Program for rehabilitation of balance and gait in patients with Parkinson’s disease
DOI:
https://doi.org/10.23925/1984-4840.2020v22i3a2Keywords:
postural balance, gait, Parkinson disease, physical therapy modalitiesAbstract
Introduction: Parkinson’s disease (PD) is characterized by involuntary movements and changes in balance and gait that affect the activities of daily living. Objective: To evaluate the effects of a balance and gait rehabilitation program in PD patients. Method: Interventional study, carried out in the outpatient clinic of a teaching hospital, with individuals diagnosed with PD. Sex, age, time since diagnosis, disease stage according to the Hoehn & Yahr scale and regular use of medications were collected. The subjects participated in a rehabilitation program, twice a week for eight weeks. The balance and gait scores were assessed using the Tinetti scale before and after the physical therapy intervention. Results: Ten elderly people were included, 60% male, mean age 66.6 ± 10.7 years, mean time since diagnosis 9.3 ± 4.5 years, mean disease stage 2.1 ± 0.6. There was a significant increase for the item rises from the chair (p = 0.05) and for the external imbalance (p = 0.01) of the balance test in the comparison before and after the physical therapy intervention. A significant increase in the item length and height of the step (p = 0.005) and in the total score (p = 0.05) of the gait test was also verified. When comparing the total score of the scale, a significant increase (p = 0.04) was observed between the moments before and after the intervention performed. Conclusion: The proposed rehabilitation program promoted an improvement in balance and gait in a group of patients with PD.
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Silva DCL, Vianna E, Martins CP, Martins JV, Rodrigues EC, Oliveira LAS. Perfil dos indivíduos com doença de Parkinson atendidos no setor de fisioterapia de um hospital universitário no Rio de Janeiro. Rev Bras Neurol. 2015;51(4):100-5.
Souza PI, Santos LM, Santana VS, Feitosa AG. Capacidade funcional de idosos com doença de Alzheimer e Parkinson: revisão bibliográfica. Rev Pesq Fisioter. 2014;4(1):78-84. http://dx.doi.org/10.17267/2238-2704rpf.v4i1.377.
Choi YI, Song CS, Chun BY. Activities of daily living and manual hand dexterity in persons with idiopathic Parkinson. J Phys Ther Sci. 2017;29(3):457-60. http://dx.doi.org/10.1589/jpts.29.457.
Martin DM, Samà A, Lopes CP, Català A, Arostegui JMM, Cabestany J, et al. Home detection offreezing of gait using support vector machine through a single waist-worn triaxial accelerometer. Plos One. 2017;12(2):e0171764. https://doi.org/10.1371/journal.pone.0171764.
Scalzo PL, Santos RMS, Carvalho DV, Magalhães HC, Christo PP, Souza MS, et al. Caracterização da dor em pacientes com doença de Parkinson. Rev Bras Neurol. 2018;54(4):19-25.
Fuxe K, Marcellino D, Genedani S, Agnati L. Adenosine A2A receptors, dopamine D2 receptors and their interactions in Parkinson’s disease. Mov Disord. 2007;22(14):1990-2017. https://doi.org/10.1002/mds.21440.
Duchesne C, Gheysen F, Bore A, Albouy G, Nadeau A, Robillard ME, et al. Influence of aerobic exercise training on the neural correlates of motor learning in Parkinson´s disease individuals. Neuroimage Clin. 2016;14(12):559-69. http://dx.doi.org/10.1016/j.nicl.2016.09.011.
Goulart F, Santos CC, Salmela LFT, Cardoso F. Análise do desempenho funcional em pacientes portadores de doença de Parkinson. Acta Fisiatr. 2004;11(1):12-6. https://doi.org/10.5935/0104-7795.20040001.
Carvalho A, Barbirato D, Araujo N, Martins JV, Cavalcante JLS, Santos TM. Comparison of strength training, aerobic training, and additional physical therapy as supplementary treatments for Parkinson`s disease: pilot study. Clin Interv Aging. 2015;10:183-91. http://dx.doi.org/10.2147/CIA.S68779.
Roeder L, Costello JT, Smith SS, Stewart IB, Kerr GK. Effects of resistance training on measures of muscular strength in people with Parkinson`s disease: a systematic review and meta- analysis. Plos One. 2015;10(7): e0132135. http://dx.doi.org/10.1371/journal.pone.0132135.
Mello MPB, Botelho ACG. Correlação das escalas de avaliação utilizadas na doença de Parkinson com aplicabilidade na fisioterapia. Fisioter Mov. 2010;23(1):121-7.
Gomes GS. Tradução, adaptação transcultural e exame das propriedades de medida da escala “Performance-Orientes Mobility Assessment”(POMA) para uma amostra de idosos brasileiros institucionalizados [dissertação]. Campinas (SP): Universidade Estadual de Campinas; 2003.
Karuka AH, Silva JAMG, Navega MT. Análise da concordância entre instrumentos de avaliação do equilíbrio corporal em idosos. Rev Bras Fisioter. 2011;15(6):460-6.
Sousa ASK, Bezerra PP. A realidade virtual por meio do tapete de vídeodança melhora a marcha de pacientes com doença de Parkinson. Rev Bras Neurol. 2016;52(1):21-9.
Sousa ASK, Lopes KL, Fragnani SG, Nery T, Werner E, Bezerra PP. Fisioterapia associada a yoga e musicoterapia na doença de Parkinson: ensaio clínico. Rev Bras Neurol. 2017;53(3):31-40.
de Dreu MJ, van der Wilk AS, Poppe E, Kwakkel G, van Wegen EE. Rehabilitation, exercise therapy and music in patients with Parkinson´s disease: a meta-analysis of the effects of music-based movement therapy on walking ability, balance and quality of life. Parkinsonism Relat Disord. 2012;18(1):S114-9. http://dx.doi.org/10.1016/S1353-8020(11)70036-0.
Yamashita FC, Saito TC, Almeida IA, Barboza NM, Santos SMS. Efetividade da fisioterapia associada a musicoterapia na doença de Parkinson. ConSc Saúde. 2012;11(4)677-84. http://dx.doi.org/105585/ConsSaude.v11n4.3857.
de Bruin N, Doan JB, Turnbull G, Suchowersky O, Bonfield S, Hu B, et al. Walking with music is a safe and viable tool for gait training in Parkinson´s disease: the effect of a 13-week feasibility study on single and dual task walking. Parkinsons Dis. 2010;483-530. http://dx.doi.org/10.4061/2010/483530.
Pacchetti C, Mancini F, Aglieri R, Fundaro C, Martignoni E, Nappi G. Active music therapy in Parkinson´s disease: na integrative method for motor and emotional rehabilitation. Psychosom Med. 2000;62(2):386-93. http://dx.doi.org/10.1097/00006442-200005000-00012.
Morris S, Morris ME, Iansek R. Reability of measurements obtained with the Timed “Up e Go” Test in people with Parkinson disease. Phys Therapy. 2001;81(2):810-8. http://dx.doi.org/10.1519/S0103-51502012000400005.
Brauer SG, Woollacott MH, Lamont R, Clewett S, O´Sullivan J, Silburn P, et al. Single and dual task gait training in people with Parkinson´s disease: a protocol for a randomised controlled trial. BMC Neurol. 2011;11(90):1-6. http://dx.doi.org/10.1186/1471-2377-11-90.
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