Using a new tool to evaluate the functional capacity of patients with HTLV-1 associated myelopathy/Tropical spastic paraparesis (HAM/TSP)

Isabelle Rocha-Santos, Ney Boa-Sorte, Maria Fernanda Rios Grassi, Cloud Couto de Sá, Thessika Hialla Araújo, Bernardo Galvão Castro

Abstract


HAM/TSP patients experience impaired functional capacity.  The use of categorical scales to accurately describe motor ability in these patients has been questioned.

Aim: To evaluate the functional capacity of HAM/TSP patients by using the individual tests comprising the GDLAM protocol.

Methods: Cross sectional study carried out in the CHTLV, Salvador, Brazil.  Functional capacity was evaluated using the tests of the GDLAM protocol (timed 10-minute walk, getting up from a sitting position, rising from a prone position, getting up from a chair, and moving around the house). Functional classifications were made by comparing patient performance to that of uninfected control individuals.

Results: Twenty-four HAM/TSP and 25 healthy individuals were enrolled. Only 75% HAM/TSP patients completed the GDLAM protocol. Six patients failed to perform the RPP test. Timed measurements were significantly higher in the HAM/TSP patients in comparison to uninfected controls.

Conclusion: The use of alternative methods, such as the individual tests comprising the GDLAM protocol, may more accurately assess motor function in HAM/TSP patients.

Keywords


HTLV-1; HAM/TSP; functional capacity; activities of daily living

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DOI: http://dx.doi.org/10.17267/2317-3386bjmhh.v5i4.1694

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Copyright (c) 2017 Isabelle Rocha-Santos, Ney Boa-Sorte, Maria Fernanda Rios Grassi, Cloud Couto de Sá, Thessika Hialla Araújo, Bernardo Galvão Castro

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Brazilian Journal of Medicine and Human Health | ISSN: 2317-3386

Updated 03/16/17

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