Balance assessment in HTLV-1 associated myelopathy or tropical spastic paraparesis
A good rating of the device in people with HTLV-1 in this population is essential for accuracy in prescribing data (walking). Thus, this study aimed to analyze the counterpart assessment methods that are best suited to patients with human T-cell lymphotropic virus (HTLV)-1 associated myelopathy or t...
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Published in | Revista da Sociedade Brasileira de Medicina Tropical Vol. 53; p. e20200388 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Brazil
Sociedade Brasileira de Medicina Tropical - SBMT
01.01.2020
Sociedade Brasileira de Medicina Tropical (SBMT) |
Subjects | |
Online Access | Get full text |
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Summary: | A good rating of the device in people with HTLV-1 in this population is essential for accuracy in prescribing data (walking). Thus, this study aimed to analyze the counterpart assessment methods that are best suited to patients with human T-cell lymphotropic virus (HTLV)-1 associated myelopathy or tropical spastic paraparesis (HAM/TSP).
This cross-sectional study related stabilometric and kinematic variables of postural oscillations with Berg's balance scale (BBS) and Timed Up and Go (TUG) in subjects with HAM/TSP compared to asymptomatic subjects. To assess the posterior and lateral postural projection, baropodometry and the Footwork® system was used, and the CVMob system was applied to kinematic parameters. The means comparison tests and correlations were applied with an alpha of 5%.
Thirty-nine subjects (predominantly female) made up the sample. There was an increase in barodopometric oscillations, in the total oscillation area (p = 0.004), in the anteroposterior oscillation in the left (p = 0.015) and right views (p = 0.036), and in the lateral oscillation (p = 0.039) in the HAM/TSP group. Moderate correlations were found between oscillation baropodometry and the angular variation of the ankle, as well as with the BBS in the three angles and the TUG for lateral oscillation (p = 0.406).
Each method has advantages and disadvantages, including cost accuracy. The best resources available at no additional cost for outpatient to use are the kinematic evaluation using a simple smartphone camera and free analysis software, and the TUG. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Conflicts of Interest: The authors declare that there are no conflicts of interest. Authors’ Contribution: NAP: Creation of the idea that originated the work and elaborate hypotheses, Structuring of the work method, Writing of the manuscript, Coordination of the group that carried out the work, Literature review, Presentation of important suggestions incorporated into the work, Data collection, Analysis of the results statistically, Guiding writing the manuscript, preparing the presentation of the work for a scientific event; Headed the place where the work was carried out, Presented minor suggestions incorporated into the work; MAR: Literature review, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems, Creation of devices to carry out the work, Data collection, Preparation of the presentation of the work for a scientific event, Presentation of the work in a scientific event, Presentation of minor suggestions incorporated to work; PCB: Literature review, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems, Creation of devices to carry out the work, Data collection, Preparation of the presentation of the work for a scientific event, Presentation of the work in a scientific event, Presentation of minor suggestions incorporated to work; JRR: Literature review, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems, Creation of devices to carry out the work, Data collection, Presentation of minor suggestions incorporated into the work; DGV: Writing of the manuscript, Review of the literature, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems of the work, Creation of devices to carry out the work; Analysis of results statistically; Guidance on the writing of the manuscript, Presented minor suggestions incorporated into the work; KNS: Creation of the idea that originated the work and elaborate hypotheses, Structuring of the work method, Orientation and coordination of the work, Writing of the manuscript, Coordination of the group that carried out the work, Literature review, Presented important suggestions incorporated into the work, Resolution of fundamental problems , Creation of devices to perform the work, Data collection, Statistical analysis of results; Orientation of the writing of the manuscript; Work preparation for scientific event; Head the place where the work was performed, Provision of patients or material for work; Got money to do the job, made minor suggestions built into the job; AFB: Creation of the idea that originated the work and elaborate hypotheses, Structuring of the work method, Orientation and coordination of the work, Writing of the manuscript, Coordination of the group that carried out the work, Literature review, Presented important suggestions incorporated into the work, Resolution of fundamental problems , Creation of devices to perform the work, Data collection, Statistical analysis of results; Orientation of the writing of the manuscript; Work preparation for scientific event; Head the place where the work was performed, Provision of patients or material for work; He obtained funds for the work, He presented minor suggestions incorporated in the work. |
ISSN: | 0037-8682 1678-9849 1678-9849 |
DOI: | 10.1590/0037-8682-0388-2020 |