Functional capacity of Brazilian patients with Parkinson's disease (PD): Relationship between clinical characteristics and disease severity

Barbieri, Fábio Augusto; Rinaldi, Natália Madalena; Santos, Paulo Cezar Rocha dos; Lirani‐Silva, Ellen; Vitório, Rodrigo; Teixeira-Arroyo, Claudia; Stella, Florindo; Gobbi, Lilian Teresa Bucken

doi:10.1016/j.archger.2011.07.008

Cited by 26 publications

(23 citation statements)

References 30 publications

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“…al (2012) and seems to be obvious, since PD is a progressive disease, mainly characterized by the development of motor symptoms. Barbieri et al (2012) clearly confirmed this hypothesis showing that performance on physical capacity components tests is closely related to disease stage and motor impairments. However, according to our results this is not true for all patients: only AR presents a moderate to strong relationship between motor impairment and performance on the physical capacity components tests.…”

Section: Discussionsupporting

confidence: 73%

“…One theory raised by some researchers is that AR patients' disease evolution is steeper than TD because they have more dispersed brain lesions, affecting the frontal and motor cortex (Bonnet, 2000;Helmich et al, 2012). Also, these lesions tend to be greater in number as the disease advances (Helmich et al, 2012) and this was used by Barbieri et al (2012) to explain the poorer performance on physical capacity components of patients at higher disease stages. Therefore, in a first sense, this theory could be used to explain why mild AR patients show a higher decrease in the performance of physical components tests than TD.…”

Section: Discussionmentioning

confidence: 99%

“…Patients had to perform as many repetitions as possible in 30 seconds. The numbers of repetitions was scored (Barbieri et al, 2012;Osness et al, 1990). …”

Section: Methodsmentioning

confidence: 99%

“…However, since most PD patients are elderly, their independence in daily life can also be influenced by others physiological aging processes, such as the decline of physical capacity components: strength, coordination, balance and aerobic capacity (Rantanen et al, 1999). Barbieri et al (2012) showed the importance of evaluating these components to properly manage rehabilitation/preventive exercise programs for this specific population. These authors also showed that these components deteriorate as the disease advances.…”

Section: Introductionmentioning

confidence: 99%

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

Pereira

Pelicioni

Gobbi

2013

Motriz: rev. educ. fis.

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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.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

“…Patients had to perform as many repetitions as possible in 30 seconds. The numbers of repetitions was scored (Barbieri et al, 2012;Osness et al, 1990). …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Pereira

Pelicioni

Gobbi

2013

Motriz: rev. educ. fis.

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“…Disease severity is one of the main factors affecting patients with PD; individuals with advanced PD have low levels of functional capacity (Barbieri et al, 2012). It is important to establish which elements constitute an optimal exercise program for individuals with PD, such as the dosage, the specific components of the exercise program, and the targeted disease stage for treatment (Goodwin et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Effects of a multimodal exercise program on the functional capacity of Parkinson's disease patients considering disease severity and gender

Orcioli‐Silva

Barbieri

Simieli

et al. 2014

Motriz: rev. educ. fis.

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Abstract-The purpose of this study was to investigate the effects of a multimodal exercise program (MEP) on the functional capacity of patients with Parkinson's disease (PD) according to disease severity and gender. Fourteen patients with PD participated in the study and were distributed into groups according to 1) stage of disease and 2) gender. Functional capacity was evaluated before and after 6 months of intervention. The overall PD patient group improved their coordination and strength. Men and women improved in strength performance after exercise. Men also improved on coordination. For severity of disease, the unilateral group improved in strength, while the bilateral group improved in strength, balance, coordination and the UPDRS-functional score. In conclusion, a MEP is efficient in improving components of functional capacity in patients with PD, especially in strength. Gender may be considered in the exercise program. Individuals in the bilateral disease group appeared to benefit more from exercise. Keywords: multimodal exercise program, functional capacity, Parkinson's diseaseResumo-"Efeitos de um programa de exercícios multimodal na capacidade funcional de pacientes com doença de Parkinson considerando a gravidade da doença e sexo". O objetivo deste estudo foi investigar o efeito de um programa de exercício multimodal (PEM) na capacidade funcional de pacientes com doença de Parkinson (DP), de acordo com a severidade da doença e gênero. Catorze pacientes com DP participaram do estudo, distribuídos em dois grupos: 1) severidade da doença, 2) gênero. A capacidade funcional foi avaliada antes e após 6 meses de intervenção. Em geral, os pacientes melhoraram a coordenação e força. Homens e mulheres melhoraram o desempenho da força após o exercício. Os homens também melhoraram a coordenação. Para a severidade da doença, o grupo unilateral melhorou a força, enquanto o grupo bilateral melhorou força, equilíbrio, coordenação e UPDRS funcional. Portanto, o PEM é eficiente na melhoria dos componentes da capacidade funcional de pacientes com DP, especialmente a força. O gênero deve ser considerado no programa de exercício. Pacientes no estágio bilateral parecem ter mais benefícios do exercício. Palavras-chave: programa de exercício multimodal, capacidade funcional, doença de ParkinsonResumen-"Efectos de un programa de ejercicio multimodal en la capacidad funcional de los pacientes con enfermedad de Parkinson teniendo en cuenta la gravedad de la enfermedad y el sexo". Esto estudio investigó el efecto de un programa de ejercicio multimodal (PEM) en la capacidad funcional de pacientes con enfermedad de Parkinson (EP), considerando la severidad de la enfermedad y el género. Catorce pacientes con EP participaron del estudio, distribuidos en grupos: 1) severidad de la enfermedad, 2) género. La capacidad funcional fue avaluada antes y después de 6-meses de intervención. En general, los pacientes mejoraron coordinación y fuerza. Hombres y mujeres mejoraron el desempeño de la fuerza después del ejercicio. Todavía, los homb...

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Gait Variability and Fall Risk in Older Adults: The Role of Cognitive Function

Pieruccini‐Faria

Montero‐Odasso

Hausdorff

2019

Falls and Cognition in Older Persons

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Functional capacity of Brazilian patients with Parkinson's disease (PD): Relationship between clinical characteristics and disease severity

Cited by 26 publications

References 30 publications

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

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

Effects of a multimodal exercise program on the functional capacity of Parkinson's disease patients considering disease severity and gender

Gait Variability and Fall Risk in Older Adults: The Role of Cognitive Function

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