The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial.

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.

• Authors: Renata de Sousa Mota, Maíra Carvalho Macêdo, Sandra Corradini, Naiane Araújo Patrício, Abrahão Fontes Baptista, Katia Nunes Sá
• Journal: Arquivos de neuro-psiquiatria (Arq Neuropsiquiatr) Vol. 78 Issue 3 Pg. 149-157 (03 2020) ISSN: 1678-4227 [Electronic] Germany
• PMID: 32236329 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Adult
• Aged
• Exercise
• Exercise Therapy (methods)
• Female
• Gait
• Home Care Services
• Humans
• Male
• Middle Aged
• Paraparesis, Tropical Spastic (rehabilitation)
• Posture (physiology)
• Treatment Outcome