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

Patrício, Naiane Araújo; Rios, Mônica Andrade; Barbosa, Patrícia Carvalho; Ribeiro, Jéssica Ramos; Vidal, Diogo Guedes; Sá, Kátia Nunes; Baptista, Abrahão Fontes

doi:10.1590/0037-8682-0388-2020

Naiane Araújo Patrício

Universidade Federal da Bahia, Pós-graduação em Medicina e Saúde, Salvador, BA, Brasil.

https://orcid.org/0000-0002-9616-0898

Mônica Andrade Rios

Escola Bahiana de Medicina e Saúde Pública, Graduação de Fisioterapia, Salvador, BA, Brasil.

Patrícia Carvalho Barbosa

Escola Bahiana de Medicina e Saúde Pública, Graduação de Fisioterapia, Salvador, BA, Brasil.

Jéssica Ramos Ribeiro

Escola Bahiana de Medicina e Saúde Pública, Graduação de Fisioterapia, Salvador, BA, Brasil.

Diogo Guedes Vidal

Universidade Fernando Pessoa, Unidade de Investigação UFP em Energia, Ambiente e Saúde (FP-ENAS), Porto, Portugal.

Kátia Nunes Sá

Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.

Abrahão Fontes Baptista

Universidade Federal da Bahia, Pós-graduação em Medicina e Saúde, Salvador, BA, Brasil.

Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.

Universidade Federal do ABC, Centro de Matemática, Cognição e Computação, São Bernardo, SP, Brasil.

Universidade de São Paulo, Laboratório de Investigações Médicas 54 (LIM-54), São Paulo, SP, Brazil.

Corresponding author: Naiane Araújo Patrício e-mail:naianearaujopatricio@gmail.com

Authors’ Contribution:NAP: Creation of the idea that originated the work and elaborate hypotheses, Structuring of the work method, Writing of the manuscript, Coordination of the group that carried out the work, Literature review, Presentation of important suggestions incorporated into the work, Data collection, Analysis of the results statistically, Guiding writing the manuscript, preparing the presentation of the work for a scientific event; Headed the place where the work was carried out, Presented minor suggestions incorporated into the work; MAR: Literature review, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems, Creation of devices to carry out the work, Data collection, Preparation of the presentation of the work for a scientific event, Presentation of the work in a scientific event, Presentation of minor suggestions incorporated to work; PCB: Literature review, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems, Creation of devices to carry out the work, Data collection, Preparation of the presentation of the work for a scientific event, Presentation of the work in a scientific event, Presentation of minor suggestions incorporated to work; JRR: Literature review, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems, Creation of devices to carry out the work, Data collection, Presentation of minor suggestions incorporated into the work; DGV: Writing of the manuscript, Review of the literature, Presentation of important suggestions incorporated into the work, Resolution of fundamental problems of the work, Creation of devices to carry out the work; Analysis of results statistically; Guidance on the writing of the manuscript, Presented minor suggestions incorporated into the work; KNS: Creation of the idea that originated the work and elaborate hypotheses, Structuring of the work method, Orientation and coordination of the work, Writing of the manuscript, Coordination of the group that carried out the work, Literature review, Presented important suggestions incorporated into the work, Resolution of fundamental problems , Creation of devices to perform the work, Data collection, Statistical analysis of results; Orientation of the writing of the manuscript; Work preparation for scientific event; Head the place where the work was performed, Provision of patients or material for work; Got money to do the job, made minor suggestions built into the job; AFB: Creation of the idea that originated the work and elaborate hypotheses, Structuring of the work method, Orientation and coordination of the work, Writing of the manuscript, Coordination of the group that carried out the work, Literature review, Presented important suggestions incorporated into the work, Resolution of fundamental problems , Creation of devices to perform the work, Data collection, Statistical analysis of results; Orientation of the writing of the manuscript; Work preparation for scientific event; Head the place where the work was performed, Provision of patients or material for work; He obtained funds for the work, He presented minor suggestions incorporated in the work.

