dc.creatorFranzoi, A. C.
dc.creatorAraújo, A. Q. C.
dc.date2023-03-09T02:08:09Z
dc.date2023-03-09T02:08:09Z
dc.date2007
dc.date.accessioned2023-09-26T20:38:22Z
dc.date.available2023-09-26T20:38:22Z
dc.identifierFRANZOI, A. C.; ARAÚJO, A. Q. C. Disability and determinants of gait performance in tropical spastic paraparesis/HTLV-I associated myelopathy (HAM/TSP). Spinal Cord, v. 45, n. 1, p. 64-68, Jan. 2007.
dc.identifier1362-4393
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/57310
dc.identifier10.1038/sj.sc.3101919
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8861111
dc.descriptionObjectives: The aim of this survey is to describe the disability profile in a group of tropical spastic paraparesis/HTLV-I-associated myelopathy patients, identifying the requirements for community ambulation. Setting: Tertiary care unit, Rio de Janeiro, Brazil. Methods: Seventy-two patients were assessed (49 female and 23 male), referred by tertiary care centers, when a clinical protocol was applied. Results: The sample had an average age of 40 years and an average of 137 months of duration of the disease. The most prevalent aspects of disability found were in gait and sphincter control areas. A total of 72% of the patients were community ambulators and 17% were restricted to wheel chair. Age, strength and low-back pain interfere in activities of daily living (P<0.05). A positive correlation was found between community ambulation and the knee extensors (r=0.80) and ankle plantar flexors (r=0.74). Strength, age, low-back pain, duration of disease, asymmetric onset of the symptoms and spasticity interfered in the ability to walk (P<0.05). A rehabilitation program was proposed focusing on modifiable factors that affect disability level. Conclusion: It was possible to describe the profile of disability in this group of patients, identifying the requirements to the community ambulation.
dc.formatapplication/pdf
dc.languageeng
dc.publisherInternational Spinal Cord Society
dc.rightsopen access
dc.subjectHTLV-I
dc.subjectDisability
dc.subjectMyelopathy
dc.titleDisability and determinants of gait performance in tropical spastic paraparesis/HTLV-I associated myelopathy (HAM/TSP)
dc.typeArticle


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