Effect of an intervention protocol based on motor learning for walking and balance in young patient with primary lateral sclerosis: a case study
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i1p70-77Keywords:
Learning, Walking, Postural balance, Lateral sclerosisAbstract
Introduction: Primary lateral sclerosis (PLS) is a rare disease characterized by the upper motor neuron degeneration that usually begin in the sixth decade of life. It has an insidious onset of symmetrical, slowly progressive spastic paresis, which often initially affects upper and lower limbs. The practice of exercises may benefit people with PLS by motor learning (ML) and improving their poor motor repertoire. Objective: To determine the effect of a ML-based intervention protocol to improve walking and balance in a young woman with PLS. Methodology: This is a case report of PLS in a 29-year-old Caucasian female, single, Colombian, submitted to pre-test evaluation (1 session), ML-based protocol intervention (18 sessions) and post-test evaluation (1 session). For data collection, the Tinetti Scale, Romberg test, Timed Get Up And Go, Functional Range test, Baropodometry and Stabilometry were used. Results: The Tinetti Scale (postural reaction) showed improvement in a foot swing; in the Tinetti Scale (walking) the positive results were found in width, symmetry, continuity and direction of the walk; Romberg Tests showed evolution for stability on flat surfaces with closed eyes and on Fomy foam with open eyes; in the Timed Get Up & Go Test the travel time was reduced from 13.64 seconds to 12.5 seconds. Conclusion: After the application of the protocol of intervention based on ML there were functional advances in gait and balance of young with ELP.
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