Abstract
Objective. To investigate the effects of a functional exercise program based on Proprioceptive Neuromuscular Facilitation techniques (PNF) on muscle strength and functional activities in a patient with inclusion body myositis (IBM) associated with human immunodeficiency virus (HIV) infection. Method. A patient with IBM was tested for muscle strength and functional capacities before and after a 16-week, patient-specific, home-based exercise program involving mild, daily and functional exercises. Results. Although real benefits of muscular force have been achieved, functional independence level was not modified. We believe the physical rehabilitation program served for minimization of the complications generated by the muscular weakness and optimization of motor abilities. Conclusion. The findings of this study indicate that an individually prescribed home exercise program, based on PNF techniques, can be safely implemented, since it respects the particularities of the patients and the disease, and is therefore beneficial in the management of patients with IBM, especially associated with HIV infection.
Highlights
Sporadic inclusion body myositis, a common adult-onset myositis, is characterized by an antigen-driven inflammatory response and vacuolar degeneration
Because of the variability in the degree of weakness, level of endurance, and general level of fitness among patients with inclusion body myositis (IBM), it is important that any exercise program should be designed for the individual, that the initial exercise load should not be excessive, and the exercise program should be incremental and take into account gains in strength and the overall functional capacity of the patient6
We report the association of Sporadic inclusion body myositis (sIBM) with human immunodeficiency virus (HIV) infection and proposed some physical therapy strategies based on proprioceptive neuromuscular facilitation (PNF) techniques for clinical and functional management
Summary
Sporadic inclusion body myositis (sIBM), a common adult-onset myositis, is characterized by an antigen-driven inflammatory response and vacuolar degeneration. Exercise has been shown to improve muscle strength, endurance, and well-being in patients with polymyositis, dermatomyositis and others neuromuscular diseases. There has been concern that inappropriate levels of exercise could increase the degree of muscle damage and enhance the inflammatory process. Because of the variability in the degree of weakness, level of endurance, and general level of fitness among patients with IBM, it is important that any exercise program should be designed for the individual, that the initial exercise load should not be excessive, and the exercise program should be incremental and take into account gains in strength and the overall functional capacity of the patient. We report the association of sIBM with human immunodeficiency virus (HIV) infection and proposed some physical therapy strategies based on proprioceptive neuromuscular facilitation (PNF) techniques for clinical and functional management. The main objective of physical therapy appears to be the preservation of optimal quality-of-life throughout the course of this process
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