Spinal muscular atrophy type II (intermediary) and III (Kugelberg-Welander): evolution of 50 patients with physiotherapy and hydrotherapy in a swimming pool

Arquivos de Neuro-Psiquiatria

Márcia C. B. Cunha¹  Acary S. B. Oliveira¹  Rita Helena D. D. Labronici¹  Alberto Alain Gabbai¹ 

[1] ,Universidade Federal de São Paulo Escola Paulista de Medicina

关键词: physiotherapy;    hydrotherapy;    spinal muscular atrophy;    fisioterapia;    hidroterapia;    atrofia muscular espinhal;   

DOI  :  10.1590/S0004-282X1996000300007

来源: SciELO

【 摘 要 】

We added hydrotherapy to 50 patients with spinal muscular atrophy (SMA) who were being treated with individual conventional physiotherapy. Hydrotherapy was performed at an approximate temperature of 30 degrees Celsius, twice a week, for thirty minutes in children and for forty-five minutes in adults during a 2-year period. The outcome derived from this combined modality of treatment was rated according to physiotherapeutic evaluations, the MMT (Manual Muscular Test), and the Barthel Ladder. Patients were reevaluated at 2-month intervals. After two years of ongoing treatment, we were able to observe that the deformities in hip, knee and foot were progressive in all SMA Type II patients, and in some Type III. Muscle strength stabilized in most SMA Type III patients, and improved in some. MMT was not done in SMA Type II. In all patients we were able to detect an improvement in the Barthel Ladder scale. This study suggests that a measurable improvement in the quality of daily living may be obtained in patients with SMA Types II and III subjected to conventional physiotherapy when associated with hydrotherapy.

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