Impact of changes in balance and walking capacity on the quality of life in patients with Parkinson's disease

Scalzo, Paula Luciana; Flores, Carolina Reis; Marques, Juliana Rúbia; Robini, Simone Cristina de Oliveira; Teixeira, Antônio Lúcio

doi:10.1590/s0004-282x2012000200009

Cited by 38 publications

(35 citation statements)

References 25 publications

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“…Muitos estudos apontam a relação entre disfagia e Doença de Parkinson [2][3][4]9,[15][16][17][18][19] , porém poucos discutem a influência da disfagia na qualidade de vida [20][21][22][23]29,30 . Os estudos que falam sobre a qualidade de vida na DP evidenciam sobre as alterações motoras e da qualidade de vida de uma maneira geral.…”

Section: Discussionunclassified

Impact on the quality of life of patients whit Parkinson’s Disease with risk of dysphagia

Freire

Rieder

Schuh

et al. 2015

RNC

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RESUMOObjetivo. Avaliar o impacto na qualidade de vida de portadores da Doença de Parkinson (DP) com risco para disfagia. Método. Participaram pacientes com DP do ambulatório de Distúrbios do Movimento de um hospital de Porto Alegre; com classificação da doença pela escala Hoehn & Yahr; que responderam questionário fonoaudiológico, questionário EAT-10 e questionário SWAL-QOL. Resultados. A amostra foi composta de 25 sujeitos: 16 (64%) do sexo masculino. A média de idade foi de 64,5 anos e do tempo de doença de 11 anos. 18 (72%) participantes possuem H&Y entre 2 e 3. Houve correlação do questionário SWAL-QOL com o questionário fonoaudiológico, no domínio fadiga com queixa de emagrecimento recente (p=0,01), com mudança na consistência alimentar (p=0,015), com a atual consistência ingerida pelo paciente (p=0,02) e com alteração na fase oral (p=0,04); o domínio duração da alimentação com presença de escape anterior de saliva (p=0,01) e com a consistência referida na queixa (p=0,045); o domínio comunicação com alteração na fase oral (p=0,04) e com alimentação atual (p=0,036) e o domínio frequência dos sintomas com alteração na mastigação (p=0,038). Conclusão. Verificou-se que os portadores de DP com risco para disfagia sofrem impacto na qualidade de vida, principalmente, no domínio da comunicação oral. ABSTRACTObjective. To evaluate the impact on the quality of life of patients whit parkinson's disease with risk of dysphagia. Method. This study included patients with DP with risk of dysphagia who attended at the movement disorders clinic from a hospital in Porto Alegre. With disease staging according to the Hoehn & Yahr scale for disease severity; answered a Speech Therapy questionnaire, EAT-10 questionnaire and SWAL-QOL questionnaire. Results. The sample consisted in 25 patients: 16 (64%) male. The average age was 64.5 and the average disease duration was 11 years. 18 (72%) participants had H&Y between 2 and 3. The correlation between the SWAL-QOL and the Speech Therapy questionnaire were correlated with tiredness area and recent weight loss (p=0.01), change in the food consistency (p=0.015), current consistency ingested (p=0.02) and oral phase alteration (p=0,04); nutrition length area and saliva releasing (p=0.01) and consistency about dysphagia complaint (p=0.045); communication area (p=0.04) and oral phase alteration (p=0.036) as well as current nutrition and the area frequency of the symptoms and chewing alterations (p=0.038). Conclusion. It has been found that patients with Parkinson's disease with risk of dysphagia sufferers impact on quality of life, especially in the field of oral communication.

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Section: Discussionunclassified

Impact on the quality of life of patients whit Parkinson’s Disease with risk of dysphagia

Freire

Rieder

Schuh

et al. 2015

RNC

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“…It is a rapid and practical instrument that indicates the patient's general condition. In its original form, it comprised five stages of classification to assess the severity of PD based on postural instability, rigidity, tremors and bradykinesia (18,19).…”

Section: Methodsmentioning

confidence: 99%

Dual task performance: a comparison between healthy elderly individuals and those with Parkinson’s disease

et al. 2015

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Introduction:The dual tasks (DT) is learned during the whole life and a prerequisite in functional performance in different activities of daily living. Healthy elderly have reduced ability to perform motor activities and cognitive tasks simultaneously, compared to young adults. Parkinson's disease (PD) is the second most common neurodegenerative disease in the elderly and classic motor symptoms coexist with prejudice in cognitive domains. Objective: To compare balance, gait and performance in dual tasks of individuals with

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“…Within a multidimensional evaluation model, the Hoehn and Yahr scale (range 0-5) has been used to define the degree of impairment [17,18]. The Tinetti Scale (range 0-28, cut-off value for high risk of falling \19 points) has been used to detect the risk of falling and to study the differences in sacropelvic morphology.…”

Section: Clinical Measurementsmentioning

confidence: 99%

Spinopelvic balance: new biomechanical insights with clinical implications for Parkinson’s disease

Bissolotti¹,

Gobbo

Villafañe

et al. 2013

Eur Spine J

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Purpose The aim of this study was to describe the disease-related sagittal balance changes in relation to the sacropelvic morphology of PD patients with different durations of disease. Methods Thirty-one consecutive Parkinson's disease patients (26 males, 5 females; age 55-83 years) participated in the cross-sectional study. The clinical assessment included: Hoehn Yahr score; plumb line distance from the spinous process of C7, kyphosis apex, spinous process of L3 and S1. Lumbar lordosis (LL), thoracic kyphosis (TK), spinosacral angle, spinopelvic angle, spinal tilt, pelvic incidence, sacral slope (SS) and pelvic tilt were radiographically assessed.Results Radiographic spinopelvic angles appeared normal, but many patients presented variations from normality. In particular, pelvic tilt increased and SS decreased; spinosacral and spinopelvic angles were greatly reduced compared to healthy people, and spinal tilt increased. Unlike TK, LL was well correlated with most of the parameters. Conclusions Sagittal balance evaluation provides new valuable insights for biomechanical understanding of PD patients. Specific spinal parameters (spinosacral, spinopelvic and spinal tilt angles), and their clinical correlation, as well as pelvic parameters like pelvic tilt and sacral slope, appear particularly interesting for their clinical implications in terms of spinal deformities correction in PD population.

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Impact of changes in balance and walking capacity on the quality of life in patients with Parkinson's disease

Cited by 38 publications

References 25 publications

Impact on the quality of life of patients whit Parkinson’s Disease with risk of dysphagia

Impact on the quality of life of patients whit Parkinson’s Disease with risk of dysphagia

Dual task performance: a comparison between healthy elderly individuals and those with Parkinson’s disease

Spinopelvic balance: new biomechanical insights with clinical implications for Parkinson’s disease

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