Physiotherapy intervention in two people with HIV or AIDS‐related peripheral neuropathy

Gale, Judith R.

doi:10.1002/pri.290

Cited by 13 publications

(13 citation statements)

References 22 publications

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“…There is growing evidence to support aerobic exercise and progressive resisted exercise as being safe and effective for HIV-infected individuals 13–19. In 2012, Botros et al reported that nutritional counseling and exercise can be effective in treating HIV-related fat redistribution and metabolic abnormalities, and can improve body composition, strength, and fitness in PLWHA 15.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy intervention as a complementary treatment for people living with HIV/AIDS

Pullen¹,

Chigbo²,

Nwigwe³

et al. 2014

HIV

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BackgroundThe advent of highly active antiretroviral therapy has dramatically extended the life expectancy of people living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. Despite this increased longevity, HIV disease and its pharmacological treatment can cause long-term and acute health complications, many of which can be treated successfully by physiotherapy. The purpose of this paper is to report the effect of a 12-week rehabilitation program on several health-related markers in a 43-year-old woman living with HIV.MethodsThis case study examined the effect of a 12-week exercise and manual therapy intervention on morphology, pain, cardiopulmonary fitness, strength, neurological balance, immune markers (CD4 cell count), and quality of life in a 43-year-old woman living with HIV.ResultsThe results showed complete elimination of pain and shortness of breath on exertion. There was also a reduction in resting heart rate, waist circumference, exercise duration, muscle strength, and endurance. The patient showed an increase in peak expiratory flow rate, maximal heart rate attained, upper arm, forearm, and thigh circumference, and CD4+ cell count. The patient also showed improvements in the quality of life domains of general health, pain, energy/fatigue, social and physical functioning, and emotional well-being.ConclusionPhysiotherapy interventions consisting of exercise and manual therapy appear beneficial in several areas as an adjunct therapy in HIV management.

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Section: Introductionmentioning

confidence: 99%

Physiotherapy intervention as a complementary treatment for people living with HIV/AIDS

Pullen¹,

Chigbo²,

Nwigwe³

et al. 2014

HIV

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“…12 A few studies demonstrate the benefits of exercise in patients with HIV, e.g., improving balance, pain perception, perception of life satisfaction, reducing functional limitations, and improving the quality of life. [13][14][15][16][17][18] However, conventional exercise may not be appropriate for many older HIV adults due to risk of fall, lost joint perception, reduced joint mobility and overall frail status. These features may limit exercise performance particularly in those suffering from neuropathy.…”

Section: Introductionmentioning

confidence: 99%

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Veeravelli¹,

Najafi²,

Marin³

et al. 2016

JoVE

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Approximately 1.2 million people in the United States live with HIV infection. Medical advancements have increased the life expectancy and this cohort is aging. HIV-positive individuals have a high incidence of frailty (~20%) characterized by depression and sedentary behavior. Exercise would be healthy, but due to the frail status of many HIV-positive individuals, conventional exercise is too taxing. The aim of this study was to evaluate the effectiveness and acceptability of a novel game-based training program (exergame) in ameliorating some aspects of frailty in HIVinfected individuals. Ten older people living with HIV were enrolled in an exergame intervention. Patients performed balance exercises such as weight shifting, ankle reaching, and obstacle crossing. Real-time visual/audio lower-extremity joint motion feedback was provided using wearable sensors to assist feedback and encourage subjects to accurately execute each exercise task. Patients trained twice a week for 45 min for 6 weeks. Changes in balance, gait, psychosocial parameters and quality of life parameters were assessed at the beginning, midterm and at conclusion of the training program. Ten patients completed the study and their results analyzed. The mean age was 57.2 ± 9.2 years. The participants showed a significant reduction in center of mass sway (78.2%, p = .045) during the semi-tandem balance stance with eyes closed and showed a significant increase in gait speed during a dual task motor-cognitive assessment (9.3%, p = .048) with an increase in stride velocity of over 0.1 m/sec. A significant reduction in reported pain occurred (43.5%, p = .041). Preliminary results of this exergame intervention show promise in improving balance and mobility while requiring older people living with HIV to be more active. The exergame can be continued at home and may have long term as well as short-term benefits for ameliorating frailty associated with HIV infection.

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“…Physiotherapy management, consisting of joint mobilisation, massage and the use of micro-current therapy, has been reported to be effective in two patients; however, the impact of therapy was only apparent after several months (Gale 2003). Nicholas et al .…”

Section: Introductionmentioning

confidence: 99%

An innovative approach to reducing pain in patients with peripheral neuropathy related to HIV: A single case study

Benjamin

Jelsma

2014

AJOD

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IntroductionPeripheral neuropathy (PN) is the most common neurological condition seen in people living with human immunodeficiency virus (HIV) and has been estimated to be present in up to 30% of people with AIDS. Prevalence may be increasing as it appears to be related to the use of antiretroviral therapy in many cases, particularly medication containing stavudine. It is often characterised by burning and numbness in the feet. It can interfere severely with function and sufferers resort to a large number of strategies in an attempt to reduce pain.Case presentationA 50-year-old man presented with severe PN and showed symptoms of extreme weakness and sensitivity of both lower limbs. His symptoms gradually worsened over a period of 18 months to such an extent that he was unable to walk. Medication had no effect on his pain or related symptoms. The authors tested the use of a Vibromat clinical vibrator to treat his PN symptoms. The patient was treated using the same modality for five evenly spaced (monthly) sessions.OutcomeThe patient showed marked improvement in pain, numbness and pins and needles symptoms after the first session. He was able to walk a short distance with assistance. Treatment was continued and after the third session he was able to walk unaided. Symptom relief was maintained for 4 months.ConclusionThis is the first case demonstrating the use of the Vibromat in successfully treating the signs and symptoms of PN. This is important for clinicians who manage patients with HIV-related PN and pain.

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Physiotherapy intervention in two people with HIV or AIDS‐related peripheral neuropathy

Abstract: Free online access now included in this subscriptionPhysiotherapy Research International 2004 Volume 9 (4 issues)

Cited by 13 publications

References 22 publications

Physiotherapy intervention as a complementary treatment for people living with HIV/AIDS

Physiotherapy intervention as a complementary treatment for people living with HIV/AIDS

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

An innovative approach to reducing pain in patients with peripheral neuropathy related to HIV: A single case study

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