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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