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

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Case Report • Rev. Soc. Bras. Med. Trop. 51 (04) • Jul-Aug 2018 • https://doi.org/10.1590/0037-8682-0115-2017 copy

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

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

An HTLV-1-infected patient can develop paraparesis that limits their movements. Rehabilitation techniques could improve the motor abilities of these patients. The present study investigates five cases of physical therapy intervention in HTLV-1 patients to evaluate the influence of functional rehabilitation on the tonus and range of motion (ROM) of HTLV-1 patients with spasticity. The patients had a gain of ROM, especially in the lower limb, and reduction in hypertonia/spasticity after functional treatment. The reduction in hypertonia increased the ROM. Thus, functional methods may be valuable for the rehabilitation of HTLV-1 patients with neurological damage.

Keywords:
HAM/TSP; Proprioceptive neuromuscular facilitation; Physiotherapy

		Before	After
Muscle groups	Tonus	Number of subjects (R/L)	Number of subjects (R/L)
Pelvic extension
	NT	1/1	4/4
	LH	1/1	0/0
	SH	3/3	1/1
Knee extension
	NT	2/2	3/3
	LH	0/0	0/1
	SH	3/3	2/1
Abductors of the hip
	NT	5/5	5/5
	LH	0/0	0/0
	SH	0/0	0/0
Hip adductors
	NT	3/3	3/3
	LH	2/2	1/1
	SH	0/0	1/1
Triceps surae
	NT	0	3/3
	LH	2	1/1
	SH	3	1/1

Range of motion at the half-body right (grade)
Patient	Hip extension			Knee extension			Abductors hip			Adductors hip			Dorsiflexors			Plantar flexors
Patient	B	A	V	B	A	V	B	A	V	B	A	V	B	A	V	B	A	V
P1	12	45	33	60	80	20	22	30	8	13	30	17	0	15	15	4	10	6
P2	20	26	6	44	110	66	26	30	4	10	16	6	10	26	16	10	16	6
P3	80.6	128	47.4	106	114	8	26.6	40	13.4	12	32	20	22.6	95	72.4	9.3	20	10.7
P4	63	69	6	132	138	6	8	21	13	12	20	8	19	84	65	12	14	2
P5	15	20	5	21	30	9	8	8	0	5	10	5	5	10	5	2	10	8
Range of motion at the half-body left (grade)
Patient	Hip extension			Knee extension			Abductors hip			Adductors hip			Dorsiflexors			Plantar flexors
Patient	B	A	V	B	A	V	B	A	V	B	A	V	B	A	V	B	A	V
P1	22	80	58	60	80	20	30	35	5	12	25	13	8	20	12	4	15	11
P2	19	80	61	49	113	64	30	30	0	4	16	12	4	22	18	5	16	11
P3	53.3	140	86.7	82.6	130	47.4	26.3	34	7.7	10	28	18	19.3	90	70.7	7.3	30	22.7
P4	67	79	12	132	138	6	10	28	18	16	18	4	19	20	1	17	19	2
P5	20	28	8	38	44	6	12	16	4	5	8	3	16	18	2	3	8	5

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[1] Corresponding author: Msª Kelly Helorany Alves Costa. e-mail:kellycosta.fisio@gmail.com