Influence of proprioceptive neuromuscular facilitation on the muscle tonus and amplitude of movement in HTLV-1-infected patients with HAM/TSP

Costa, Kelly Helorany Alves; Silva, Tatiane Bahia do Vale; Souza, Givago da Silva; Barbosa, Richelma de Fátima de Miranda

doi:10.1590/0037-8682-0115-2017

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…Some causal factors underlying the reduction in flexibility observed in these patients could include neurological disorders associated with TSP/HAM, such as spasticity, muscle short-ening, and weakness, postural changes, and reduced mobility. 16,[38][39][40] In patients with TSP/HAM, decreased mobility was observed in the hip joint in terms of flexion, extension, external rotation, and abduction movements, when compared with the HTLV-1 (-) group. These types of motor alterations may be explained by the clinical picture of TSP/HAM, as it is already known that the region proximal to the lower limb muscles is mainly affected in patients with spastic paraparesis, generally characterized by muscle shortening and stiffness.…”

Section: Discussionmentioning

confidence: 99%

Impaired flexibility in patients with tropical spastic paraparesis/HTLV-associated myelopathy: evaluation via pendulum fleximeter

et al. 2023

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Background Flexibility is crucial to the harmonious execution of joint movements. While skeletal muscle dysfunction in patients with HTLV-1 can interfere with mobility, it is unclear whether these patients experience reduced flexibility. Objective To evaluate the differences in flexibility between HTLV-1-infected individuals with and without myelopathy compared with uninfected controls. We also investigated whether age, sex, body mass index (BMI), physical activity level, or lower back pain influence flexibility in HTLV-1-infected individuals. Methods The sample consisted of 56 adults, of which 15 did not have HTLV-1, 15 had HTLV-1 without myelopathy, and 26 had TSP/HAM. Their flexibility was assessed using the sit-and-reach test and a pendulum fleximeter. Results No differences in flexibility were observed between the groups with and without myelopathy and controls without HTLV-1 infection using the sit-and-reach test. The pendulum fleximeter results of individuals with TSP/HAM presented the lowest flexibility among the groups with respect to trunk flexion, hip flexion and extension, knee flexion, and ankle dorsiflexion, even after adjusting for age, sex, BMI, level of physical activity, and lower back pain using multiple linear regression models. Additionally, HTLV-1-infected individuals without myelopathy demonstrated reduced flexibility in movements: knee flexion, dorsiflexion, and ankle plantar flexion. Conclusions Individuals with TSP/HAM demonstrated reduced flexibility in most of the movements evaluated by the pendulum fleximeter. Additionally, HTLV-1-infected individuals without myelopathy demonstrated reduced knee and ankle flexibility, potentially representing a marker of myelopathic development.

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Section: Discussionmentioning

confidence: 99%

Impaired flexibility in patients with tropical spastic paraparesis/HTLV-associated myelopathy: evaluation via pendulum fleximeter

et al. 2023

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“…As for the physical therapy resources used in the treatment, the use of individual outpatient kinesiotherapy was identified through functional exercises 36,37,38,39, home exercises 40 , proprioceptive neuromuscular facilitation 41,42 , Pilates 43,44 , virtual reality 45,46 , respiratory training 47 , electrical stimulation 48,39 , neuromodulation with tDCS 49 and rTMS 29 . Most of these resources have no side effects, are low cost, help to delay the evolution of dysfunctions and have a positive impact on quality of life.…”

Section: Discussionmentioning

confidence: 99%

Research scenario in physiotherapy for people with human t-cell lymphotropic virus (HTLV): scientometric study / Cenário das pesquisas em Fisioterapia para pessoas com Human T-Cell Lymphotropic Virus (HTLV): estudo cientométrico

