Balance assessment in HTLV-1 associated myelopathy or tropical spastic paraparesis

Patrício, Naiane Araújo; Rios, Mônica Andrade; Barbosa, Patrícia Carvalho; Ribeiro, Jéssica Ramos; Vidal, Diogo Guedes; Sá, Kátia Nunes; Baptista, Abrahão Fontes

http://hdl.handle.net/10284/9160

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Authors

Patrício, Naiane Araújo

Rios, Mônica Andrade

Barbosa, Patrícia Carvalho

Ribeiro, Jéssica Ramos

Vidal, Diogo Guedes

Sá, Kátia Nunes

Baptista, Abrahão Fontes

Abstract(s)

INTRODUCTION: 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). METHODS: 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%. RESULTS: 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). CONCLUSIONS: 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.

Keywords

Postural balance Tropical spastic paraparesis Human T-lymphotropic virus 1 Health evaluation

URI

http://hdl.handle.net/10284/9160

Citation

Patrício, Naiane Araújo, Rios, Mônica Andrade, Barbosa, Patrícia Carvalho, Ribeiro, Jéssica Ramos, Vidal, Diogo Guedes, Sá, Kátia Nunes, & Baptista, Abrahão Fontes. (2020). Balance assessment in HTLV-1 associated myelopathy or tropical spastic paraparesis. Revista da Sociedade Brasileira de Medicina Tropical, 53, e20200388. Epub November 23, 2020. https://doi.org/10.1590/0037-8682-0388-2020