Abstract
Physical therapy has positive results in people with tropical spastic paraparesis (TSP). However, mobility and distance from rehabilitation centers limit the participation in outpatient programs. To evaluate the impact of a home exercise program on the posture and functional mobility of people with TSP. A randomized controlled trial comparing three groups of people who performed guided exercises from a guidebook for six months: supervised (SG), unsupervised (WG), and control (CG). Primary outcomes: postural angles (SAPO®) and functional mobility (TUG). gait parameters (CVMob®). The protocol described in the guidebook improved postural angles and functional mobility. There were also positive gait parameter effects (p<0.05). SG presented better responses than WG did, but both were preferable to CG. Home exercises oriented by a guidebook may benefit posture, functional mobility and gait parameters in people with TSP, and physiotherapist supervision can ensure better results.
Highlights
Physical therapy has positive results in people with tropical spastic paraparesis (TSP)
Study design/ethical aspects This randomized clinical trial followed the recommendations of the Consolidated Standards of Reporting Trials (CONSORT) and Resolution 466/12 of the National Health Council
Inclusion criteria were: people aged 18 and over; both genders; HAM/TSP diagnosis; classified as definite or probable according to World Health Organization (WHO) criteria[18]; capable of remaining in a static posture for 30 seconds and roaming for six meters without the use of auxiliary devices for walking
Summary
Physical therapy has positive results in people with tropical spastic paraparesis (TSP). Objective: To evaluate the impact of a home exercise program on the posture and functional mobility of people with TSP. Methods: A randomized controlled trial comparing three groups of people who performed guided exercises from a guidebook for six months: supervised (SG), unsupervised (WG), and control (CG). Primary outcomes: postural angles (SAPO®) and functional mobility (TUG). Results: The protocol described in the guidebook improved postural angles and functional mobility. There were positive gait parameter effects (p
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