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

Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF EXERCISE REHABILITATION; v. 14, n. 3, p. 503-508, JUN 2018.
• Citações Web of Science: 0

Resumo

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)

• Processo FAPESP: 07/03285-5 - Correlatos Biomecânicos e Funcionais Associados ao Hemicorpo Contra-lateral na Técnica de Facilitação Neuromuscular Proprioceptiva no Paciente com Polineuropatia Desmielinizante Associada à Doença de Charcot Marie Tooth.
• Beneficiário: Paula Caltabiano Meningroni
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica
• Processo FAPESP: 07/05803-3 - Correlatos biomecânicos e funcionais associados ao hemicorpo ipsi-lateral a técnica de facilitação neuromuscular proprioceptiva no paciente com polineuropatia desmielinizante associada à doença de Charcot Marie Tooth
• Beneficiário: Carolina Sayuri Nakada
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica
• Processo FAPESP: 11/10017-2 - Correlatos Estabilométricos e de imaginologia por ressonância magnética funcional entre dois protocolos de terapia de uso forçado na reabilitação do membro inferior de pacientes com hemiparesia crônica pós-acidente vascular encefálico
• Beneficiário: Amanda Cunha Fuzaro
• Modalidade de apoio: Bolsas no Brasil - Doutorado