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Start Over Author "Pedreira DA" Journal revista da sociedade brasileira de medicina tropical
4 results on '"Pedreira DA"'

1. Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial

Author

Erika Pedreira da Fonseca, Katia Nunes Sá, Rebeca Freitas Reis Nunes, Camille Rosa de Jesus Souza, Mayra Castro de Matos Sousa, and Elen Beatriz Pinto

Subjects
Gait, Tropical spastic paraparesis, Mobility limitation, Postural balance, Virtual reality, Arctic medicine. Tropical medicine, RC955-962
Abstract

Abstract INTRODUCTION: Individuals with human T-cell lymphotropic virus 1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) experience sensorimotor alterations, which can affect functional performance. Virtual reality (VR) videogaming is a therapeutic option, though there is scarce evidence for its use in this population. We aimed to investigate the therapeutic effects of a VR video game on functional mobility, balance, and gait speed in individuals with HAM/TSP. METHODS: We conducted a blinded, crossover clinical trial comprising 29 individuals with HAM/TSP and randomized them into two groups: (1) early therapy: rehabilitative protocol started immediately after the initial evaluation and (2) late therapy: rehabilitative protocol started 10 weeks later. We assessed all participants for balance using the Berg Balance Scale (BBS) scores, functional mobility using the Timed Up and Go (TUG) test, and gait speed using video camera and CvMob software. Differences were considered significant if p

Published
2021
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2. Balance, functional mobility, and fall occurrence in patients with human T-cell lymphotropic virus type-1-associated myelopathy/tropical spastic paraparesis: a cross-sectional study

Author

Elen Beatriz Pinto, Síntia Freitas Bastos Lira, Rebeca Freitas Reis Nunes, Antônio Carlos Ribeiro Junior, Erika Pedreira da Fonseca, and Katia Nunes Sá

Subjects
Adult, Male, Balance, Microbiology (medical), medicine.medical_specialty, lcsh:Arctic medicine. Tropical medicine, lcsh:RC955-962, Cross-sectional study, Disability Evaluation, 03 medical and health sciences, Myelopathy, 0302 clinical medicine, immune system diseases, Internal medicine, Activities of Daily Living, Tropical spastic paraparesis, medicine, Humans, Cutoff, In patient, 030212 general & internal medicine, Human T cell lymphotropic virus type 1, Mobility Limitation, Postural Balance, Balance (ability), Human T-lymphotropic virus 1, business.industry, virus diseases, medicine.disease, Paraparesis, Tropical Spastic, Infectious Diseases, Socioeconomic Factors, Functional mobility, HTLV-1, Berg Balance Scale, Sensation Disorders, Accidental Falls, Female, Falls, Parasitology, Epidemiologic Methods, business, 030217 neurology & neurosurgery
Abstract

INTRODUCTION: Human T-cell lymphotropic virus type-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) may lead to reduced functional mobility and balance. It is important to establish specific parameters that identify these changes and predict the risk of falls in these patients. The aim was to compare balance, functional mobility, and occurrence of falls among patients with and without HAM/TSP and to suggest values to predict the risk of falls in these patients. METHODS: A cross-sectional study in patients with and without HAM/TSP involved balance assessments based on the berg balance scale (BBS) and functional mobility evaluation based on the timed up and go (TUG) test. From reports of falls, the sensitivity, specificity, and best cutoff points for the risk of falls assessed by these instruments were established using the receiver-operating characteristic (ROC) curve; 5% alpha was considered. RESULTS: We selected 42 participants: 29 with HAM/TSP and 13 without HAM/TSP. There was a statistically significant difference in the occurrence of falls, balance, and functional mobility between the groups (p

Published
2018
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