Evaluation of body image and self-concept and their correlation with depressive symptoms in Parkinson's disease

Gamarra, Ariane Haydée Estrada; Molski, Cibele Silva; Hilbig, Arlete; Valentini, Cristina Kern; Striebel, Vera Lúcia Widniczck; Rieder, Carlos Roberto de Mello

doi:10.1590/s0004-282x2009000400002

Cited by 17 publications

(22 citation statements)

References 23 publications

(21 reference statements)

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“…These results were in line with the misperception of body image showed for subjects affected by PD (Gamarra et al, 2009). This misperception was also found related to depressive symptoms, and this relationship, together with the reduction of pain, can explain the positive effects of our treatment also on depression.…”

Section: Discussionsupporting

confidence: 89%

Effects of perceptive rehabilitation on balance control in patients with Parkinson's disease

Paolucci

Morone

Fusco

et al. 2014

NRE

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BACKGROUND: Subjects affected by Parkinson's disease have substantially impaired static and dynamic balance, leading to diminished functional ability. Conventional and innovative exercises have been suggested, but most of them were focused on motor features of posture and gait, deserving poor attention to perceptive aspects of balance. OBJECTIVE: To evaluate the efficacy of the perceptive rehabilitation, based on perceptual surfaces, for postural balance (primary aim) and pain, depression and activity daily living. METHODS: In this pilot study, we have treated 9 patients with Parkinson's disease undergone rehabilitation aiming to restoring their correct body midline perception, according a schema treatment -no treatment -treatment. RESULTS: During the rehabilitative intervention, both Tinetti balance score (p = 0.007 in both phases) and Tinetti gait score (p = 0.011 and p = 0.016, respectively), such as pain relief assessed by Visual Analogue Scale (p = 0.011, p = 0.010) were improved. Conversely in the phase of no-intervention, lasting the same amount of time, it was showed a significant reduction of Tinetti Balance score (p = 0.010) and no significant changes in terms of Tinetti Gait score and Visual Analogue Scale. CONCLUSIONS: These preliminary results highlighted the importance of introducing perceptive training into the exercises proposed to patients with Parkinson's disease for reducing both their static and dynamic balance impairments.

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Section: Discussionsupporting

confidence: 89%

Effects of perceptive rehabilitation on balance control in patients with Parkinson's disease

Paolucci

Morone

Fusco

et al. 2014

NRE

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“…A avaliação da imagem corporal em indivíduos com DP foi realizada por poucos estudos na literatura 12,13 , que utilizaram questionários e escalas não específicos e não validados para essa população, como: TAPS ( Observou-se na literatura relatos de que indivíduos com DP apresentam alteração da percepção da imagem postural, principalmente relacionadas ao plano frontal 8,14 . Entretanto, apesar da literatura sinalizar para essa alteração de percepção corporal em idosos com DP, não foram encontradas propostas de medidas de avaliação específicas relacionadas à imagem postural, em virtude, possivelmente, do caráter subjetivo que envolve a percepção individual da organização da postura.…”

Section: Métodosunclassified

“…corporal, além disso, ainda são poucos os estudos 12,13 que realizaram essa avaliação, especificamente em indivíduos com DP.…”

Section: Considerações Finaisunclassified

“…Esses prejuízos posturais presentes na DP podem ser causados pelos déficits proprioceptivos de integração sensorial 10 . Esses déficits proprioceptivos podem aparecer associados à alteração da imagem corporal, que compreende a maneira como a pessoa se define em relação as suas próprias características corporais 12 . Além disso, uma representação interna da postura corporal, entendida nesse estudo como imagem postural, uma vez inadequada, pode resultar em uma alteração…”

Section: Resumo | Introdução: Indivíduos Com Doença Deunclassified

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Avaliação Da Imagem Postural Na Doença De Parkinson: Um Estudo De Desenvolvimento

Deitos

Trippo

2017

Rev Pesq Fisio

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“…As cognitive impairments are among the common characteristics of PD (De Pandis et al, ; Levin et al, ), this test is suitable for people with PD and is commonly used for PD screening (De Pandis et al, ; Pinto & Peters, ). As people with PD may also exhibit with a distorted body schema (Gamarra et al, ; Sandyk, ), and given that drawing tests can not only reflect cognitive and motor status but also how the stereotypical image of a drawn object is represented in the mind (Anderson, ; Zoltan, Siev, & Freishtat, ); the drawing of a body or its parts may be helpful in evaluating a specific aspect of cognitive status–body schema (Freund, Gravenstein, Ferris, Burke, & Shaheen, ; Moseley, ) in people with PD (Sandyk, ). Although not thoroughly investigated to date, it has been suggested that PD characteristics play a role in body schema misperceptions, and thus potentially exhibited in drawings (Bissolotti et al, ).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of clock and pelvic drawings in Parkinson's disease: A validity and cross‐sectional study

Abraham

Wright

Morrison

et al. 2019

Physiotherapy Res Intl

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Objectives Parkinson's disease (PD) is characterized by visuospatial and body schema deficits. People with PD often exhibit hypometric movements and graphic hypometria (i.e., small drawing dimensions). The goal of the current study was to explore graphic‐metric representation in people with PD by assessing pelvic and clock drawing dimensions (i.e., height and width) and by investigating associations between pelvic drawing dimensions and participant characteristics. Methods Twenty people (16 males, 4 females; M age: 65.75 ± 10.13 years) with idiopathic PD (Hoehn &Yahr Stages I–III) volunteered to participate in this study. Draw Your Pelvis and Clock Drawing tests were used for assessing drawing dimensions, which were then correlated with PD severity, stage and duration, cognitive level, side of symptoms onset, and pelvic schema score. Bivariate and multiple linear regression analyses were also used. Results Excellent (.844–.999) interrater reliability was shown for measuring pelvic and clock drawing dimensions. Pelvic drawing dimensions did not significantly (P > .05) differ in magnitude, whereas clock drawing height was significantly (p < .01) greater than width, both suggesting graphic dysmetria (i.e., distorted graphic dimensions). Pelvic drawing width was negatively associated with PD severity and stage, was positively associated with pelvic schema score, and predicted all three parameters. Conclusion Measuring pelvic drawing dimensions, and specifically pelvic drawing width, holds potential as an adjunct diagnostic measure in PD assessments and for detecting pelvic schema deficits or misperceptions. This test can be used by physical therapists in the clinic for assessing disease severity, stage, and pelvic schema in people with PD. The knowledge gained from this study contributes to a greater understanding of graphic‐metric representation and associated deficits in people with PD. Future studies should explore the relationship between pelvic drawing dimensions and pelvic mentally imaged estimates, and their role in motor planning, control, and execution in people with PD.

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Evaluation of body image and self-concept and their correlation with depressive symptoms in Parkinson's disease

Cited by 17 publications

References 23 publications

Effects of perceptive rehabilitation on balance control in patients with Parkinson's disease

Effects of perceptive rehabilitation on balance control in patients with Parkinson's disease

Avaliação Da Imagem Postural Na Doença De Parkinson: Um Estudo De Desenvolvimento

Psychometric properties of clock and pelvic drawings in Parkinson's disease: A validity and cross‐sectional study

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