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Original Article

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

초록

영어

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). Flexion-abduction 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.

목차

Abstract
 INTRODUCTION
 MATERIALS AND METHODS
  Participants
  Study protocol
  Neurophysiologic measurement: electromyography
  Statistics
 RESULTS
 DISCUSSION
 CONFLICT OF INTEREST
 ACKNOWLEDGMENTS
 REFERENCES

저자정보

  • Carolina S. Nakada Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil
  • Paula C. Meningroni Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil
  • Ana Claudia Silva Ferreira Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil
  • Luciana Hata Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil
  • Amanda C. Fuzaro Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil
  • Wilson Marques Júnior Department of Neuroscience and Behavioral Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil
  • João Eduardo de Araujo Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), Ribeirão Preto, Brazil

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