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. 2020 Nov 25:53:e20200388.
doi: 10.1590/0037-8682-0388-2020. eCollection 2020.

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

Naiane Araújo Patrício  1 , Mônica Andrade Rios  2 , Patrícia Carvalho Barbosa  2 , Jéssica Ramos Ribeiro  2 , Diogo Guedes Vidal  3 , Kátia Nunes Sá  4 , Abrahão Fontes Baptista  1   4   5   6
Affiliations

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

Naiane Araújo Patrício et al. Rev Soc Bras Med Trop. .

Abstract

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.

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Conflict of interest statement

Conflicts of Interest: The authors declare that there are no conflicts of interest.

Figures

FIGURE 1:
FIGURE 1:. Kinematic points of the evaluation (body alignment, hip and ankle angles) of a participant with HAM/TSP, Salvador, Bahia, Brazil, 2017.
FIGURE 2:
FIGURE 2:. Stabilometric evaluation of a participant with HAM/TSP, Salvador, Bahia, Brazil, 2017. Legend: blue color - total area of oscillation of body; red and green color - anteroposterior and lateral oscillations of the feet).
See this image and copyright information in PMC

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