Functionality of THKLF orthosis in multiple sclerosis

Authors

  • Flávia Marques Oliveira de Novais Universidade de Itaúna
  • Roberta Kênia Soares Andrade Universidade de Itaúna
  • Nara da Silva Ferreira Universidade de Itaúna
  • Débora Lima Silveira Universidade de Itaúna
  • Elizabeth Portugal Pimenta Velloso Universidade de Itaúna
  • Viviane Santos Borges Universidade de Itaúna

DOI:

https://doi.org/10.33233/fb.v17i6.698

Keywords:

multiple sclerosis, quality of life, gait

Abstract

Multiple sclerosis (MS) is a demyelinating disease that causes a diffuse degeneration of the central nervous system, causing severe functional limitations. The aim of this study was to evaluate the functionality and quality of life (QOL) of an adult with MS, before and after Trunk Hip Knee Leg and Foot (THKLF) Orthosis use, and to measure the satisfaction with the orthosis use. This is a case study performed with a young adult diagnosed with relapsing-remitting MS form. The outcome measures were assessed by: timed stair test (TST); Timed up and go (TUG); the six-minute walk test (6MWT); Functional Assessment of Multiple Sclerosis (FAMS) and a satisfaction questionnaire related to the TQJTP orthosis use. According to the results, the orthosis had a positive effect on the achievement of functional activities involving functional mobility (TUG) and challenging activities like TST. The time of climbing down the stairs reduced 40% with orthosis use. No improvement was observed in exercise capacity, measured by the 6MWT, and in the quality of life evaluation. The satisfaction with the TQJTP orthosis use was important in the questions related to walk, material, comfort and to do different tasks. We concluded that the TQJTP orthosis was crucial to reduce the limitations imposed by the tasks of everyday life, highlighting patient satisfaction with their use.

Author Biographies

Flávia Marques Oliveira de Novais, Universidade de Itaúna

Ft.,  Universidade de Itaúna, MG, Brasil

Roberta Kênia Soares Andrade, Universidade de Itaúna

Ft.,  Universidade de Itaúna, MG, Brasil

Nara da Silva Ferreira, Universidade de Itaúna

Ft.,  Universidade de Itaúna, MG, Brasil

Débora Lima Silveira, Universidade de Itaúna

Ft.,  Universidade de Itaúna, MG, Brasil

Elizabeth Portugal Pimenta Velloso, Universidade de Itaúna

Ft., D.Sc., Docente da Universidade de Itaúna, MG, Brasil

Viviane Santos Borges, Universidade de Itaúna

Ft., M.Sc., Docente da Universidade de Itaúna, MG, Brasil

References

Mallam E, Scolding N. The Diagnosis of MS. Int MS J 2009;16(1):19-25.

Saguil A, Kane S, Farnell E. Multiple sclerosis: a primary care perspective. Am Fam Physician 2014;90(9):644-52.

Ribeiro SBF, Maia DF, Ribeiro JB, Cardoso FAG, Sivia K. Clinical and epidemiological profile of patients with multiple sclerosis in Uberaba, Minas Gerais, Brazil. Arq Neuro-Psiquiatr 2011;69(2a):184-7.

Fragoso YD, Peres M. Prevalence of multiple sclerosis in the city of Santos/SP. Rev Bras Epidemiol 2007;10(4):479-82.

Lana-Peixoto MA, Frota ERC, Campos GB, Monteiro LP. The prevalence of multiple sclerosis in Belo Horizonte, Brazil. Arq Neuro-Psiquiatr 2012;70(2):102-7.

Allali G, Laidet M, Assal F, Beauchet O, Chofflon M, Armand S et al. Adapted timed up and go: a rapid clinical test to assess gait and cognition in multiple sclerosis. Eur Neurol 2012;67(2):116-20.

Kalron A. The relationship between specific cognitive domains, fear of falling, and falls in people with multiple sclerosis. Biomed Res Int 2014;2014:281760.

McLoughlin JV, Barr CJ, Crotty M, Sturnieks DL, Lord SR. Six minutes of walking leads to reduced lower limb strength and increased postural sway in people with Multiple Sclerosis. Neuro Rehabilitation 2014;35(3):503-8.

Mendes MF, Balsimelli S, Stangehaus G, Tilbery CP. Validação de escala de determinação funcional da qualidade de vida na esclerose múltipla para a lí­ngua portuguesa. Arq Neuro-Psiquiatr 2004;62(1):108-13.

Bethoux F, Bennett S. Evaluating walking in patients with multiple sclerosis: which assessment tools are useful in clinical practice? Int J MS Care 2011;13(1):4-14.

