Efectos de un programa de ejercicio físico multicomponente en la funcionalidad de personas con la enfermedad de Parkinson
- Gomez-Lopez, Sara 1
- Yanci, Javier 1
- Granados, Cristina 1
- Fernandez Lasa, Uxue 1
- Iturricastillo, Aitor 1
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1
Universidad del País Vasco/Euskal Herriko Unibertsitatea
info
Universidad del País Vasco/Euskal Herriko Unibertsitatea
Lejona, España
ISSN: 1659-097X
Año de publicación: 2023
Título del ejemplar: Movimiento Humano y Salud (July-December)
Volumen: 20
Número: 2
Tipo: Artículo
Otras publicaciones en: MHSalud: Movimiento Humano y Salud
Resumen
Introdução: A doença de Parkinson (DP) é um distúrbio neurológico progressivo, caracterizado por sintomas motores e não motores que influenciam a deterioração da qualidade de vida. Objetivo: Esta pesquisa visa analisar os efeitos de um programa de intervenção multicomponente baseado na atividade física e no esporte sobre a funcionalidade das pessoas com DP, tanto com deficiência alta quanto baixa. Metodologia: Para este fim, 16 pessoas (13 homens e 3 mulheres) com DP participaram deste estudo, divididos em dois grupos de acordo com seu nível de afecção, o baixo (GBA, n = 12) e o alto (GAA, n = 4). Uma intervenção de um programa de exercícios físicos multicomponentes foi realizada com todos os participantes durante 4 semanas (2 sessões de 50 minutos por semana). Uma bateria de testes funcionais [Six minutes walk test (6MWT); Single-leg Stance test (SLS); Time Up and Go (TUG) y The five times sit-to-stand Chair (FTSTS)] foi realizada uma semana antes (T1) e uma semana após a intervenção (T2). Resultados: A amostra total melhorou significativamente no teste SLS (P < 0,05; d > 0,56, moderado). Não obstante, analisando cada grupo de acordo com seu nível de deficiência, o grupo GBA obteve melhorias significativas no SLS e 5STS (d= 0,44 – 0,68, p < 0,05), mas não se observaram diferenças significativas no grupo GAA em nenhuma variável analisada. Conclusões: Os resultados do presente estudo mostram a necessidade de mais estudos com programas de maior duração e mais frequência semanal.
Referencias bibliográficas
- Allen, N. E., Canning, C. G., Sherrington, C., Lord, S. R., Latt, M. D., Close, J. C. T., O’Rourke, S. D., Murray, S. M., & Fung, V. S. C. (2010). The effects of an exercise program on fall risk factors in people with Parkinson’s disease: A randomized controlled trial. Movement Disorders, 25(9), 1217-1225. https://doi.org/10.1002/mds.23082
- Ayán, C., Cancela, J. M., Rodríguez, P., Ríos, P., & Abal, N. (2013). Improvement of balance in Parkinson’s disease patients using calisthenics and recreational physical exercise: A pilot study. Rehabilitacion, 47(1), 22-26. https://doi.org/10.1016/j.rh.2012.11.002
- Canning, C. G., Paul, S. S., & Nieuwboer, A. (2014). Prevention of falls in Parkinson's disease: a review of fall risk factors and the role of physical interventions. Neurodegenerative disease management, 4(3), 203-221.
