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Pain and quality of life in human t-cell lymphotropic virus type 1-associated myelopathy or tropical spastic paraparesis after home-based exercise protocol: a randomized clinical trial
Macêdo, Maíra Carvalho; Mota, Renata de Sousa; Patrício, Naiane Araújo; Baptista, Abrahão Fontes; Andrade Filho, Antônio de Souza; Sá, Katia Nunes.
  • Macêdo, Maíra Carvalho; Escola Bahiana de Medicina e Saúde Pública. Grupo de Pesquisa CNPq "Dinâmica do Sistema NeuroMuscoesquelético". Salvador. BR
  • Mota, Renata de Sousa; Escola Bahiana de Medicina e Saúde Pública. Grupo de Pesquisa CNPq "Dinâmica do Sistema NeuroMuscoesquelético". Salvador. BR
  • Patrício, Naiane Araújo; Escola Bahiana de Medicina e Saúde Pública. Grupo de Pesquisa CNPq "Dinâmica do Sistema NeuroMuscoesquelético". Salvador. BR
  • Baptista, Abrahão Fontes; Escola Bahiana de Medicina e Saúde Pública. Grupo de Pesquisa CNPq "Dinâmica do Sistema NeuroMuscoesquelético". Salvador. BR
  • Andrade Filho, Antônio de Souza; Universidade Federal da Bahia. Salvador. BR
  • Sá, Katia Nunes; Escola Bahiana de Medicina e Saúde Pública. Grupo de Pesquisa CNPq "Dinâmica do Sistema NeuroMuscoesquelético". Salvador. BR
Rev. Soc. Bras. Med. Trop ; 52: e20180270, 2019. tab, graf
Article in English | LILACS | ID: biblio-1003133
ABSTRACT
Abstract

INTRODUCTION:

Human T-cell lymphotropic virus type 1-associated myelopathy or tropical spastic paraparesis (HAM/TSP) causes, among other abnormalities, chronic pain that may impair quality of life (QOL). Home protocols can help those who have difficulty attending rehabilitation centers. This study aimed to evaluate the impact of a home-based exercise protocol on pain and QOL in people with HAM/TSP.

METHODS:

A randomized clinical trial of people with HAM/TSP (World Health Organization criteria) classified as probable or definite. The supervised group (SG) underwent training for 12 weeks and continued the protocol at home for another 12 weeks; the unsupervised group (UG) performed the same protocol at home without physical therapist supervision for 24 weeks; and the control group (CG) maintained the usual care. QOL was assessed by the Short Form-36 health survey and the pain condition by the Brief Pain Inventory (BPI). The Chi-square, analysis of variance, Kruskal-Wallis, and Friedman tests (5% alpha) were used for the analyses. The intention-to-treat method was adopted in case of follow-up losses. Record number RBR-849jyv/UTN U1111-1176-2858.

RESULTS:

Of 56 participants, 49 completed the protocol. Mean pain was moderately reduced (>30%) in the UG and CG and mildly reduced (20%) in the SG. Loss in the vitality score of QOL in the CG was noted.

CONCLUSIONS:

The protocol generated mild and moderate pain relief and reduced losses in the functional QOL in the treatment groups.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pain / Quality of Life / Paraparesis, Tropical Spastic / Exercise Therapy Type of study: Controlled clinical trial / Etiology study / Practice guideline / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Escola Bahiana de Medicina e Saúde Pública/BR / Universidade Federal da Bahia/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pain / Quality of Life / Paraparesis, Tropical Spastic / Exercise Therapy Type of study: Controlled clinical trial / Etiology study / Practice guideline / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Escola Bahiana de Medicina e Saúde Pública/BR / Universidade Federal da Bahia/BR