Impacto de la enfermedad de Parkinson en el equilibrio en distintas situaciones propuestas
DOI:
https://doi.org/10.1590/1809-2950/16659423042016Palabras clave:
Balance Postural, Enfermedad de Parkinson, Modalidades de FisioterapiaResumen
El propósito de este estudio fue evaluar el equilibrio de pacientes con enfermedad de Parkinson (DP) en la posición tándem con los ojos abiertos (OA), ojos cerrados (OC) y en condición de doble tarea (DT). Se trata de un estudio transversal, del cual participaron 19 personas con DP en etapas leve a moderada. Se evaluaron a los pacientes en una plataforma de fuerza Biomec400. Los parámetros evaluados fueron el área del centro de presión de los pies (COP) y la amplitud y velocidad del COP en las direcciones anteroposterior (AP) y mediolateral (ML). Se encontraron resultados estadísticamente significativos para la amplitud AP y ML del COP y del área del COP, con mayores valores para las posiciones tándem con OC y tándem en DT, en comparación a la posición tándem con OA. Los valores de la velocidad media AP y ML fueron mayores en la posición tándem de OC comparados a la tándem de OA (p=0,009 y p=0, respectivamente). Se concluye que los sujetos con DP, en el momento que se les sometieron a los desafíos cognitivos, se portaron de manera semejante cuando se les taparon los ojos en lo que se refiere a las alteraciones de equilibrio. Este resultado señala la necesidad de introducir en la fisioterapia de los pacientes con DP actividades que les exigen el entrenamiento de estas habilidades.Descargas
Referencias
Suarez H, Geisinger D, Ferreira ED, Nogueira S,
Arocena S, Roman CS, et al. Balance in Parkinson’s
disease patients changing the visual input. Braz J
Otorhinolaryngol. 2011;77(5):651-5. doi: dx.doi.org/10.1590/
S1808-86942011000500019.
Flores FT, Rossi AG, Schimidt PS. Avaliação do
equilíbrio corporal na doença de Parkinson. Arq Int
Otorrinolaringol. 2011;15(2):142-50. doi: dx.doi.org/10.1590/
S1809-48722011000200004.
Mancini M, Horak FB. The relevance of clinical balance
assessment tools to differentiate balance deficits. Eur J Phys
Rehabil Med. 2010;46(2):239-48.
Brauer SG, Woollacott MH, Lamont R, Clewett S, O’Sullivan
J, Silburn P, et al. Single and dual task gait training
in people with Parkinson’s disease: a protocol for a
randomised controlled trial. BMC Neurol. 2011;11(1):90. doi:
1186/1471-2377-11-90.
Fok P, Farrel M, McMeeken J. The effect of dividing attention
between walking and auxiliary tasks in people with
Parkinson’s disease. Hum Mov Science. 2012;31(1):236-46.
doi: 10.1016/j.humov.2011.05.002.
Rochester L, Galna B, Lord S, Burn D. The nature of dualtask interference during gait in incident Parkinson’s
disease. Neuroscience. 2014;265:83-94. doi: 10.1016/j.
neuroscience.2014.01.041.
Floriano EN, Alves JF, Almeida IA, Souza RB, Christofoletti G,
Santos SMS. Dual task performance: a comparison between
healthy elderly individuals and those with Parkinson’s disease.
Fisioter Mov. 2015;28(2):251-8. doi: dx.doi.org/10.1590/0103-
028.002.AO05.
Maia AC, Rodrigues PF, Magalhães LC, Teixeira RLL. Crosscultural adaptation and analysis of the psychometric
properties of the Balance Evaluation Systems Test
and MiniBESTest in the elderly and individuals with
Parkinson’s disease: application of the Rasch model. Braz
J Phys Ther. 2013;17(3):195-217. doi: dx.doi.org/10.1590/
S1413-35552012005000085.
Horak FB, Wrisley DM, Frank J. The Balance Evaluation
Systems Test (BESTest) to differentiate balance deficits. Phys
Ther. 2009;89(5):484-98. doi: 10.2522/ptj.20080071.
Boukhenous S, Mokhtar A, Youcef R. Force platform for
postural balance analysis. Information Science, Signal
Processing and their Applications (ISSPA). 2012;854-8. doi:
1109/ISSPA.2012.6310673.
Gil AWO, Oliveira MR, Coelho VA, Carvalho CE, Teixeira DC,
Silva Junior RA. Relationship between force platform and
two functional tests for measuring balance in the elderly.
Rev Bras Fisioter. 2011;15(6):429-35. doi: dx.doi.org/10.1590/
S1413-35552011005000024.
Abdo WF, Borm GF, Munneke M, Verbeek MM, Esselink
RAJ, Bloem BR. Ten steps to identify atypical parkinsonism.
J Neurol Neurosurg Psychiatry. 2006;77(12):1367-9. doi:
1136/jnnp.2006.091322.
Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of
clinical diagnosis of idiopathic Parkinson’s disease: a
clinico-pathological study of 100 cases. J Neurol Neurosurg
Psychiatry. 1992;55(3):181-4.
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and
mortality. Neurology. 1967;17(5):427-42.
Fahn S, Elton RL. Unified Parkinson’s disease rating scale. In:
Fahn S, Goldstein M, Marsden D, Calne DB, editors. Recent
developments in Parkinson’s disease. New Jersey: MacMillan;
p. 153-163.
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a
practical method for grading the cognitive state of patients
for the clinician. J Psychiatr Res. 1975;12(3):189-98.
Oliveira MR, Silva RA, Dascal JB, Teixeira DC. Effect of
different types of exercise on postural balance in elderly
women: a randomized controlled trial. Arch Gerontol Geriatr.
;59(3):506-14. doi: 10.1016/j.archger.2014.08.009.
Terra et al. Demandas atencionais e doença de Parkinson
Silva RA, Bilodeau M, Parreira RB, Teixeira DC, Amorim CF.
Age-related differences in time-limit performance and force
platform-based balance measures during one-leg stance.
J Electromyogr Kinesiol. 2013;23(3):634-9. doi: 10.1016/j.
jelekin.2013.01.008.
Mancini M, Horak FB, Zampieri C, Carlson-Kuhta P, Nutt JG,
Chiari L. Trunk accelerometry reveals postural instability in
untreated Parkinson’s disease. Parkinsonism Relat Disord.
;17(7):557-62. doi: 10.1016/j.parkreldis.2011.05.010.19.
Holmes JD, Jenkins ME, Johnson AM, Hunt MA, Clark
RA. Validity of the Nintendo Wii® balance board for the
assessment of standing balance in Parkinson’s disease. Clin
Rehabil. 2013;27(4):361-6. doi: 10.1177/0269215512458684.20.
Hassan A, Vallabhajosula S, Zahodne LB, Bowers D, Okun MS,
Fernandez HH, et al. Correlations of apathy and depression
with postural instability in Parkinson disease. J Neurol Sci.
;338(1-2):162-5. doi: 10.1016/j.jns.2013.12.040.21.
Samoudi G, Jivegård M, Mulavara AP, Bergquist F. Effects
of stochastic vestibular galvanic stimulation and LDOPA on
balance and motor symptoms in patients with Parkinson’s
disease. Brain Stimul. 2015;8(3):474-80. doi: 10.1016/j.
brs.2014.11.019.22.
Doná F, Aquino CC, Gazzola JM, Borges V, Silva SM, Ganança
FF, et al. Changes in postural control in patients with
Parkinson’s disease: a posturographic study. Physiotherapy.
;102(3):272-9. doi: 10.1016/j.physio.2015.08.009.23.
Beretta VS, Gobbi LT, Lirani-Silva E, Simieli L, OrcioliSilva D, Barbieri FA. Challenging postural tasks increase
asymmetry in patients with Parkinson’s disease. PloS One.
;10(9):e0137722. doi: 10.1371/journal.pone.0137722.24.
Speciali DS, Oliveira EM, Cardoso JR, Correa JC, Baker R,
Lucareli PRG. Gait profile score and movement analysis
profile in patients with Parkinson’s disease during concurrent
cognitive load. Braz J Phys Ther. 2014;18(4):315-22. doi:
dx.doi.org/10.1590/bjpt-rbf.2014.0049.25.
Maciel MA, Silva ACSM, Cyrillo FN, Santos S, TorrianiPasin C. Impact of dual task on Parkinson’s disease,
stroke and ataxia patients’ gait: a comparative
analysis. Psicol Reflex Crit. 2014;27(2):351-7. doi: dx.doi.
org/10.1590/1678-7153.201427216.
Fernandes Â, Coelho T, Vitória A, Ferreira A, Santos R, Rocha
N, et al. Standing balance in individuals with Parkinson’s
disease during single and dual-task conditions. Gait Posture.
;42(3):323-8. doi: 10.1016/j.gaitpost.2015.06.188.
Barbosa AF, Souza CO, Chen J, Francato DV, Caromano FA,
Chien HF, et al. The competition with a concurrent cognitive
task affects posturographic measures in patients with
Parkinson disease. Arq Neuropsiquiatr. 2015;73(11):906-12.
doi: 10.1590/0004-282X20150153.
Fukunaga JY, Quitschal RM, Doná F, Ferraz HB, Ganança MM,
Caovilla HH. Controle postural na doença de Parkinson. Braz
J Otorhinolaryngol. 2014;80(6):508-14. doi: dx.doi.
org/10.1016/j.bjorl.2014.05.032.
Scoppa F, Capra R, Gallamini M, Shiffer R. Clinical
stabilometry standardization: basic definitions – acquisition
interval – ampling frequency. Gait Posture. 2013;37(2):290-2.
doi: 10.1016/j.gaitpost.2012.07.009.
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