A revision of the main physical therapy approaches in spinal muscular atrophies

Authors

  • Marco Orsini Fisioterapeuta, Professor Adjunto de Neurologia Clínica, FESO e Doutorando em Neurociências, UFF.
  • Marcos RG de Freitas Professor Titular de Neurologia Clínica e Chefe do Serviço de Neurologia da UFF.
  • Miriam Ribeiro Calheiros de Sá Professora da Pós-Graduação em Fisioterapia Neurofuncional, ESEHA.
  • Mariana Pimentel de Mello Graduando em Fisioterapia e Estagiários do Setor de Reabilitação Neurológica, FESO.
  • Jhon Petter Botelho Graduando em Fisioterapia e Estagiários do Setor de Reabilitação Neurológica, FESO.
  • Reny de Souza Antonioli Graduando em Fisioterapia e Estagiários do Setor de Reabilitação Neurológica, FESO.
  • Viviane Vieira dos Santos Pós-Graduanda em Fisioterapia Neurofuncional, ESEHA.
  • Gabriel R de Freitas Neurologista do Serviço de Doenças Cerebrovasculares, Universidade Federal Fluminense – UFF.

DOI:

https://doi.org/10.34024/rnc.2008.v16.8664

Keywords:

Spinal Muscular Atrophy, Neuromuscular diseases, Physical therapy

Abstract

Spinal Muscular Atrophies (SMA) are part of a group of genetic syndromes with an autosomal recessive pattern of inheritance that affects the spinal anterior horn. We pointed the different ways of installation and evolution of the illness in four individuals with distinct types of SMA, and some strategies on management of muscular weakness. Clinically, the manifest carriers present a picture of weakness, most of the time symmetrical, of proximal predominance. There is no specific drug treatment. Therapeutical activities and/or exercises that demand intense motor activity, overloading the remaining motor neurons, must be prevented.

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References

Dubowitz V. Disorders of the lower motor neurone: the spinal muscular atrophies. In: Dubowitz V (ed). Muscle disorders in childhood. London: Saunders, 1995, pp. 325-69.

Iannaccone ST, Browne RH, Samaha FJ, Buncher CR. Prospective study of spinal muscular atrophy before age 6 years. DCN/SMA Group. Pediatr Neurol 1993;9:187-93.

Munsat TL. Workshop report: international SMA collaboration. Neuromusc Disord 1991;1:81.

Colomer J. Amiotrofias espinales en la infancia. Neurologia 1996;11(Suppl 5):29-42.

Fonseca LF, Pianetti G, Xavier CC. Compêndio de neurologia infantil. Rio de Janeiro: Medsi, 2002, 984 p.

Umphred D. Reabilitação Neurológica. São Paulo: Manole; 2004, 111 p. Aids to the examination of the peripheral nervous system. Edinburgh: WB Saunders; 2000, 62 p.

Kim CA, Passos-Bueno MR, Marie SK, Cerqueira A, Conti U, Marques-Dias MJ, et al. Clinical and molecular analysis of spinal muscular atrophy in Brazilian patients. Gen Mol Biol 1999;22(4):487-92.

Zerres K, Rudnik-Schöneborn S. Natural history in proximal spinal atrophy – clinical analysis of 445 patients and suggestions for a modification of existing classifications. Arch Neurol 1995;52:518-23.

Reed UC. Doenças neuromusculares. J Pediatr 2002;78(supl. 1):S89-S103.

Zatz M. A biologia molecular contribuindo para a compreensão e a prevenção das doenças hereditárias. Cien Saúde Col 2002;7(1):85-99.

Araújo APQC, Ramos VG, Cabello PH. Dificuldades diagnósticas na atrofia muscular espinhal. Arq Neuropsiquiatr 2005;63(1):145-9.

Zerres K, Davies KE. 59th ENMC International Workshop: Spinal Muscular Atrophies: recent progress and revised diagnostic criteria. Neuromuscul Disord 1999;9:272-8.

Verma A, Bradley WG. Atypical motor neuron disease and related motor syndromes. Semin Neurol 2001;21:177-87.

Fowler WM. Consensus conference summary: Role of physical activity and exercise training in neuromuscular diseases. Am J Phy Med Rehabil 2002;81:187-95.

Trojan DA, Cashman NR. Post poliomyelitis syndrome. Muscle Nerve 2005;31(1):6-19.

Tzeng AC, Bach JR. Prevention of pulmonary morbidity for patients with neuromuscular disease. Chest 2000;118 (5):1390-6.

Ioos C, Leclair-Richard D, Mrad S, Barois A, Estournet-Mathiaud B. Respiratory capacity course in patients with infantile spinal muscular atrophy. Chest 2004;126(3):831-7.

Tangsrud SE, Carlsen KC, Lund-Petersen I, Carlsen KH. Lung function measurements in young children with spinal muscle atrophy; a cross sectional survey on the effect of position and bracing. Arch Dis Child 2001;84 (6):521-4.

Miske LJ, Hickey EM, Kolb SM, Weiner DJ, Panitch HB. Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough. Chest 2004;125(4):1406-12.

Koessler W, Wanke T, Winkler G, Nader A, Toifl K, Kurz H, et al. 2 Years’ experience with inspiratory muscle training in patients with neuromuscular disorders. Chest 2001;120(3):765-9.

Published

2008-03-31

How to Cite

Orsini, M., Freitas, M. R. de, Sá, M. R. C. de, Mello, M. P. de, Botelho, J. P., Antonioli, R. de S., … Freitas, G. R. de. (2008). A revision of the main physical therapy approaches in spinal muscular atrophies. Revista Neurociências, 16(1), 46–52. https://doi.org/10.34024/rnc.2008.v16.8664

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Section

Revisão de Literatura
##plugins.generic.dates.received## 2019-03-05
##plugins.generic.dates.published## 2008-03-31

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