Parkinson's disease can cause disability and decrease the quality of life in its sufferers. The aim of this study was to evaluate the quality of life of a group of people with Parkinson's disease and whether a relationship exists between time of evolution and severity of the disease. Secondary analysis was carried out on transversal data collected from 40 individuals with Parkinson's disease registered in the Parkinson's Association of Maringá, in Maringá-PR-Brazil. Measures: three instruments were applied: a socio-demographic questionnaire, the Hoenh and Yahr Scale and the Parkinson's Disease Questionnaire (PDQ-39). According to PDQ-39, men referred to a lower quality of life, although, statistically, there was no significant difference between the two genders. Differences were only observed in the dimensions of "activities of daily living" and "social support", in which men presented higher impairment, and "emotions" and "bodily discomfort", where women showed higher impairment. Furthermore, severity of disease tended to lead to a perception of lower quality of life regarding the dimensions of "activities of daily living" and "cognition", which is relevant to improve clinical guidance and intervention. diária" e "apoio social", com os homens apresentando maior acometimento e "bem-estar emocional" e "desconforto corporal", com maior comprometimento entre as mulheres.Por outro lado, a gravidade da doença apresentou tendência a pior percepção na qualidade de vida nas dimensões atividades de vida diária e cognição, pontos relevantes para melhor orientação clínica e intervenção.Descritores: Doença de Parkinson; Doença Crônica; Qualidade de Vida. Calidad de vida de las personas con enfermedad de Parkinson y su relación con la evolución en el tiempo y la gravedad de la enfermedadLa enfermedad de Parkinson puede llegar a ser incapacitante y afectar a la calidad de vida de los pacientes. El objetivo de este estudio fue evaluar la calidad de vida de las personas con Parkinson e identificar las relaciones con el transcurso del tiempo y la gravedad de la enfermedad. Los datos fueron recogidos en la ciudad de Maringá-PRBrasil, con 40 personas indexadas en la "Associação Maringaense de Parkinson", a través de la aplicación de tres instrumentos: cuestionario sociodemográfico, escala de Hoenh e Yahr y PDQ-39. De acuerdo con el PDQ-39, los hombres reportaron peor calidad de vida, aunque no hubo diferencias estadísticas entre los sexos. Las diferencias apenas se observaron en la dimensión "actividades de vida diaria" y "apoyo social", con los hombres presentando una mayor participación y "bienestar emocional" e "incomodidad física" con una más grave entre las mujeres. Por otra parte, la gravedad de la enfermedad mostró una tendencia a empeorar la percepción en la calidad de vida en las dimensiones de las actividades de la vida diaria y cognición, puntos importantes para una mejor orientación e intervención clínica.Descriptores: Enfermedad de Parkinson; Enfermedad Cronica; Calidad de Vida.

HighlightsFor the women the older age increased the risk of developing diabetic foot.The claw toes and calluses increased the risk of developing diabetic foot in woman.For the men, the use of insulin increased the risk of developing diabetic foot.The presence of sensory comorbidities and ulcers also increased the risk for men.

The objective of the study is to investigate what it is like for the patients and relatives to live with Parkinson's disease This was a qualitative descriptive study, developed with ten individuals with Parkinson's disease and their relatives, summing up twenty informers, through semistructured interviews. Through discourse analysis, we verified that in spite of the difficulties, many patients show acceptance or conformity regarding to the limitations imposed by the disease, while others still experience anger and hope for a cure. The greatest changes demonstrated by patients and family members regard to the question of dependence and loss of autonomy for work, daily life and leisure activities, which impact on the entire family dynamic. This way, small interventions could contribute to a better coexistence with the disease.

OBJECTIVE To determine the effect of an intervention involving muscular ankle strengthening and feet sensory stimuli to improve gait speed and balance in older adults with diabetes mellitus type 2 (DM2). DESIGN A clinical trial with concealed allocation, assessor blinding, and intention-to-treat analysis. PARTICIPANTS The trial enrolled 66 people 60 years or older with DM2 who were physically independent (did not require assistance with activities of daily living). INTERVENTION The experimental group performed 12 weeks of plantiflexor and dorsiflexor muscle strengthening exercises with resistance bands, proprioceptive exercises on balance boards and a buoy, and plantar sensory stimulation with bristle brushes and cloths, as well as general foot care instructions. The control group received foot care instructions only. OUTCOME MEASURES The primary outcome was plantar cutaneous sensibility as measured with Semmes-Weinstein monofilaments. Secondary outcomes included muscular strength (plantar flexion and dorsiflexion torque as measured with an isokinetic dynamometer), gait speed, and balance (total displacement area, mediolateral displacement, anteroposterior displacement, mediolateral displacement speed, and anteroposterior displacement speed) on right and left bipedal and unipedal supports. RESULTS In comparison with the control group, the experimental group demonstrated improved plantar cutaneous sensibility on the right foot (3.46 points; 95% confidence interval [CI], 3.85–9.80), left foot (3.46 points; 95% CI, 4.06–9.76), and an increase in gait speed (0.15 m/s; 95% CI 0.12–0.42). There were no meaningful changes in participants’ ankle muscle strength or balance. CONCLUSIONS This study showed that plantar cutaneous sensory stimulation can improve foot sensibility and increase the gait speed of older adults with DM2. However, there were no meaningful dorsiflexor or plantiflexor gains after 12 weeks.

Introduction : Sleeping is characterized by a temporary suspension of voluntary sensory and motor activity, regulated by the circadian cycle-and the biological clock, and any changes in their days function and general test results in poor quality of it, can affect the quality of life as a whole. Objective : To analyze the quality of sleeping in individuals with insomnia and its influence on quality of life. Methods : We interviewed 11 women from a specific questionnaire to evaluate the Quality of Sleeping Index (Pittsburgh Sleep Quality / PSQI) and one for quality of life (SF-36). Discussion : It was found that all participants had changes in sleep and quality of life was associated with tobacco use and lack of physical activity. The average found in the SF-36 was 39.0, and the most affected issues were the general health, social functioning, role physical limitations, pain and mental health. In PSQI score was obtained 13 points, indicating poor quality of sleeping and significant correlation was observed between the questionnaires, in which domains of physical functioning, vitality and social aspects showed moderate correlation. Conclusions : Poor sleeping quality can lead to compromised quality of life of individuals with insomnia.

Background: The Diabetes Mellitus type 2 (DM2) can cause sensory motor complications in