A doença de Parkinson (DP) é uma doença degenerativa e progressiva do sistema nervoso central, e seus sintomas podem proporcionar um declínio da qualidade de vida (QV) dos pacientes, que pode ser influenciada positivamente pela fisioterapia aquática (FA). A FA é um recurso fisioterapêutico que utiliza os efeitos físicos, fisiológicos e cinesiológicos advindos da imersão do corpo em piscina aquecida. O questionário da doença de Parkinson 39 (PDQ-39) é o instrumento mais apropriado para a avaliação da QV do paciente com DP. O objetivo deste estudo foi avaliar os efeitos da FA na QV de pacientes com DP nos estágios de leve a moderado, utilizando-se do PDQ-39. Foram incluídos 13 pacientes com DP, com idade entre 45 e 74 anos, entre os estágios 1 a 3 da doença (Hoehn-Yahr). Os pacientes foram submetidos a 16 sessões de FA, duas vezes por semana, com duração de uma hora, em piscina terapêutica aquecida. A percepção da QV foi mensurada por meio do PDQ-39, antes e depois da FA. Depois da FA, ocorreu uma redução estatisticamente significativa (p<0,0001) tanto no escore total do PDQ-39 quanto em todos os seus domínios (p=0,032). A QV foi mais afetada em maiores estágios da doença. Antes da FA, a QV era pior no estágio mais avançado da doença, e apesar da melhora dos escores de QV depois da FA, o estágio mais avançado continuou apresentando pior percepção da QV. A FA proporcionou uma melhora na qualidade de vida dos pacientes com doença de Parkinson neste estudo.
Our goal was to study deglutition of Parkinson's disease (PD) patients and normal controls (NC) using surface electromyography (sEMG). The study included 15 patients with idiopathic PD and 15 age-matched normal controls. Surface electromyography was collected over the suprahyoid muscle group. Conditions were the following: swallow at once 10 and 20 ml of water and 5 and 10 ml of yogurt of firm consistency, and freely drink 100 ml of water. During swallowing, durations of sEMG were significantly longer in PD patients than in normal controls but no significant differences of amplitudes were found. Eighty percent of the PD patients and 20 % of the NC needed more than one swallow to consume 20 ml of water, while 70 % of the PD patients and none of the NC needed more than one swallow to consume 5 ml of yogurt. PD patients took significantly more time and needed significantly more swallows to drink 100 ml of water than normal controls. We conclude that sEMG might be a simple and useful tool to study and monitor deglutition in PD patients.
Objective: To compare the effects of mental practice (MP) strategies associated with physical therapy on gait and risk of falls in people with Parkinson's disease (PD). Method: We included 35 people of both sexes with mild to moderate idiopathic PD allocated into four groups; 1- Control group (CG), 2- Image-guided mental practice group (IGMP), 3- Audio-guided mental practice group (AGMP) and 4- Unguided mental practice group (UMP). The subjects in the experimental groups underwent 15 sessions of motor physical therapy and mental practice, while the CG received only physical therapy. The sessions were held twice a week, 40 minutes for motor physical therapy and 1 minutes for the corresponding Mental Practice protocol. To evaluate the spatiotemporal parameters of the gait, the 10-meter Walking Test was used and the risk of falls using the Timed Up and Go (TUG). Results: The IGPM group presented significant results for the time (p= 0.027) and gait speed (p= 0.025) when compared to the results of the CG. Cadence and risk of falls had no major effect for the group. The UMP and AGMP groups did not present statistically significant results for TC10m and TUG when compared with CG. Conclusion: The results of this study suggest that image-guided mental practice training associated with motor physical therapy is more effective in increasing gait speed than other MP strategies.
OBJETIVO: descrever o método de registro da eletromiografia de superfície através da utilização de um protocolo desenvolvido para o estudo da deglutição e demonstrar a deglutição de um paciente com doença de Parkinson e de um sujeito normal através do registro da eletromiografia de superfície (EMGs). MÉTODOS: para ilustrar os parâmetros eletrofisiológicos registrados após execução do protocolo foram utilizados dois voluntários do sexo feminino, sendo um sem doença e outro apresentando doença de Parkinson (DP) no estágio III de acordo com a escala de Hoehn e Yahr. Os parâmetros analisados pelo foram: a duração da atividade elétrica durante a deglutição, a amplitude (rms) e o limite de disfagia. RESULTADOS: os resultados mostram diferenças entre os eletromiogramas ilustrativos. CONCLUSÃO: a EMGs pode ser utilizada como método de avaliação e monitorização da deglutição de sujeitos sem doença e com DP.
The Mental Practice (MP) consists of a training method by which a given specific motor act is cognitively reproduced internally and repeated with the intention of promoting learning or improvement of motor skills, without inducing any real movement. The results of MP to research in Parkinson's disease are still ambiguous due to various reasons such as the diversity of the intervention protocols. The MP with intervention protocols are cognitively complex and challenging presenting variations in its application concerning the type of PM, task/movement to be imagined and type of instruction. Objective: The study aimed to investigate the literature MPs protocols used for motor rehabilitation of individuals with Parkinson's disease. Methods: The searches of this systematic review was performed on the portals databases: PubMed, Scopus, Web of Science and Medicine. The descriptors were: ("mental practice" or "engine imagery" or "imagery training" and "Parkinson"). Results: 128 articles were found, of which only 4 were included according to the eligibility criteria. Conclusion: The protocols that have proven to be effective for reducing bradykinesia, improving mobility and gait speed used the MP combined with physical practice in 12 sessions, of 5 to 30 minutes, visual or visual and kinesthetic imagery of specific activities and used gait videos of patients or healthy subjects promote familiarization and identification of kinematic components of the movement.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.