Efeito do uso das órteses no prolongamento da marcha de pacientes com distrofia muscular de Duchenne: revisão da literatura
DOI:
https://doi.org/10.5935/0104-7795.20150030Palavras-chave:
Distrofia Muscular de Duchenne, Aparelhos Ortopédicos, MarchaResumo
A capacidade de marcha em pacientes com distrofia muscular de Duchenne diminui progressivamente devido ao avanço da fraqueza e encurtamento muscular. As órteses para membros inferiores são frequentemente prescritas na tentativa de prolongar a marcha nestes pacientes. Objetivo: Realizar uma revisão da literatura a fim de verificar o efeito do uso das órteses em relação ao prolongamento do tempo de marcha. Método: Foi realizado um levantamento bibliográfico nas bases PUBMED, PEDRO e SCIELO com as palavras-chave orthoses, bracing, gait, gait loss, ambulation, Duchenne muscular dystrophy. Resultados: Nos quatorze artigos selecionados foi identificada a prescrição das órteses do tipo KAFO (também chamadas de órteses longas) e AFO, sempre associada a outra intervenção terapêutica. A maioria dos estudos relatou que o uso do dispositivo prolonga o tempo de marcha. Conclusão: O uso da órtese, independentemente do tipo, prolonga a deambulação, pois retarda o avanço de encurtamentos. Assim, sugere-se o início precoce da AFO a fim de minimizar o prejuízo funcional característico da doença
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Bakker JP, De Groot IJ, Beelen A, Lankhorst GJ. Predictive factors of cessation of ambulation in patients with Duchenne muscular dystrophy. Am J Phys Med Rehabil. 2002;81(12):906-12. DOI:http://dx.doi.org/10.1097/00002060-200212000-00004
Humbertclaude V, Hamroun D, Bezzou K, Bérard C, Boespflug-Tanguy O, Bommelaer C, et al. Motor and respiratory heterogeneity in Duchenne patients: implication for clinical trials. Eur J Paediatr Neurol. 2012;16(2):149-60. DOI:http://dx.doi.org/10.1016/j.ejpn.2011.07.001
Vuillerot C, Girardot F, Payan C, Fermanian J, Iwaz J, De Lattre C, et al. Monitoring changes and predicting loss of ambulation in Duchenne muscular dystrophy with the Motor Function Measure. Dev Med Child Neurol. 2010;52(1):60-5. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03316.x
Spencer GE Jr, Vignos PJ Jr. Bracing for ambulation in childhood progressive muscular dystrophy. J Bone Joint Surg Am. 1962;44-A:234-42.
Rodillo EB, Fernandez-Bermejo E, Heckmatt JZ, Dubowitz V. Prevention of rapidly progressive scoliosis in Duchenne muscular dystrophy by prolongation of walking with orthoses. J Child Neurol. 1988;3(4):269-74. DOI:http://dx.doi.org/10.1177/088307388800300407
Heckmatt JZ, Dubowitz V, Hyde SA, Florence J, Gabain AC, Thompson N. Prolongation of walking in Duchenne muscular dystrophy with lightweight orthoses: review of 57 cases. Dev Med Child Neurol. 1985;27(2):149-54. DOI: http://dx.doi.org/10.1111/j.1469-8749.1985.tb03763.x
Eagle M. Report on the muscular dystrophy campaign workshop: exercise in neuromuscular diseases Newcastle, January 2002. Neuromuscul Disord. 2002;12(10):975-83. DOI: http://dx.doi.org/10.1016/S0960-8966(02)00136-0
Garralda ME, Muntoni F, Cunniff A, Caneja AD. Knee-ankle-foot orthosis in children with Duchenne muscular dystrophy: user views and adjustment. Eur J Paediatr Neurol. 2006;10(4):186-91. DOI:http://dx.doi.org/10.1016/j.ejpn.2006.07.002
Vignos PJ, Wagner MB, Kaplan JS, Spencer GE. Predicting the success of reambulation in patients with Duchenne muscular dystrophy. J Bone Joint Surg Am. 1983;65(6):719-28.
Williams EA, Read L, Ellis A, Morris P, Galasko CS. The management of equinus deformity in Duchenne muscular dystrophy. J Bone Joint Surg Br. 1984;66(4):546-50.
Scott OM, Hyde SA, Goddard C, Dubowitz V. Prevention of deformity in Duchenne muscular dystrophy. A prospective study of passive stretching and splintage. Physiotherapy. 1981;67(6):177-80.
Fernandes NA, Troise DC, Fávero FM, Fontes SV, Oliveira ASB. A Importância das órteses de membros inferiores na distrofia muscular de Duchenne - revisao. Rev Neurocienc. 2012;20(4):584-7.
Hyde SA, Floytrup I, Glent S, Kroksmark AK, Salling B, Steffensen BF, et al. A randomized comparative study of two methods for controlling Tendo Achilles contracture in Duchenne muscular dystrophy. Neuromuscul Disord. 2000;10(4-5):257-63. DOI: http://dx.doi.org/10.1016/S0960-8966(99)00135-2
Pardo AC, Do T, Ryder T, Meyer A, Miles L, Wong BL. Combination of steroids and ischial weight-bearing knee ankle foot orthoses in Duchenne's muscular dystrophy prolongs ambulation past 20 years of age-a case report. Neuromuscul Disord. 2011 Nov;21(11):800-2. DOI: http://dx.doi.org/10.1016/j.nmd.2011.06.006
Seeger BR, Caudrey DJ, Little JD. Progression of equinus deformity in Duchenne muscular dystrophy. Arch Phys Med Rehabil. 1985;66(5):286-8. DOI: http://dx.doi.org/10.1097/01241398-198509000-00143
Vignos PJ, Wagner MB, Karlinchak B, Katirji B. Evaluation of a program for long-term treatment of Duchenne muscular dystrophy. Experience at the University Hospitals of Cleveland. J Bone Joint Surg Am. 1996;78(12):1844-52.
Hyde SA, Scott OM, Goddard CM, Dubowitz V. Prolongation of ambulation in Duchenne muscular dystrophy by appropriate orthoses. Physiotherapy. 1982;68(4):105-8.
Melkonian GJ, Cristofaro RL, Perry J, Hsu JD. Dynamic gait electromyography study in Duchenne muscular dystrophy (DMD) patients. Foot Ankle. 1980;1(2):78-83. DOI: http://dx.doi.org/10.1177/107110078000100205
Taktak DM, Bowker P. Lightweight, modular knee-ankle-foot orthosis for Duchenne muscular dystrophy: design, development, and evaluation. Arch Phys Med Rehabil. 1995;76(12):1156-62. DOI:http://dx.doi.org/10.1016/S0003-9993(95)80126-X
Santos NM, Rezende MM, Terni A, Hayashi MCB, Fávero FM, Quadros AAJ, et al. Perfil clínico e funcional dos pacientes com Distrofia Muscular de Duchenne assistidos na Associaçao Brasileira de Distrofia Muscular (ABDIM). Rev Neurocienc. 2006;14(1):15-22.
Hsu JD, Furumasu J. Gait and posture changes in the Duchenne muscular dystrophy child. Clin Orthop Relat Res. 1993;(288):122-5.
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