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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FisioterapiaEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado. Resumo Objetivo: Avaliar sensibilidade, equilíbrio e qualidade de vida em diabéticos neuropatas, comparando os efeitos de dois protocolos de Fisioterapia. Método: Dez voluntários divididos em dois grupos -Grupo Fisioterapia Convencional (GC) e Grupo Balance (GB), submetidos a dois protocolos distintos com duração de 1 hora/dia, totalizando 12 sessões, avaliados em dois momentos pelos instrumentos: Teste de Marcha Tandem (TMT) e Escala de Equilíbrio de Berg (EEB) para o equilíbrio; estesiometria, a fim de delinear a sensibilidade periférica e a escala Neuroqol, para qualidade de vida (QV). A análise estatística foi realizada por meio dos testes T de Student e Qui-quadrado no pré e pós-tratamento (p≤0,05). Resultados: O GC obteve resultado significante no pós-tratamento somente na avaliação da EEB (p=0,03), enquanto o GB apresentou valores maiores no período pós-tratamento em todas as variáveis avaliadas, com melhoras quantitativas na sensibilidade (p=0,02), equilíbrio pelo TMT (p=0,03) e EEB (p=0,04), além da QV (p=0,04). No que diz respeito à comparação entre os grupos, os resultados significativos foram apenas para variáveis EEB (p=0,03) e TMT (p=0,04) no pós-tratamento. Conclusão: A Fisioterapia possui grande valia no tratamento da neuropatia diabética, interferindo sobre as disfunções de sensibilidade e equilíbrio, perpassando pela qualidade de vida. Dessa forma, a utilização de novas técnicas, como o Balance, apresenta boa efetividade e deve ser estimulada, a fim de prevenir complicações inerentes à doença e garantir qualidade de vida aos indivíduos diabéticos. ARTIGO DE Descritores: Diabetes Mellitus; neuropatias diabéticas; reabilitação.Summary Objective: To evaluate sensitivity, balance and quality of life in neuropathic diabetics, comparing the effects of two Physiotherapy protocols. Method: Ten volunteers divided into two groups -Group: Conventional Physical Therapy (GC) and Balance Group (GB), submitted to two different protocols with duration of 1 hour/day, totaling 12 sessions, evaluated in two moments by the instruments: Tandem Testing (TT) and Berg Balance Scale (BSE) for balance; In order to delineate the peripheral sensitivity and the Neuroqol scale, for quality of life (QoL). Statistical analysis was performed using the Student's T and Chi-square tests in the pre and posttreatment (p≤0.05). Results: The GC had a significant post treatment result only in the evaluation of BSE (p = 0.03), while GB presented higher values in the post-treatment period in all the variables evaluated, with quantitative improvements in sensitivity (p = 0 (P = 0.03) and BSE (p = 0.04), in addition to the QOL (p = 0.04). Regarding the comparison between the groups, the significant results were only for BSE variables (p = 0.03) and TMT (p = 0.04) in post treatment. Conclusion: Phy...

Introduction: The stroke is one of the incident diseases in the world, causing numerous changes to the functionality especially those related to upper limb functions. Objective: To evaluate the influence of modified Constraint-Induced Movement Therapy (mCIMT) on functional recovery, range of motion (ROM) and muscle tone of chronic hemiparetic upper limb (UL). Methods: Seven subjects (52.75 ± 6.63 years old) were evaluated before, straightaway and one month after 12 sessions of mCIMT, by goniometry, modified Fugl-Meyer Assessment (mFMA) and modified Ashworth Scale (MAS). Results: Functionality improved 74.7% after treatment and 79.5% one month after the end of treatment. There was improvement in passive motion (p = 0.01), in pain (p = 0.004) and UL motor function (p ≤ 0.001), increased range of flexion, extension, abduction and adduction of the shoulder and flexion and radial deviation of the wrist (p = 0.05) and muscle tone reduction (p < 0.05). Conclusion: mCIMT was effective for recovery of ROM in shoulder and wrist; recovery of the paretic UL functionality and spasticity reduction, and the results remained after the end of treatment.Key-words: stroke, physical therapy, rehabilitation, human movement, modified constraint-induced movement therapy.