Lívia D Facchinetti1, Abelardo Q Araújo2, Marcus Tt Silva2, Ana Claudia C Leite2, Mariana F Azevedo1, Gisele L Chequer1, Raquel Vc Oliveira3, Arthur S Ferreira4,5, Marco Antonio Lima2. 1. Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Serviço de Fisioterapia, Rio de Janeiro RJ, Brasil. 2. Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Neuroinfecção, Rio de Janeiro RJ, Brasil. 3. Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Epidemiologia Clínica, Rio de Janeiro RJ, Brasil. 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.
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.
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.
Authors: Erika Pedreira da Fonseca; Katia Nunes Sá; Rebeca Freitas Reis Nunes; Camille Rosa de Jesus Souza; Mayra Castro de Matos Sousa; Elen Beatriz Pinto Journal: Rev Soc Bras Med Trop Date: 2021-01-29 Impact factor: 1.581