Influence of global postural reeducation method on respiratory muscle strength and parkinsonian quality of life

Abstract

Background: Degenerative diseases such as Parkinson’s disease can lead to postural changes and muscular strength, this generates greater impact on the individual, on his functional capacity, respiratory system, mobility and, quality of life (QOL). Objective: The aim of this study was to verify the influence of the Global Posture Reeducation (GPR) method on respiratory muscle strength and QOL in patients with Parkinson’s disease. Methods: Twenty volunteers, the average of age is 48.8 ± 6.22 years, they are diagnosed with Parkinson’s disease at level 2 to 3 by the Hoehn & Yahr Scale. They were submitted to the protocol of treatment with the GPR method in the postures of Frog in the ground and ballerina, performed regularly twice a week lasting 60 minutes each session, for 6 weeks, totaling 12 sessions, evaluated by PDQ-39 quality of life questionnaire and by inspiratory pressure measurements and Maximum expiratory value. Results: In the quantitative analysis of inspiratory and expiratory muscle pressure, there was an increase in post-treatment for maximal inspiratory pressure (MIP) (p <0.05) when compared to pre-treatment, as well as when compared with predicted values MIP and maximum expiratory pressure (MEP) presented higher values (p <0.05). In terms of QoL domains: mobility (p = 0.0009), daily life activity (p = 0.0006), emotional well-being (p = 0.001), cognition (p = 0.01) and physical discomfort were statistically significant in post-treatment. Conclusion: The use of GPR in Parkinson’s disease has shown to be effective in the treatment of respiratory muscle strength and QoL.

Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis

“…The program implies an active involvement of the patient [2]. This physical therapy modality has been used to improve the health status of patients with various pathologies [2][3][4][5][6], although the available studies do not provide sufficient evidence to draw firm conclusions.…”

Eficácia da Reabilitação na mobilidade, prevenção e diminuição do risco de queda em doentes com Parkinson

“…O processo de envelhecimento humano exige atualmente uma particular atenção pelas Ciências da Saúde. Trata-se de um processo, que tende a ser cada vez mais longo e simultaneamente acompanhado por alterações fisiológicas e biológicas associadas a processos degenerativos, cujas implicações negativas se fazem sentir sobretudo na capacidade funcional das pessoas (Rocha et al 2017;Martins et al 2018).…”

Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis

“…Previous studies have shown the effectiveness of GPR treatment to be superior to physical therapy [12], and, according to the literature, the effects of GPR are quite broad in other pathologies, acting on muscle flexibility [9,[13][14][15][16][17][18][19], postural organisation [19][20][21][22], functionality [6,23,24], cognition, quality of life [6,16,21,25] and reducing pain [16][17][18]26], fatigue [24], and others [21,[27][28][29]. The benefits of GPR in AS, however, have been analysed either in conjunction with other types of treatment or were not studied in depth [4,30,31].…”