Variations in plantar pressure and balance in HIV-infected children in antiretroviral therapy

Balance disorders have been poorly investigated and somewhat neglected in people infected with the human immunodeficiency virus, especially in children, whose have intrinsic and extrinsic risk factors that may compromise the balance. To evaluate the foot plantar pressures and the balance in children...

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Bibliographic Details
Published in:Scientific reports 2019-03, Vol.9 (1), p.4344, Article 4344
Main Authors: da Silva Pontes, Lucieny, Callegari, Bianca, Magno, Lizandra, Moraes, Anderson, Silva, Bruno Giovanni, Manso, Kaio, Barros, Brenison, Araújo, Ana Paula, Silva, Maria Clara, Dias, George Alberto, Vasconcelos, Beatriz Helena, Costa E Silva, Anselmo, Libonati, Rosana Maria, Souza, Givago Silva
Format: Article
Language:English
Subjects:
Adolescent
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Antiretroviral therapy
Body mass index
Case-Control Studies
Child
Children
Feet
Female
Foot
HIV
HIV Infections - drug therapy
HIV Infections - physiopathology
Human immunodeficiency virus
Humans
Male
Orthopedics
Pediatrics
Plant viruses
Postural Balance
Pressure
Reflexes
Risk factors
Serology
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Summary:Balance disorders have been poorly investigated and somewhat neglected in people infected with the human immunodeficiency virus, especially in children, whose have intrinsic and extrinsic risk factors that may compromise the balance. To evaluate the foot plantar pressures and the balance in children with acquired immunodeficiency. We recruited 53 children aged between 6 and 15 years: 33 healthy children, and 20 children with positive serology for the human immunodeficiency virus. A physical examination included anthropometric, reflexes, tactile sensitivity of the foot and orthopedic evaluation. We also collected data of them using Pediatric Equilibrium Scale, baropodometry, and stabilometry. We considered significance level of 0.05 for statistics. Both groups were aged-, sex-matched and similar body mass index and scores of the Pediatric Equilibrium Scale. Three infected children had altered tactile sensitivity, and none had orthopedic or reflex alteration. Infected children had higher mean plantar pressure in the hindfoot than of the control group (p = 0.02). There was higher maximum plantar pressure in the hindfoot of the infected children than of the controls (p = 0.04). Controls had lower maximum plantar pressure in the forefoot than the infected children (p = 0.04). Infected children had larger displacement of the center of pressure (p = 0.006), larger mean velocity of displacement (p = 0.006), and longer duration between successive peaks of displacement than the controls (p = 0.02). Children living with the human immunodeficiency virus discharges great plantar pressures in the hindfoot and to present balance disturbances in the absence of neurological symptomatology.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-019-41028-0