The effect of home exercise on the posture and mobility of people with HAM/TSP: a randomized clinical trial

Abstract

The most common symptoms are lower limb muscle weakness, hyperreflexia, hypertonia, pelvic floor dysfunction and moderate-to-severe pain^5,6. These symptoms cause postural⁷, locomotive⁸ and balance⁹ changes, all of which affect mobility and cause frequent falls. The impact on functional mobility occurs between two and five years after the initial symptom onset, and one in every five symptomatic individuals progresses to the wheelchair in a 10-year period⁸. This picture evolves to physical dependence, reduction of social participation and productive incapacity, all of which cause significant suffering and high costs³.