Parkinson's disease severity and motor subtype influence physical capacity components

Abstract

The severity of Parkinson's disease (PD) and PD's motor subtypes influence the components of physical capacity. The aim of this study was to investigate the impact of both PD severity and motor subtype in the performance of these components. Thirty-six PD patients were assigned into four groups: Tremor (TD) initial and TD mild, akinetic-rigid (AR) initial, and AR mild. Patients' strength, balance, coordination, mobility and aerobic capacity were evaluated and groups were compared using a two-way ANOVA (severity and subtype as factors). AR presents a poorer performance than TD in almost all tests. Also this performance was worsened with the advance of the disease in AR, contrary to TD. We conclude that AR and TD subgroups are different about their performance on physical capacity components, moreover, this performance worsens with the advance of the disease of the AR group, but not for TD.

The daily lives of people with Parkinson's disease

“…In the intermediate and late stages of the disease, the adverse effects pertaining to the activities of everyday life are more pronounced than for people in the early stages. It is important to consider the routine with PD and in this way, conceive care programs according to the needs of each patient (14) . Having a chronic neurological condition such as PD is worrisome for most people who experience changes in their social activities, work, relationships, physical mobility and independence (15) .…”

lado de início da doença influencia a destreza manual de pacientes com doença de Parkinson

“…Para a avaliação da destreza manual foi utilizado o teste Annett Pegboard adaptado 14,15 . O equipamento utilizado para o teste (Figura 1) consiste em um dispositivo retangular de madeira com 32 cm de comprimento, 18 cm de largura e 5 cm de espessura.…”

“…O teste Annett Pegboard foi adaptado, apresentando como modificações a padronização do formato do encaixe e do diâmetro do pino, tais padronizações diminuem o componente cognitivo do teste, priorizando a avaliação do componente motor da destreza manual 14 . O teste Annett Pegboard adaptado já foi utilizado na DP, sendo capaz de discriminar diferenças relacionadas à severidade e ao subtipo da doença 15 .…”

Um programa de atividade física generalizada leva a manutenção funcional em indivíduos com doença de Parkinson

“…Para realizar o teste o participante levanta de uma cadeira a partir da posição sentada, percorre uma distância de 3 metros, contorna um obstáculo e senta novamente, realizando a tarefa o mais rápido possível. O tempo média de 3 tentativas é contabilizado 22 .…”