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

	HAM/TSP Group 26		Comparative group 13
	N	%	N	%
Sex
Male	9	34.6	3	23.1
Female	17	65.4	10	76.9
Marital Status
Single	12	46.2	2	15.4
Marriage	10	38.5	9	69.2
Divorced	0	0.0	1	7.7
Widower	4	15.4	1	7.7
Skin Color
Yellow	1	3.8	0	0.0
White	1	3.8	2	15.4
Red	0	0.0	1	7.7
Brown	12	46.2	7	53.8
Black	12	46.2	3	23.1
Physiotherapy
Yes	22	84.6	9	69.2
No	4	15.4	4	30.8
Physical Activity
Yes	9	34.6	8	61.5
No	17	65.4	5	38.5
Walking Aids
Yes	14	53.8	0	0.0
No	12	46.2	13	100
Lateral Domain
Hight-handed	23	88.5	13	100
Left-handed	3	11.5	0	0.0
Falls (last 3 months)
None	3	11.5	8	61.5
One	4	15.4	2	15.4
Two	1	3.8	1	7.7
More than two	18	69.2	2	15.4

	HAM/TSP	Comparative
	Group 26	group 13
	Mean (SD)	Mean (SD)	p
Age	50.7 ± 9.8	49.3 ± 9.4	0.659
BMI	23.7 ± 6.9	25.8 ± 5.2	0.246
Berg Scale	41.7 ± 7.8	55 ± 1.5	<0.001
Timed Up and Go	20.5 ± 9.7	8.66 ± 1.3	<0.001
Left Lateral View Stabilometrics Oscillation
Total Area of Oscillations	5.95 ± 7.32	1.31 ± 1.09	0.004**
Antero-posterior Oscillations	2.65±1.10	1.74 ± 0.78	0.015*
Lateral Oscillations	2.48 ± 2.81	0.86 ± 0.44	0.057
Right Lateral View Stabilometrics Oscillation
Total Area of Oscillations	4.85 ± 8.13	1.26 ± 1.47	0.140
Antero-posterior Oscillations	2.43 ± 1.23	1.58 ± 0.79	0.036*
Lateral Oscillations	1.91 ± 1.70	0.84 ± 0.47	0.039*
Angular Kinemetric Left Lateral Oscillation
Body Alignment	1.05 ± 0.81	0.12 ± 0.79	0.002**
Hip Angle	168.1 ± 34.4	175.8 ± 3.65	0.446
Ankle Angle	83.2 ± 5.86	87.3 ± 2.92	0.031*
Angular Kinemetric Right Lateral Oscillation
Body Alignment	1.28 ± 0.89	1.24 ± 0.49	0.000**
Hip Angle	167.8 ± 34.3	173.4 ± 3.75	0.580
Ankle Angle	95.9 ± 5.05	92.8 ± 2.84	0.052

		Baropodometry Left View			Baropodometry Right View			Kinemetry Left View			Kinemetry Right View
		TAO	APO	LO	TAO	APO	LO	Body Alignment	Hip Â	Ankle Â	Body Alignment	Hip Â	Ankle Â
BBS	With HAM/TSP	-0.505**	-0.399*	-0.495*	-0.291	-0.380	-0.225	-0.268	-0.228	0.359	0.007	0.069	0.005
	Without HAM/TSP	-0.334	-0.642*	-0.124	-0.334	-0.556*	-0.334	0.173	-0.025	0.000	-0.531	0.099	-0.420

TUG	With HAM/TSP	0.360	0.176	0.406*	0.259	0.313	0.234	0.183	0.256	-0.238	0.126	0.023	-0.044
	Without HAM/TSP	0.072	0.426	-0.041	0.234	0.283	0.292	-0.239	0.261	0.138	0.644 ^*	-0.184	0.074

	*TUG plus* Kinemetry**	*TUG plus* Kinemetry**
	HAM/TSP Group	Comparative Group
	N = 39	N = 26
BBS plus stabilometry	-0.439*	-0.374
BBS	-0.728**	-0.581**
Total Oscillation Area (Front View)	0.303	-0.130
Total Oscillation Area (Back View)	0.291	-0.024
Anteroposterior Oscillation (Front View)	0.204	-0.051
Anteroposterior Oscillation (Back View)	0.365*	0.094
Lateral Oscillations (Front View)	0.356*	0.211
Lateral Oscillations (Back View)	0.267	-0.042

[TFN1] HAM/TSP: HTLV-1 associated myelopathy or tropical spastic paraparesis.

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

Abstract