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