Análise tridimensional da marcha em indivíduos com Doença de Wilson

Abstract

The Wilson's disease or hepatolenticular degeneration is a hereditary autosomal recessive disease, considered rare because of the low incidence, being prevalent of the both sexes and broad age range.The clinical board of the wilson's disease include varied symptoms with manifestations of hepatic, neurological and psychiatric. Objectives: Describe gait characteristics of people with Wilson's disease, besides trying to understand how each sign and symptom of the disease interferes with gait. Methods: A descriptive cross-sectional study applied to a report for each case. To locate this type of patient, the interviews were conducted with healthcare profession and in medical record. Individuals with a confirmed diagnosis of Wilson's disease were included through eye exams and laboratory tests, registered at CRER, of both sexes, over 6 years old and able to walk( with or without assistance) for at least 10 meters. Results: The temporal and spatial parameters, the decrease in the patient's cadence and gait speed stood out, opposing increased single and double support times, Regarding the range of motion and muscle strength,highlighted the impact of shortening of the Iliopsoas muscles on the right and bilateral hamstrings. Conclusion: the changes related to the patient's gait were due to, mainly, of the shortening of the Iliopsoas muscle on the right and the shortening of the bilateral ischiosural muscles by pulling the joints in abnormal motor patterns. keywords: Wilson's disease, Hepatolenticular degeneration, gait change.