Background: Degenerative diseases such as Parkinson’s disease can lead to postural changes and muscular strength, this generates greater impact on the individual, on his functional capacity, respiratory system, mobility and, quality of life (QOL). Objective: The aim of this study was to verify the influence of the Global Posture Reeducation (GPR) method on respiratory muscle strength and QOL in patients with Parkinson’s disease. Methods: Twenty volunteers, the average of age is 48.8 ± 6.22 years, they are diagnosed with Parkinson’s disease at level 2 to 3 by the Hoehn & Yahr Scale. They were submitted to the protocol of treatment with the GPR method in the postures of Frog in the ground and ballerina, performed regularly twice a week lasting 60 minutes each session, for 6 weeks, totaling 12 sessions, evaluated by PDQ-39 quality of life questionnaire and by inspiratory pressure measurements and Maximum expiratory value. Results: In the quantitative analysis of inspiratory and expiratory muscle pressure, there was an increase in post-treatment for maximal inspiratory pressure (MIP) (p <0.05) when compared to pre-treatment, as well as when compared with predicted values MIP and maximum expiratory pressure (MEP) presented higher values (p <0.05). In terms of QoL domains: mobility (p = 0.0009), daily life activity (p = 0.0006), emotional well-being (p = 0.001), cognition (p = 0.01) and physical discomfort were statistically significant in post-treatment. Conclusion: The use of GPR in Parkinson’s disease has shown to be effective in the treatment of respiratory muscle strength and QoL.
Avaliar a influência da esteira ergométrica associado à dupla tarefa sobre a marcha de pacientes com DP. 10 voluntários com DP, idade média de 54.4±6.1 anos, avaliados pela Escala de Índice de Marcha Dinâmica (IMD) e teste de caminhada em linha reta com e sem obstáculos utilizando pedômetro. O tratamento foi realizado na esteira ergométrica associando dupla tarefa, por três vezes na semana e duração de 30 minutos, durante 24 sessões. Pelo IMD foi verificada melhora de 12.7% (p= 0.0051), assim como as variáveis andar ao redor de obstáculos e degraus que evidenciaram ganhos significativos p=0.043; p=0.027, respectivamente. No que se refere à cadência e tempo de caminhada ao longo de uma linha reta, foram constatados valores significativos no pós-tratamento no teste simples (p=0.0001), bem como no teste de caminhada com utilização de obstáculos com as mesmas variáveis (p<0.0001). O treinamento de marcha em esteira ergométrica associado à DT mostrou-se eficaz na doença de Parkinson, uma vez que houve melhora na velocidade da marcha e do tempo de caminhada, fato que favoreceu a melhora das atividades funcionais com consequente diminuição do fenômeno de congelamento, minimização do risco de quedas.
Balance disorders have been poorly investigated and somewhat neglected in people infected with the human immunodeficiency virus, especially in children, whose have intrinsic and extrinsic risk factors that may compromise the balance. To evaluate the foot plantar pressures and the balance in children with acquired immunodeficiency. We recruited 53 children aged between 6 and 15 years: 33 healthy children, and 20 children with positive serology for the human immunodeficiency virus. A physical examination included anthropometric, reflexes, tactile sensitivity of the foot and orthopedic evaluation. We also collected data of them using Pediatric Equilibrium Scale, baropodometry, and stabilometry. We considered significance level of 0.05 for statistics. Both groups were aged-, sex-matched and similar body mass index and scores of the Pediatric Equilibrium Scale. Three infected children had altered tactile sensitivity, and none had orthopedic or reflex alteration. Infected children had higher mean plantar pressure in the hindfoot than of the control group (p = 0.02). There was higher maximum plantar pressure in the hindfoot of the infected children than of the controls (p = 0.04). Controls had lower maximum plantar pressure in the forefoot than the infected children (p = 0.04). Infected children had larger displacement of the center of pressure (p = 0.006), larger mean velocity of displacement (p = 0.006), and longer duration between successive peaks of displacement than the controls (p = 0.02). Children living with the human immunodeficiency virus discharges great plantar pressures in the hindfoot and to present balance disturbances in the absence of neurological symptomatology.
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