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...

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Main Authors: Renata de Sousa MOTA, Maíra Carvalho MACÊDO, Sandra CORRADINI, Naiane Araújo PATRÍCIO, Abrahão Fontes BAPTISTA, Katia Nunes SÁ
Format: Article
Language:English
Published: Thieme Revinter Publicações 2020-03-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000300149&tlng=en
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author Renata de Sousa MOTA
Maíra Carvalho MACÊDO
Sandra CORRADINI
Naiane Araújo PATRÍCIO
Abrahão Fontes BAPTISTA
Katia Nunes SÁ
author_facet Renata de Sousa MOTA
Maíra Carvalho MACÊDO
Sandra CORRADINI
Naiane Araújo PATRÍCIO
Abrahão Fontes BAPTISTA
Katia Nunes SÁ
author_sort Renata de Sousa MOTA
collection DOAJ
description 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.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-fe1683293b794e9fbff023088b326d672025-08-20T03:06:17ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272020-03-0178314915710.1590/0004-282x20190169The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trialRenata de Sousa MOTAhttps://orcid.org/0000-0002-5176-3329Maíra Carvalho MACÊDOhttps://orcid.org/0000-0002-8470-5838Sandra CORRADINIhttps://orcid.org/0000-0003-2101-0091Naiane Araújo PATRÍCIOhttps://orcid.org/0000-0002-9616-0898Abrahão Fontes BAPTISTAhttps://orcid.org/0000-0001-7870-3820Katia Nunes SÁhttps://orcid.org/0000-0002-0255-4379Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000300149&tlng=entropical spastic paraparesishome exerciseposturefunctional mobilitygait
spellingShingle Renata de Sousa MOTA
Maíra Carvalho MACÊDO
Sandra CORRADINI
Naiane Araújo PATRÍCIO
Abrahão Fontes BAPTISTA
Katia Nunes SÁ
The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial
Arquivos de Neuro-Psiquiatria
tropical spastic paraparesis
home exercise
posture
functional mobility
gait
title The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial
title_full The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial
title_fullStr The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial
title_full_unstemmed The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial
title_short The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial
title_sort effect of home exercise on the posture and mobility of people with ham tsp a randomized clinical trial
topic tropical spastic paraparesis
home exercise
posture
functional mobility
gait
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000300149&tlng=en
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