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Background: Evidence-based practices involving dance modalities found in binary (two-beat rhythm) or quaternary (four-beat rhythm) show that dance positively influences the motor aspects of disease.Aim: This randomized clinical trial aimed to analyze the effect of two dance rhythm (binary and quaternary) on the balance, gait, and mobility in individuals with Parkinson’s disease (PD). Methods: Thirty-one individuals with PD were randomized into the binary group (n = 18) and the quaternary group (n = 13). Both groups participated in different dance rhythms lasting 12 weeks, twice a week, for 45 minutes. Results: The binary group showed a significant difference in balance (p = 0.003), freezing of gait (p = 0.007), as well as in the motor aspects of MDS-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), with emphasis on the total values with a score change of 3.23. In the quaternary group, significant differences were found in balance (p = 0.021) with a score change of -2.54 and in the motor aspects of the MDS-UPDRS Part III where the total values stood out with a change of 3.54. Discussion: When comparing the possible effects of binary and quaternary rhythms on the motor symptoms of individuals with PD, it was demonstrated that binary rhythm improved balance, freezing gait, and UPDRSIII. As for the quaternary rhythm, the benefits were in balance and the UPDRSIII. Conclusion: The binary and the quaternary rhythm dance protocols positively influenced the motor symptoms of individuals with PD after 12 weeks of intervention.

Objetivo: Este estudo objetivou verificar a viabilidade de dois protocolos de dança - ritmo binário e ritmo quaternário nas variáveis UPDRS, equilíbrio, congelamento da marcha e qualidade de vida em indivíduos com doença de Parkinson. Metodologia: Realizou-se um ensaio clínico randomizado, comparando a viabilidade de dois protocolos de dança. Vinte sujeitos, diagnosticados com a doença de Parkinson, participaram do estudo e foram divididos aleatoriamente em dois grupos: grupo de ritmo binário e grupo de ritmo quaternário. A intervenção foi realizada duas vezes por semana, com duração de 45 minutos, durante 12 semanas. As variáveis analisadas foram: UPDRS, equilíbrio (Mini-BESTest), congelamento da marcha (FOG-Q) e qualidade de vida (PDQ-39). Resultados: Ambos os protocolos apresentaram resultados positivos no congelamento da marcha, UPDRS e qualidade de vida, além de mostrarem grande aderência nas intervenções, evidenciando serem importantes para o apoio no tratamento da doença. Conclusão: Este estudo de viabilidade é inovador em indivíduos com a doença de Parkinson, apresentando dois protocolos viáveis, que podem se tornar ferramentas relevantes para o tratamento de sintomas motores e não motores na doença de Parkinson.

People with Parkinson's disease constantly demonstrate low levels of physical activity, which is why dance has become increasingly important for the treatment of the disease. This study aimed to analyze the influence of binary and quaternary rhythm on fatigue, sleep, and daytime sleepiness in individuals with Parkinson's disease.Methods: 31 individuals participated in this randomized clinical trial with a mean age of 66.6 ± 10.2 years, 71% were male and 29% were female, allocated into two groups, binary and quaternary, where they participated in different dance interventions lasting 12 weeks. A questionnaire was applied including personal and clinical information; Mental State Mini-Examination (MMSE), Hoehn and Yahr (H&Y), Fatigue Severity Scale (FSS), Sleep Scale for Parkinson's Disease (PDSS), and Daytime Sleepiness Epworth Scale (ESS). Results: The groups that participated in binary rhythm classes showed improvement in sleep quality and daytime sleepiness after 12 weeks of intervention. However, no significant differences were found in the group that participated in the quaternary rhythm classes. Moreover, it was noted that the binary group managed to raise the heart rate during the 12 weeks of intervention, given that these results were not obtained in the quaternary group. Conclusion: The results showed the effectiveness of binary rhythm on nonmotor symptoms and heart rate increase in individuals with Parkinson's disease. Thus, it is concluded that the binary rhythm was more effective than the quaternary rhythm.

BACKGROUND People with Parkinson's disease constantly have low levels of physical activity, so dancing has become increasingly important for the treatment of the disease and can help improve balance, gait, reduce falls, and improve quality of life. However, there has been no research on the effects of binary and quaternary rhythms on the symptoms of people living with Parkinson's disease, so the study may provide a new treatment option for this population. OBJECTIVE To propose a 12-week protocol of binary and quaternary rhythms for individuals with Parkinson’s disease and to evaluate their effectiveness on motor (balance, gait, functional mobility), and non-motor symptoms (quality of life, sleep, sleepiness during daytime, fatigue) through a randomized clinical trial. METHODS Sixty individuals with idiopathic Parkinson’s disease, will be enrolled in the study. The participants will be allocated to either the intervention arm (binary rhythm (dance) or quaternary rhythm (dance) 2x/week for 12 weeks). The binary and quaternary rhythm dance classes will be divided into three stages: warm-up and stretching; the main stage and relaxation. Measurements of study outcomes will take place at baseline and post-intervention. RESULTS The primary outcome is balance measured by a balance test score (Mini-Bestest). Secondary outcomes include gait, functional mobility, quality of life, sleep, sleepiness during daytime and fatigue. CONCLUSIONS Considering the high prevalence of individuals with Parkinson's disease, implementing a specific protocol for binary and quaternary rhythms is important considering the need to improve the quality of life, motor and non-motor symptoms of your life. The study will provide critical information on the efficacy and effects of binary-rhythm interventions on motor and non-motor symptoms of individuals with Parkinson's disease in order to help guide and plan future studies. This is an innovative protocol, being an important tool for the reduction of motor and non-motor symptoms in individuals with Parkinson’s disease. CLINICALTRIAL The trial was registered on Clinical Trials number: NCT03235453.

