Introduction In the presence of disability the adapted physical activity is to be considered a useful tool to urge constantly the motor residual capacity, in the case of patients with muscular dystrophy, due to an altered amount of dystrophin. In relation to this biochemical modification the adapted exercises must be performed at low intensity in order to avoid damage of the sarcolemma. Recent studies focused one’s attention on link between physical activity and muscular dystrophy but nobody compared the daily exercise with twice a week exercise in subject with muscular dystrophy. Aim To understand whether daily exercise (DE) compared with the exercise carried out twice a week (TW) both low intensity, made by small tools and free body, modify the parameters of shoulder, muscle strength of the flexors of the hand and upper limb proprioceptive control during a predetermined motor task, in a group of subjects with muscular dystrophy. The effectiveness of the treatment will be evaluated also by the administration of the questionnaire SF-12. Methods Were involved 15 subjects, 10 male (age 43±17 years) and 5 female (age 49±14 years). The subjects were divided into two homogeneous groups (age and disability) to whom it is proposed a protocol of exercises: The TW group, consisting of 8 subjects, played the motor program twice a week; the DE group, formed by 6 persons, he trained every day at their home. The devices used for the functional evaluation of the variables were: the platform Libra (Easy Tech, Florence, Italy) for the ability evaluation in the management of upper limbs in a sinusoidal path; Hand Grip (Baseline 300 lb ER digital LCD dynamometer, USA) for the upper limbs strength, Freak tap (Itunes, ipad), for the reaction time to an acoustic stimulus, the visual analogic scale VAS, to the perception of some moods, the SF-12 health both mental and physical. Results The right hand data show an improvement of reaction time to an acoustic stimulus in TW group (T0vsT2, Anova p<0.01; Post Hoc p<0.05, -22%), proprioceptive test (Left area, T0vsT2, Anova p<0.001; Post Hoc p<0.01, -64.7%), the question "How do you feel comfortable? (T0vsT1, Anova p <0.05; Post Hoc p <0.01, 26.6%). In DE the Libra Platform shows an improvement of the proprioceptive control (Libra, Area Left, T0vsT2, Anova p<0.01; Post Hoc p<0.05, -71%). Discussion / conclusions. The research shows that adapted physical activity, performed twice a week, with low intensity can improve the reaction time to an acoustic stimulus, the proprioceptive control, and the VAS scale.

Muscular dystrophy and physical capacity : longitudinal study

GOLLIN, MASSIMILIANO;
2015-01-01

Abstract

Introduction In the presence of disability the adapted physical activity is to be considered a useful tool to urge constantly the motor residual capacity, in the case of patients with muscular dystrophy, due to an altered amount of dystrophin. In relation to this biochemical modification the adapted exercises must be performed at low intensity in order to avoid damage of the sarcolemma. Recent studies focused one’s attention on link between physical activity and muscular dystrophy but nobody compared the daily exercise with twice a week exercise in subject with muscular dystrophy. Aim To understand whether daily exercise (DE) compared with the exercise carried out twice a week (TW) both low intensity, made by small tools and free body, modify the parameters of shoulder, muscle strength of the flexors of the hand and upper limb proprioceptive control during a predetermined motor task, in a group of subjects with muscular dystrophy. The effectiveness of the treatment will be evaluated also by the administration of the questionnaire SF-12. Methods Were involved 15 subjects, 10 male (age 43±17 years) and 5 female (age 49±14 years). The subjects were divided into two homogeneous groups (age and disability) to whom it is proposed a protocol of exercises: The TW group, consisting of 8 subjects, played the motor program twice a week; the DE group, formed by 6 persons, he trained every day at their home. The devices used for the functional evaluation of the variables were: the platform Libra (Easy Tech, Florence, Italy) for the ability evaluation in the management of upper limbs in a sinusoidal path; Hand Grip (Baseline 300 lb ER digital LCD dynamometer, USA) for the upper limbs strength, Freak tap (Itunes, ipad), for the reaction time to an acoustic stimulus, the visual analogic scale VAS, to the perception of some moods, the SF-12 health both mental and physical. Results The right hand data show an improvement of reaction time to an acoustic stimulus in TW group (T0vsT2, Anova p<0.01; Post Hoc p<0.05, -22%), proprioceptive test (Left area, T0vsT2, Anova p<0.001; Post Hoc p<0.01, -64.7%), the question "How do you feel comfortable? (T0vsT1, Anova p <0.05; Post Hoc p <0.01, 26.6%). In DE the Libra Platform shows an improvement of the proprioceptive control (Libra, Area Left, T0vsT2, Anova p<0.01; Post Hoc p<0.05, -71%). Discussion / conclusions. The research shows that adapted physical activity, performed twice a week, with low intensity can improve the reaction time to an acoustic stimulus, the proprioceptive control, and the VAS scale.
2015
SISMES 2015
PADOVA
2-3-4- OTTOBRE
11
1
57
57
Muscular, dystrophy, physical capacity, Longitudinal Study
Gollin M; Serranò E
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1526622
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