Objetivo. O objetivo deste estudo foi relatar o caso de um paciente com doença de Machado-Joseph submetido à Terapia-Espelho (TE) em membros inferiores. Método. Trata-se de um relato de caso de um paciente do gênero masculino, 56 anos, com diagnóstico de Doença Machado-Joseph. Os instrumentos utilizados para avaliação foram a Escala de equilíbrio Berg (EEB), teste de caminhada de 5 metros (C5M), teste de subir e descer escadas (TSE) e (TDE), teste de Time up-and-Go (TT) e eletromiografia de superfície durante a contração isométrica voluntária (CIV) bilateralmente e simultaneamente dos músculos retofemural (RF) e tibial anterior (TA). Para a intervenção aplicou-se a TE associada a exercícios nos membros inferiores. Resultados. Houve aumento na EEB (p=0,05), redução do tempo para os testes C5M, TES, TED, TT e aumento da atividade eletromiográfica para os músculos RF e TA. Conclusão. Conclui-se que a TE pode contribuir para melhora funcional e aumento na atividade eletromiográfica neste paciente.
Background: A water-based physical exercise program is extremely important for the rehabilitation of type 2 diabetes. Little is known about its action on cerebral electrical activity. Objective: To evaluate the effect of a water-based physical exercise protocol on electroencephalographic activity, blood glucose levels, and functional capacity, as well as their correlation, in type 2 diabetics. Methods: Study design: Randomized Clinical Trial. Forty volunteers were randomized into two groups: control (n = 20) and study (n = 20). A water-based physical exercise program comprising 50 min sessions was conducted three times a week for five weeks. Assessments were performed at the pre- and post-intervention and follow-up phases. The qualitative data were compared using the Mann–Whitney test and Chi-Square. Quantitative data were compared using the Kruskal–Wallis, Independent t, and ANOVA mixed tests. The Spearman correlation coefficient was used to correlate the data. Results: The data were similar when comparing the groups. Six-minute walk test data increased in the comparison between times (p = 0.01—PrexPos). EEG data decreased in comparison between times (prexfollow-up—p < 0.05), except AF3. EEG data decreased in the timexgroup comparison (prexfollow-up and postxfollow-up—p < 0.05). Conclusions: The water-based exercise protocol maintained electroencephalographic activity, glucose levels, and functional capacity in people with type 2 diabetes, and there was no relationship between brain electrical activity and capillary blood glucose.
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