SciELO - Scientific Electronic Library Online

 
vol.33Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot studyThe ineffectiveness of antimicrobial photodynamic therapy in the absence of preincubation of the microorganisms in the photosensitizer author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Fisioterapia em Movimento

On-line version ISSN 1980-5918

Abstract

LAGO, Vinícius et al. Center of gravity oscillations in HTLV-1-associated myelopathy/tropical spastic paraparesis. Fisioter. mov. [online]. 2020, vol.33, e003303.  Epub Jan 13, 2020. ISSN 1980-5918.  https://doi.org/10.1590/1980-5918.033.ao03.

Introduction:

Postural control in individuals with HTLV-1-associated myelopathy or tropical spastic paraparesis (HAM/TSP) is usually compromised, which increases the risk of falls, makes it difficult to perform activities of daily living, and impairs the quality of life. The profile of the center of gravity oscillations in this population is unknown and may aid in clinical follow-up and research.

Objective:

To compare the stabilometric values between HAM/TSP and uninfected individuals and verify the existence of correlations between stabilometric variables and the Berg Balance Scale (BBS).

Method:

A cross-sectional observational study was performed with infected individuals, classified as defined and likely (WHO criteria), compared to accompanying persons and seronegative relatives. A baropodometry platform (Footwork®) was used to obtain the oscillation values of the body’s center of gravity in total oscillation area (TOA), anterior-posterior oscillation (APO) and lateral oscillation (LO). Mean values were correlated with BBS by Spearman’s Correlation (5% alpha). Approved by the ethical committee of Escola Bahiana de Medicina e Saúde Pública under Opinion 49634815.2.0000.5628.

Results:

An asymmetric distribution of all the stabilometric variables analyzed in the HAM/TSP population was found, different from the uninfected group (p < 0.05). It was also possible to verify strong to moderate and inverse correlations between the variables of center of gravity oscillation with the scores obtained in BBS, especially for TOA and LO.

Conclusion:

People with HAM/TSP presented higher values for the center of gravity oscillations and these were correlated with the BBS in the balance evaluation.

Keywords : Postural Balance; Automatic Control; Motor Activity; Paraparesis; Tropical Spastic. Human T-Lymphotropic Virus 1.

        · abstract in Portuguese | Spanish     · text in English     · English ( pdf )