Wens I, Dalgas U, Vandenabeele F, Krekels M, Grevendonk L, Eijnde BO. Multiple sclerosis affects skeletal muscle characteristics. PLoS One 2014;9(9):e108158.

Downing A, Van RD, Fecko A, Aiken C, McGowan S, Sawers S et al. Effect of a 2-week trial of functional electrical stimulation on gait function and quality of life in people with multiple sclerosis. Int J MS Care 2014;16(3):146-52.

Wetzel JL, Fry DK, Pfalzer LA. Six-minute walk test for persons with mild or moderate disability from multiple sclerosis: performance and explanatory factors. Physiother Can 2011;63(2):166-80.

Stevens V, Goodman K, Rough K, Kraft GH. Gait impairment and optimizing mobility in multiple sclerosis. Phys Med Rehabil Clin N Am 2013;24(4):573-92.

Sutliff MH, Naft JM, Stough DK, Lee JC, Arrigain SS, Bethoux FA. Efficacy and safety of a hip flexion assist orthosis in ambulatory multiple sclerosis patients. Arch Phys Med Rehabil 2008;89(8):1611-7.

McLoughlin J, Lord SR, Barr C, Crotty M, Sturnieks DL. A dorsiflexion assist orthosis reduces the physiological cost and mitigates deterioration in strength and balance associated with walking in people with Multiple Sclerosis. Arch Phys Med Rehabil 2014;96(2):226-32.

Nilsagard Y, Carling A, Forsberg A. Activities-specific balance confidence in people with multiple sclerosis. Mult Scler Int 2012;2012:613925.

Siegl P, Schultz K. The Borg Scale as an instrument for the detection of subjectively experienced stress in industrial medicine laboratory and field studies. Z Gesamte Hyg 1984;30(7):383-6.

Tavee J, Rensel M, Planchon SM, Butler RS, Stone L. Effects of meditation on pain and quality of life in multiple sclerosis and peripheral neuropathy: a pilot study. Int J MS Care 2011;13(4):163-8.

Fry D, Pfalzer L. Reliability of four functional tests and rating of perceived exertion in persons with multiple sclerosis. Physiother Can 2006;58:212-20.

Nightingale EJ, Pourkazemi F, Hiller CE. Systematic review of timed stair tests. J Rehabil Res Dev 2014;51(3):335-50.

Nilsagard Y, Lundholm C, Gunnarsson LG, Dcnison E. Clinical relevance using timed walk tests and 'timed up and go' testing in persons with multiple sclerosis. Physiother Res Int 2007;12(2):105-14.

Cella DF, Dineen K, Arnason B, Reder A, Webster KA, karabatsos G et al. Validation of the functional assessment of multiple sclerosis quality of life instrument. Neurology 1996;47(1):129-39.

Hernandez MD, Goldberg A, Alexander N. Decreased muscle strength relates to self-reported stooping, crouching, or kneeling difficulty in older adults. Phys Ther 2010;90:67-74.

Hayes HA, Gappmaier E, La Stayo PC. Effects of high-intensity resistance training on strength, mobility, balance, and fatigue in individuals with multiple sclerosis: a randomized controlled trial. J Neurol Phys Ther 2011;35(1):2-10.

Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther 2006;29(2):64-8.

Balantrapu S, Sosnoff JJ, Pula JH, Sandroff BM, Motl RW. Leg spasticity and ambulation in multiple sclerosis. Mult Scler Int 2014;2014:649390.

Motl RW, Smith DC, Elliott J, Weikert M, Dlugonski D, Sosnoff JJ. Combined training improves walking mobility in persons with significant disability from multiple sclerosis: a pilot study. J Neurol Phys Ther 2012;36(1):32-7.

Barrett CL, Mann GE, Taylor PN, Strike P. A randomized trial to investigate the effects of functional electrical stimulation and therapeutic exercise on walking performance for people with multiple sclerosis. Mult Scler 2009;15(4):493-504.

Feys P, Bibby BM, Baert I, Dalgas U. Walking capacity and ability are more impaired in progressive compared to relapsing type of multiple sclerosis. Eur J Phys Rehabil Med 2014;51(2):207-10.

Thoumie P, Lamotte D, Cantalloube S, Faucher M, Amarenco G. Motor determinants of gait in 100 ambulatory patients with multiple sclerosis. Mult Scler 2005;11(4):485-91.

Learmonth YC, Dlugonski DD, Pilutti LA, Sandroff BM, Motl RW. The reliability, precision and clinically meaningful change of walking assessments in multiple sclerosis. Mult Scler 2013;19(13):1784-91.

Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther 2000;80(9):896-903.

Published

2017-01-04