Hidroterapia para espasticidade na doença de Strumpell-Lorrain
relato de caso
DOI:
https://doi.org/10.34024/rnc.2009.v17.8608Palavras-chave:
Paraparesia Espástica, Hidroterapia, ReabilitaçãoResumo
A Paraparesia Espástica Hereditária (PEH) ou doença de Strumpell-Lorrain é uma desordem progressiva formada por um grupo de condições neurodegenerativas cuja principal característica clínica é a fraqueza muscular associada a graus variados de espasticidade nos membros inferiores, sendo causada por um distúrbio no desenvolvimento ou degeneração progressiva do feixe piramidal. A espasticidade tem sido descrita como uma desordem motora, caracterizada pelo aumento da velocidade-dependente nos reflexos tônicos de estiramento e hiperatividade dos reflexos profundos. Pacientes com PEH declaram que inúmeras habilidades funcionais tornam-se prejudicadas pela associação da fraqueza muscular e espasticidade. A hidroterapia e suas propriedades constituem uma alternativa para a reabilitação física de pacientes neurológicos. Relatamos o caso de um paciente com PEH e sugerimos algumas propostas de reabilitação em ambiente aquático.
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McDermott CJ, White K, Bushby K, Shaw PJ. Hereditary spastic paraparesis: a review of new developments. J Neurol Neurosurg Psychiatr 2000;69:150-60.
Harding AE. Hereditary spastic paraplegias. Semin Neurol 1993;13(4):333-6.
Reid E. Science in motion: common molecular pathological themes emerge in the hereditary spastic paraplegias. J Med Genet 2003;40:81-6.
Kesiktas N, Paker N, Erdogan N, Gülsen G, Biçki D, Yilmaz H. The Use of Hydrotherapy for the Management of Spasticity. Neurorehabilitation and Neural Repair 2004;18(4):268-73.
Becker EB. Biophysiologic aspects of hydrotherapy. In: Becker EB, Cole AC (eds.). Comprehensive aquatic therapy. Newton: ButterworthHeinemann, 1997, 17-48.
Koury JM. Benefits of an aquatic therapy program. In: Koury JM (ed.). Aquatic therapy programming. Champaign: Human Kinetics, 1996, 1-11.
Medical Research Council. Aids to the investigation of peripheral nerve injuries. War Memorandum, 2nd edition. London: HMSO, 1943, 1-2.
Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987; 67:206-7.
Harding AE. Hereditary pure spastic paraplegia: a clinical and genetic study of 22 families. J Neurol Neurosurg Psychiatr 1981;44:871-83.
Dürr A, Brice A, Serdaru M, Rancurel G, Derouesné C, Lyon-Caen O, et al. The phenotype of pure autosomal dominant spastic paraplegia. Neurology 1994;44:1274-7.
Polo JM, Calleja J, Combarros O, Berciano J. Herditary pure spastic paraplegia: a study of nine families. J Neurol Neurosurg Psychiatr 1993;56:175-81.
Aalfs CM, Koelman JHTM, Meyjes FE, Ongerboer de Visser BW. Posterior tibial and sural nerve somatosensory evoked potentials: a study in spastic paraparesis and spinal cord lesions. Electroencephalogr Clin Neurophysiol 1993;89:437–41.
Pelosi L, Lanzillo B, Perretti A, Santoro L, Blumhardt L, Caruso G. Motor and somatosensory evoked potentials in hereditary spastic paraplegia. J Neurol Neurosurg Psychiatr 1991;54:1099-102.
Lossos A, Stevanin G, Meiner V, Argov Z, Bouslam N, Newman JP, et al. Hereditary Spastic Paraplegia With Thin Corpus Callosum. Arch Neurol 2006;63:756-60.
Teive HA, Iwamoto FM, Camargo CH, Lopes-Cendes I, Werneck LC. Doença de Machado-Joseph versus paraplegia espástica hereditária: relato de caso. Arq Neuropsiquiatr 2001; 59(3B):809-11.
Depienne C, Tallaksen C, Lephay JY, Bricka B, Poea-Guyon S, Fontaine B, et al. Spastin mutations are frequent in sporadic spastic paraparesis and their spectrum is different from that observed in familial cases. J Med Genet 2006;43:259-65.
Hedera P, Fenichel GM, Blair M, Haines JL. Novel Mutation in the SPG3A Gene in an African American Family with an Early Onset of Hereditary Spastic Paraplegia. Arch Neurol 2004;61:1600-3.
Fink JK, Heineman-Patterson T, Bird T, Cambi F, Dubé MP, Figlewicz DA, et al. Hereditary spastic paraplegia: advances in genetic research. Neurology 1996;46:1507-14.
Hentati A, Pericak-Vance MA, HungWY, Belal S, Laing N, Boustany RM, et al. Linkage of pure autosomal recessive familial spastic paraplegia to chromosome 8 markers and evidence of genetic locus heterogeneity. Hum Mol Genet 1994;3:1263-7.
De Michele G, De Fusco M, Cavalcanti F, Filla A, Marconi R, Volpe G, et al. A new locus for autosomal recessive hereditary spastic paraplegia maps to chromosome 16q24.3. Am J Hum Genet 1998;63:135-9.
Murillo F, Kobayashi H, Pegoraro E, Galluzzi G, Creel G, Mariani C, et al. Genetic localization of a new locus for recessive familial spastic paraparesis to 15q13–15. Neurology 1999;53:50-6.
Kenwrick S, Ionasescu V, Ionasescu G, Searby C, King A, Dubowitz M, et al. Linkage studies of X-linked recessive spastic paraplegia using DNA probes. Hum Genet 1986;73:264-6.
Keppen LD, Leppert MF, O’Connel P, Nakamura Y, Stauffer D, Lathrop M, et al. Etiological heterogeneity in X-linked spastic paraplegia. Am J Hum Genet 1987;41:933-43.
Tallaksen CME, Dürr A, Brice A. Recent advances in hereditary spastic paraplegia. Cur Opin Neurol 2001;14: 457-63.
Walton K. Management of patients with spasticity – A practical approach. Prac Neurol 2003;3:342-53.
Pagliaro P, Zamparo P. Quantitative evaluation of the stretch reflex before and after hydro kinesy therapy in patients affected by spastic paresis. J Electromyogr Kinesiol 1999;9(2):141-8.
Driver S, O’Connor J, Lox C, Rees K. Evaluation of an aquatics programme on fitness parameters of individuals with a brain injury. Brain Inj 2004;18(9):847-59.
Dumas HM, O’Neil ME, Fragala MA. Expert consensus on physical therapist intervention after botulinum toxin A injection for children with cerebral palsy. Pediatr Phys Ther 2001;13:122-32.
Malouin F, Richards CL, McFadyen B, Doyon J. Nouvelles perspectives en réadaptation motrice après un accident vasculaire cerebral. Med Sci (Paris) 2003;19:994-8.
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Publicado: 2009-03-31