PMID- 24603733
OWN - NLM
STAT- MEDLINE
DCOM- 20140512
LR  - 20140307
IS  - 1678-9849 (Electronic)
IS  - 0037-8682 (Linking)
VI  - 47
IP  - 1
DP  - 2014 Jan-Feb
TI  - Proprioceptive neuromuscular facilitation in HTLV-I-associated 
      myelopathy/tropical spastic paraparesis.
PG  - 24-9
LID - S0037-86822014000100024 [pii]
LID - 10.1590/0037-8682-0245-2013 [doi]
AB  - INTRODUCTION: Human T cell lymphotropic virus type I-associated 
      myelopathy/tropical spastic paraparesis (HAM/TSP) can impact the independence and 
      motricity of patients. The aims of this study were to estimate the effects of 
      physiotherapy on the functionality of patients with HAM/TSP during the stable 
      phase of the disease using proprioceptive neuromuscular facilitation (PNF) and to 
      compare two methods of treatment delivery. METHODS: Fourteen patients with human 
      T cell lymphotropic virus type I (HTLV-I) were randomly allocated into two 
      groups. In group I (seven patients), PNF was applied by the therapist, 
      facilitating the functional activities of rolling, sitting and standing, walking 
      and climbing and descending stairs. In group II (seven patients), PNF was 
      self-administered using an elastic tube, and the same activities were 
      facilitated. Experiments were conducted for 1h twice per week for 12 weeks. 
      Low-back pain, a modified Ashworth scale, the functional independence measure 
      (FIM) and the timed up and go test (TUG) were assessed before and after the 
      interventions. RESULTS: In the within-group evaluation, low-back pain was 
      significantly reduced in both groups, the FIM improved in group II, and the 
      results of the TUG improved in group I. In the inter-group analysis, only the 
      tone was lower in group II than in group I. CONCLUSIONS: Both PNF protocols were 
      effective in treating patients with HAM/TSP.
FAU - Britto, Vera Lucia Santos de
AU  - Britto VL
AD  - Servico de Fisioterapia, Hospital Universitario Clementino Fraga Filho, 
      Universidade Federal do Rio de Janeiro, Rio de JaneiroRJ, Servico de 
      Fisioterapia, Hospital Universitario Clementino Fraga Filho, Universidade Federal 
      do Rio de Janeiro, Rio de Janeiro, RJ.
FAU - Correa, Rosalie
AU  - Correa R
AD  - Servico de Neurologia, Hospital Universitario Clementino Fraga Filho, 
      Universidade Federal do Rio de Janeiro, Rio de JaneiroRJ, Servico de Neurologia, 
      Hospital Universitario Clementino Fraga Filho, Universidade Federal do Rio de 
      Janeiro, Rio de Janeiro, RJ.
FAU - Vincent, Maurice Borges
AU  - Vincent MB
AD  - Servico de Neurologia, Hospital Universitario Clementino Fraga Filho, 
      Universidade Federal do Rio de Janeiro, Rio de JaneiroRJ, Servico de Neurologia, 
      Hospital Universitario Clementino Fraga Filho, Universidade Federal do Rio de 
      Janeiro, Rio de Janeiro, RJ.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Brazil
TA  - Rev Soc Bras Med Trop
JT  - Revista da Sociedade Brasileira de Medicina Tropical
JID - 7507456
SB  - IM
MH  - Exercise Movement Techniques/*methods
MH  - Humans
MH  - Middle Aged
MH  - Muscle Tonus/*physiology
MH  - Paraparesis, Tropical Spastic/physiopathology/*therapy
MH  - Proprioception/*physiology
MH  - Treatment Outcome
EDAT- 2014/03/08 06:00
MHDA- 2014/05/13 06:00
CRDT- 2014/03/08 06:00
PHST- 2013/11/19 00:00 [received]
PHST- 2014/01/30 00:00 [accepted]
PHST- 2014/03/08 06:00 [entrez]
PHST- 2014/03/08 06:00 [pubmed]
PHST- 2014/05/13 06:00 [medline]
AID - S0037-86822014000100024 [pii]
AID - 10.1590/0037-8682-0245-2013 [doi]
PST - ppublish
SO  - Rev Soc Bras Med Trop. 2014 Jan-Feb;47(1):24-9. doi: 10.1590/0037-8682-0245-2013.