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
Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Serviço de Fisioterapia, Rio de Janeiro RJ, Brasil.
Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Neuroinfecção, Rio de Janeiro RJ, Brasil.
Arq Neuropsiquiatr. 2017 Apr;75(4):221-227. 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.
探讨居家锻炼计划对患有紧张性颈反射/联合反应（TSP/HAM）个体的可行性和有效性。
23名患有TSP/HAM的个体根据定时起立行走测试（TUG）得分（<20秒与≥20秒）分为两组，进行为期20周的居家锻炼计划。主要结局指标为锻炼依从性、下肢最大自主等长收缩（MVIC）、巴氏指数和SF-36。次要结局指标为不良反应和锻炼实施的障碍。
在TUG<20秒组中，MVIC以及SF-36中的社会功能领域有显著改善。在TUG≥20秒组中，个体在SF-36中的身体功能领域有显著改善。对为期20周的居家锻炼计划的总依从率为90%。存在与锻炼计划相关的轻至中度不良事件。不存在与MVIC测试相关的不良事件。
居家锻炼计划对于改善患有TSP/HAM个体的残疾状况和生活质量是可行且有效的。
