Home-based exercise program in TSP/HAM individuals: a feasibility and effectiveness study

• Published in: Arquivos de neuro-psiquiatria Vol. 75; no. 4; pp. 221 - 227
• Main Authors: Facchinetti, Lívia D, Araújo, Abelardo Q, Silva, Marcus Tt, Leite, Ana Claudia C, Azevedo, Mariana F, Chequer, Gisele L, Oliveira, Raquel Vc, Ferreira, Arthur S, Lima, Marco Antonio
• Format: Journal Article
• Language: English
• Published: Brazil Academia Brasileira de Neurologia - ABNEURO 01.04.2017; Academia Brasileira de Neurologia (ABNEURO)
• Subjects: Adult; Aged; Exercise Therapy - methods; exercício; Feasibility Studies; Female; fisioterapia; força muscular; Home Care Services; Humans; Male; Middle Aged; NEUROSCIENCES; paraparesia espástica tropical; Paraparesis, Tropical Spastic - rehabilitation; Patient Compliance; PSYCHIATRY; qualidade de vida; Treatment Outcome; força muscular; paraparesis, tropical spastic; fisioterapia; exercício; physical therapy speciality; exercise; muscle strength; qualidade de vida; paraparesia espástica tropical; quality of life
• ISSN: 0004-282X; 1678-4227; 1678-4227; 0004-282X
• DOI: 10.1590/0004-282X20170022

To investigate the feasibility and effectiveness of a home-based exercise program in TSP/HAM individuals. Twenty-three TSP/HAM individuals divided in two groups according to Timed Up and Go (TUG) score (<20s vs ≥20s) performed a 20-week home-based exercise program. The primary outcomes were exercise adherence, maximum voluntary isometric contraction of lower limbs (MVIC), Barthel Index and SF-36. Secondary outcomes were adverse effects and barriers to exercise practice. MVIC and the social functioning domain in SF-36 improved significantly in TUG <20s group. The individuals in the TUG ≥20s group improved significantly their physical functioning domain in SF-36. The total adherence to the 20-week home-based exercise program was 90%. There were mild to moderate adverse events related to exercise program. There were no adverse events related to MVIC test. The home-based exercise program was feasible and effective in improving disability and quality of life in individuals with TSP/HAM.