Introduction: Head and neck cancer is considered a global public health problem, which arises in aesthetically and functionally critical areas. The practice of physical exercise has been considered one of the significant and effective non-pharmacological strategies to minimize the physical and psychological consequences. Objective: To analyze the evidence of physical activity interventions in the physical and psychological health of individuals with head and neck cancer. Method: A systematic review was conducted blindly and independently, from March to May 2021, according to the PRISMA guidelines. The search was performed in the following databases: PubMed Central®; Cochrane Library; Web of Science, Scopus, ScienceDirect. Results: Of the 515 selected studies, 15 were included in this systematic review with a total of 670 participants aged between 18 and 76 years old. The studies included aerobic exercises, endurance, mobility, stretching, strengthening, and yoga. Conclusion: Evidence proves that physical activity interventions performed with individuals with head and neck cancer may be beneficial in the treatment and physical/psychological health of this population. This study may help new researches considering the detailed information described previously regarding the interventions applied, in addition to discussing the most used instruments with this public and indicating the modalities that are being safely performed. It is suggested that more randomized trials be conducted to obtain more concise results.

Objetivo: analisar o autoconceito, a imagem corporal e o nível de atividade física e verificar as relações dessas variáveis com a prática de Educação Física, de dança e de ginástica rítmica (GR), em meninas escolares. Método: participaram 90 escolares do ensino fundamental (7 a 12 anos de idade), classificadas em praticantes de Educação Física escolar somente, de dança e de GR. Utilizou-se um questionário direcionado aos pais e/ou responsáveis sobre o nível econômico; e outro às escolares, com informações de caracterização; autoconceito (EAC-IJ); imagem Corporal (Escala Adaptada de Kakeshita); e atividade física (PAQ-C). Resultados: as escolares apresentaram pontuações baixas para todos os tipos de autoconceito investigados (pessoal, social, escolar e familiar). Houve diferença nas pontuações do autoconceito social em relação às diferentes modalidades praticadas, sendo que as escolares que praticavam Educação Física apresentaram pior autoconceito social comparadas às que praticavam dança e GR. Quanto à imagem corporal, maior parte das praticantes de dança (51,7%) e de Educação Física (58,6%) subestimaram as medidas corporais, enquanto maior parte das praticantes de GR (62,1%) superestimaram as medidas corporais. A maioria das escolares apresentou desejo de diminuir as medidas corporais (62,1%). Não houve associação entre o tipo de modalidade praticada e as variáveis de imagem corporal. Sobre o nível de atividade física, 89% das escolares eram ativas fisicamente. Houve associação do nível de atividade física com o tipo de modalidade praticada, sendo que as praticantes de GR eram mais ativas fisicamente. Conclusão: as escolares, independentemente do tipo de modalidade praticada, apresentaram pontuações baixas nos diferentes tipos de autoconceito, sendo que aquelas que praticavam Educação Física apresentaram pior autoconceito social. Boa parte das escolares apresentou percepções distorcidas das suas medidas corporais, e desejavam diminuir as medidas corporais. Quase 90% das escolares eram ativas fisicamente, e quando considerada somente a GR, 100% das praticantes eram ativas.

Background: Motor and non-motor symptoms affect the life of those living with Parkinson's disease, and it is clear that exercise offers benefits in these aspects. However, the effects of adapted functional training interventions and the Mat Pilates as a form of rehabilitation for the disease in question have not yet been established. Thus, this study aims to propose an adapted functional training protocol and Mat Pilates for individuals with Parkinson's disease and to evaluate the effects on motor symptoms (balance, cardiorespiratory fitness, lower and upper limb strength, flexibility and agility), as well as , in non-motor symptoms (cognition, depressive symptoms, mood state, anxiety and finitude) by means of a randomized controlled trial. Methods: Protocol for a randomized clinical trial in which 45 individuals with Parkinson's disease will be recruited and randomly allocated to one of three groups: (1) functional training; (2) Mat Pilates; (3) control group. Both intervention groups will have 60-minute classes twice a week for 12 weeks. The primary outcome will be analyzed by balancing with the Mini-BESTest test. Secondary outcomes will include cognition, aging perspective, mood, anxiety, depression, mobility, muscle strength, handgrip strength, flexibility, range of motion, and cardiorespiratory fitness. The evaluations will be performed in the pre-intervention period (baseline), after 12 weeks of intervention, after 3 months, 6 months and 1 year of intervention. Discussion: This will be the first randomized trial to compare the effects of functional training and Mat Pilates in a population with Parkinson's disease. It is hypothesized that improvements in motor and non-motor symptoms will be greater and more lasting after functional training and Mat Pilates interventions than those that maintain their routine activities, given the benefits of exercise and the unprecedented protocols in this disease.Trial registrationRegistry name: Registro Brasileiro de Ensaios Clínicos (ReBEC)Registration number: RBR-6ckggnDate of registration: September 29, 2020. Trial was prospectively registered