Tambon¹,

Quixadá²,

Sá³

2022

BJDV

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Introduction: Human T-Cell Lymphotropic Virus (HTLV) is a sexually transmitted retrovirus that can cause chronic pain of moderate to high intensity, spasticity and weakness in the lower limbs, balance, gait, urinary and sexual dysfunctions. Physiotherapy is a treatment that has been shown to be effective in improving symptoms and signs. However, research on the topic is scarce. Objective: Outline the research scenario in Physiotherapy aimed at people infected with HTLV-1. Methods: Scientometric study carried through Medline, Virtual Health Library, Scopus, Web of Science and Google Scholar databases. The metadata regarding the studies were tabulated and analyzed using descriptive statistics. The VOS.Viewer software was used for the analysis of quotes. Clinical studies were also analyzed considering meta-scientific impacts including analysis of conflicts of interest and methodological biases. Results: Initially 1160 studies were identified. After applying the eligibility criteria, 68 articles remained, of which 34 articles were observational studies, 21 on intervention, 9 on review, two on qualitative research and two on diagnostic accuracy. Brazil is responsible for 94.11% of the production on the theme. The sub-areas of Physiotherapy covered by the studies were neurofunctional and urogenital, using different exercise modalities, proprioceptive neuromuscular facilitation, biofeedback and non-invasive neuromodulation. Conclusion: On the topic of Physiotherapy for people with HTLV-1, Brazil occupies a prominent place in scientific production. Research on the subject receives little or no funding, requiring free of charge publications in journals, which affects its visibility.

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“…PNF increased lower limb ROM, reduced hypertonia/spasticity, and restricted ambulation (Costa et al, 2018) [9]. Regarding adjuvant treatments, repetitive transcranial magnetic stimulation may decrease spasticity and pain in patients with HAM/TSP, but failed to influence patients' muscle power and quality of life.…”

Section: Patients Infected Withmentioning

confidence: 99%

“…Faced with these significant motor disabilities, physical therapy has been prescribed for neurological complications associated with HTLV-1 because it improves functional status, reduces symptoms, and positively impacts patients' quality of life [8][9][10]. Considering the importance of implementing physical exercise programs, the development of protocols that can be performed at home provides an alternative for treatment and continued care to Infect.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy Methods Applied in the Prevention of Functional Loss Associated with Human T-Lymphotropic Virus 1 Infection: An Overview

Assis,

Callegari,

Sousa

2023

Infectious Disease Reports

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To achieve the objective of this study, we conducted a narrative review on physical therapeutic modalities applied to prevent functional losses associated with human T-lymphotropic virus 1 (HTLV-1) infections to promote health education and viable and accessible alternatives in the development of health education technology adapted to the home environment. This study comprised a qualitative stage of theoretical development to construct a digital booklet with an observational basis based on studies that reiterate themes about educational technologies as tools to conduct a home protocol of guided exercises without the direct supervision of professional physical therapists. Results indicate a lack of research on the development of health education technologies to assist patients with HTLV-1 without tropical spastic paraparesis or HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). We believe that this narrative review can initiate a theoretical framework to conduct a home exercise program aimed at people with HTLV-1 who have subtle symptoms, and also at people without the clinical definition of HAM/TSP, helping to train human resources for care and research on the subject and increase scientific production in physical therapy.

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Influence of proprioceptive neuromuscular facilitation on the muscle tonus and amplitude of movement in HTLV-1-infected patients with HAM/TSP

Cited by 6 publications

References 9 publications

Impaired flexibility in patients with tropical spastic paraparesis/HTLV-associated myelopathy: evaluation via pendulum fleximeter

Impaired flexibility in patients with tropical spastic paraparesis/HTLV-associated myelopathy: evaluation via pendulum fleximeter

Research scenario in physiotherapy for people with human t-cell lymphotropic virus (HTLV): scientometric study / Cenário das pesquisas em Fisioterapia para pessoas com Human T-Cell Lymphotropic Virus (HTLV): estudo cientométrico

Physiotherapy Methods Applied in the Prevention of Functional Loss Associated with Human T-Lymphotropic Virus 1 Infection: An Overview

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