Renata de Sousa Mota1, Maíra Carvalho Macêdo2, Sandra Corradini3,4,5, Naiane Araújo Patrício6, Abrahão Fontes Baptista7, Katia Nunes Sá4. 1. Universidade Federal do Recôncavo da Bahia, Centro de Ciência e Tecnologia em Energia e Sustentabilidade, Feira de Santana BA, Brazil. 2. Instituto do Cérebro - Fundação para Neurologia e Neurocirurgia, Salvador BA, Brazil. 3. Universidade de Campinas, Campinas SP, Brazil. 4. Escola Bahiana de Medicina e Saúde Pública, Departamento de Fisioterapia, Salvador BA, Brazil. 5. Universidade Federal da Bahia, Salvador BA, Brazil. 6. Escola Bahiana de Medicina e Saúde Pública, Departamento de Tecnologias de Saúde, Salvador BA, Brazil. 7. Universidade Federal do ABC, Centro de Matemática, Computação e Cognição, São Paulo SP, Brazil.
Abstract
BACKGROUND:Physical therapy has positive results in people with tropical spastic paraparesis (TSP). However, mobility and distance from rehabilitation centers limit the participation in outpatient programs. OBJECTIVE: To evaluate the impact of a home exercise program on the posture and functional mobility of people with TSP. METHODS: A randomized controlled trial comparing three groups of people who performed guided exercises from a guidebook for six months: supervised (SG), unsupervised (WG), and control (CG). Primary outcomes: postural angles (SAPO®) and functional mobility (TUG). Secondary outcomes: gait parameters (CVMob®). RESULTS: The protocol described in the guidebook improved postural angles and functional mobility. There were also positive gait parameter effects (p<0.05). SG presented better responses than WG did, but both were preferable to CG. CONCLUSION: Home exercises oriented by a guidebook may benefit posture, functional mobility and gait parameters in people with TSP, and physiotherapist supervision can ensure better results.
RCT Entities:
BACKGROUND: Physical therapy has positive results in people with tropical spastic paraparesis (TSP). However, mobility and distance from rehabilitation centers limit the participation in outpatient programs. OBJECTIVE: To evaluate the impact of a home exercise program on the posture and functional mobility of people with TSP. METHODS: A randomized controlled trial comparing three groups of people who performed guided exercises from a guidebook for six months: supervised (SG), unsupervised (WG), and control (CG). Primary outcomes: postural angles (SAPO®) and functional mobility (TUG). Secondary outcomes: gait parameters (CVMob®). RESULTS: The protocol described in the guidebook improved postural angles and functional mobility. There were also positive gait parameter effects (p<0.05). SG presented better responses than WG did, but both were preferable to CG. CONCLUSION: Home exercises oriented by a guidebook may benefit posture, functional mobility and gait parameters in people with TSP, and physiotherapist supervision can ensure better results.
Authors: Bernardo Galvão-Castro; Maria Fernanda Rios Grassi; Ana Verena Galvão-Castro; Aidê Nunes; Ana Karina Galvão-Barroso; Thessika Hialla Almeida Araújo; Regina Helena Rathsam-Pinheiro; Ceuci Lima Xavier Nunes; Adriele Ribeiro; Monique Lírio; Noilson Lázaro Gonçalves; Sônia Lúcia Rangel; Cristiane Maria Carvalho Costa Dias; Daniele Piai Ozores; Selena Márcia Dubois-Mendes; Isabela Lima; André Luís Pereira Silva; Washington Luiz Abreu de Jesus; Fred Luciano Neves Santos; José Guilherme Reis de Oliveira; Yscela Vanessa Pimentel de Moraes; Adijeane Oliveira de Jesus; Francisco Daltro; Ney Boa-Sorte; Humberto Castro-Lima; Maria Luísa Carvalho Soliani Journal: Front Med (Lausanne) Date: 2022-06-07