Capacidade funcional em idosos com doença de Parkinson: revisão de literatura

Abstract

Parkinson's disease (PD) consists of a chronic and progressive disorder characterized by depletion of dopamine due to degeneration of nigral neurons leading to cognitive and motor losses. Patients with PD present an intolerance to physical effort, leading to impaired functional capacity (FC). The aim of this study was to analyze the efficacy of the six-minute walk test (6MWT) as a tool for assessing CF in the elderly with PD. A literature review was performed in the PubMed, SciELO and LILACS databases, from January 2005 to December 2015, through the cross-referencing of the physical therapy, exercise test and functional capacity descriptors with the descriptor Parkinson's disease. Five studies evaluating 203 elderly were identified, of which 166 were affected by PD. Among the elderly with PD, the mean age was 66.6 ± 2.8 years and the mean distance covered in the 6MWT ranged from 332 to 546 meters. The studies concluded that the elderly with PD presented reduction of CF. The analysis performed in this review suggests that the six-minute walk test seems not to be the most effective tool for assessing the functional capacity of elderly people with Parkinson's disease, as it may underestimate its functionality.

Benefícios Da Atividade Funcional Em Idosos Com Doença De Parkinson: Revisão Bibliográfica

“…A redução de massa muscular leva à incoordenação de movimentos, quedas frequentes, intolerância ao exercício e piora progressiva do condicionamento físico, fato que limita as atividades de vida diária. 15 Esta patologia é caracterizada pela apresentação de distúrbios motores progressivos, como o tremor de repouso, bradicinesia, rigidez, alterações de postura e marcha. As manifestações clínicas apresentam-se inicialmente com predomínio unilateral, progridem para manifestações bilaterais e em e impedir contraturas, além de ajudar a retardar a demência.…”

The effects of the watsu method on functional capacity, anxiety and depression in patients with parkinson disease

“…Concepts such as autonomy and dependence are related to individual FC. 8,9 It is noteworthy that patients with PD who have total or partial reduction of their FC are more susceptible to the development of depressive symptoms. 10 As the disease progresses, changes in posture, gait and balance disorders make it difficult for the patient to move and perform their daily activities.…”