Ipsilateral proprioceptive neuromuscular facilitation patterns improve overflow and reduce foot drop in patients with demyelinating polyneuropathy

Author(s)

Nakada, Carolina S. ^[1] ; Meningroni, Paula C. ^[1] ; Silva Ferreira, Ana Claudia ^[1] ; Hata, Luciana ^[1] ; Fuzaro, Amanda C. ^[1] ; Marques Junior, Wilson ^[2] ; de Araujo, Joao Eduardo ^[1]

Affiliation

^[1] Univ Sao Paulo, Lab Neuropsychobiol & Motor Behav, Dept Hlth Sci, Ribeirao Preto Med Sch, Ave Bandeirantes 3900, BR-14049900 Ribeirao Preto, SP - Brazil

^[2] Univ Sao Paulo, Dept Neurosci & Behav Sci, Ribeirao Preto Med Sch, Ribeirao Preto - Brazil

• Document type: Journal article
• Source: JOURNAL OF EXERCISE REHABILITATION; v. 14, n. 3, p. 503-508, JUN 2018.
• Web of Science Citations: 0

Abstract

The purpose of this study was to evaluate the response of the tibialis anterior muscle (TAm) using surface electromyography in patients with Charcot-Marie-Tooth disease (CMT-IA), after ipsilateral proprioceptive neuromuscular patterns (PNF). Thirteen CMT-IA patients (both sexes) were treated twice a week, for 5 weeks, with bilateral PNF pattern, four times per treatment. During the execution of the patterns, we recorded the bilateral activation of the TAm in root mean square (RMS). We used the Student paired t-test for the first and last treatments, P-value set at < 0.05. Clinical significance (CS) was obtained by subtracting the values of the first treatment from the last. Chopping pattern to the right side increased RMS for the right (t=-3.52, CS=52%), but not the left TAm (t=-3.35). Flexionabduction with external rotation pattern to the right (t=-2.46, CS=55%) and left (t=-2.07, CS=53%) significantly increased RMS for TAm on both sides. Extension-adduction with internal rotation pattern to the right (t=-0.25) and left (t=-1.84) did not produce any changes in TAm. Ipsilateral PNF patterns selectively produce TAm overflow in peripheral polyneuropathy patients and can be successfully used as supportive therapy for foot drop. (AU)

• FAPESP's process: 07/03285-5 - Functional and Biomechanical Outcomes of Proprioceptive Neuromuscular Facilitation Associated to the contralateral hemibody of Patients with Charcot Marie Tooth Disease.
• Grantee: Paula Caltabiano Meningroni
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• FAPESP's process: 07/05803-3 - Functional and biomechanical outcomes of proprioceptive neuromuscular facilitation associated to the ipsilateral hemibody of patients with Charcot Marie Tooth Disease
• Grantee: Carolina Sayuri Nakada
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• FAPESP's process: 11/10017-2 - Estabilometric and functional magnetic resonance imaging correlates between two protocols of forced use therapy in rehabilitation of the lower limb of patients with chronic hemiparesis post-stroke
• Grantee: Amanda Cunha Fuzaro
• Support Opportunities: Scholarships in Brazil - Doctorate