- Cerri, S., Mus, L., & Blandini, F. (2019). Parkinson’s Disease in Women and Men: What’s the Difference? Journal of Parkinson’s Disease, 9(3), 501-515. https://doi.org/10.3233/JPD-191683
- Chomiak, T., Vieira, F., & Hu, B. (2015). The Single-Leg-Stance Test in Parkinson ’ s Disease. J Clin Med Res. 7(3), 182-185. https://doi.org/10.14740%2Fjocmr1878w
- Corcos, D. M., Robichaud, J. A., David, F. J., Leurgans, S. E., David, E., Poon, C., Rafferty, M. R., Kohrt, W. M., & Cynthia, L. (2013). Resistance Exercise for Parkinson’ s Disease. Movement Disorders, 28(9), 1230–1240. https://doi.org/10.1002/mds.25380.A
- Crizzle, A. M., & Newhouse, I. J. (2006). Is physical exercise beneficial for persons with Parkinson's disease? Clinical Journal of Sport Medicine, 16(5), 422-425. http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=106125258&site=ehost-live
- Cruise, K. E., Bucks, R. S., Loftus, A. M., Newton, R. U., Pegoraro, R., & Thomas, M. G. (2011). Exercise and Parkinson’s: Benefits for cognition and quality of life. Acta Neurologica Scandinavica, 123(1), 13-19. https://doi.org/10.1111/j.1600-0404.2010.01338.x
- Dextera, D. T., & Jenner, P. (2013). Parkinson disease: From pathology to molecular disease mechanisms. Free Radical Biology and Medicine, 62, 132-144. https://doi.org/10.1016/j.freeradbiomed.2013.01.018
- Dos Santos Delabary, M., Komeroski, I. G., Monteiro, E. P., Costa, R. R., & Haas, A. N. (2018). Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with meta-analysis. Aging Clinical and Experimental Research, 30(7), 727-735. https://doi.org/10.1007/s40520-017-0836-2
- Emre, M. (2007). Clinical features, pathophysiology and treatment of dementia associated with Parkinson’s disease. Handbook of Clinical Neurology, 83, 401-419. https://doi.org/10.1016/S0072-9752(07)83018-1
- Enright, P. L. (2003). The Six-Minute Walk Test Introduction Standards and Indications 6-Minute Walk Test Versus Shuttle Walk Test Safety Variables Measured Conducting the Test Ensuring Quality Factors That Influence 6-Minute Walk Distance Interpreting the Results Improving the. Respiratory Care, 48(8), 783-785. http://rc.rcjournal.com/content/respcare/48/8/783.full.pdf
- Forjaz, M. J., Frades Payo, B., & Martínez Martín, P. (2009). Situación actual del conocimiento sobre calidad de vida en la enfermedad de Parkinson: II. Determinantes y factores asociados. Revista de Neurología, 49(12), 655. https://doi.org/10.33588/rn.4912.2009197
- Fritz Silva, N. B., Arratia Bernucci, P., Aguilar Flores, C., & Castro Cárdenas, K. (2019). Efectos del entrenamiento sensoriomotor en balance, deambulación y calidad de vida en personas con enfermedad de Parkinson / Effects of sensorimotor training on balance, ambulation and quality of life in people with Parkinson’s disease. Salud de los Trabajadores, ISSN-e 1315-0138, Vol. 27, N. o 1, 2019, Págs. 65-75, 27(1), 65-75.
- Gazmuri-Cancino, M., Regalado-Vásquez, E., Pavez-Adasme, G., & Hernández-Mosqueira, C. (2019). Efectos de un programa de entrenamiento multicomponente en la marcha funcional en pacientes con Parkinson. Revista Médica de Chile, 147(4), 465-469. https://doi.org/10.4067/s0034-98872019000400465
- Gobbi, L. T. B., Oliveira-Ferreira, M. D. T., Caetano, M. J. D., Lirani-Silva, E., Barbieri, F. A., Stella, F., & Gobbi, S. (2009). Exercise programs improve mobility and balance in people with Parkinson’s disease. Parkinsonism and Related Disorders, 15(SUPPL. 3), 49-52. https://doi.org/10.1016/S1353-8020(09)70780-1
- Hackney, M. E., & Earhart, G. M. (2008). Tai Chi improves balance and mobility in people with Parkinson disease. Gait and Posture, 28(3), 456-460. https://doi.org/10.1016/j.gaitpost.2008.02.005
- Hirsch, M. A., Toole, T., Maitland, C. G., & Rider, R. A. (2003). The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson’s disease. Archives of Physical Medicine and Rehabilitation, 84(8), 1109-1117. https://doi.org/10.1016/S0003-9993(03)00046-7
- Hobson, P., Holden, A., & Meara, J. (1999). Measuring the impact of Parkinson’s disease with the Parkinson’s Disease Quality of Life questionnaire. Age and Ageing, 28(4), 341-346. https://doi.org/10.1093/ageing/28.4.341
- Honma, Y., & Chiba, A. (1971). Studies On Gonad Maturity In Some Marine Invertebrates-Ii: Structure of The Reproductive Organs of The Lined Shore Crab. Nippon Suisan Gakkaishi, 37(8), 699-706. https://doi.org/10.2331/suisan.37.699
- Kim, Y., Lai, B., Mehta, T., Thirumalai, M., Padalabalanarayanan, S., Rimmer, J. H., & Motl, R. W. (2019). Exercise training guidelines for multiple sclerosis, stroke, and Parkinson’s disease: Rapid review and synthesis. American journal of physical medicine & rehabilitation, 98(7), 613.
- King, L. A., & Horak, F. B. (2009). Delaying mobility disability in people with Parkinson’s disease using a sensorimotor agility exercise program. Physical Therapy, 89(4), 384-393. https://doi.org/10.2522/ptj.20080214
- Kurt, E. E., Büyükturan, B., Büyükturan, Ö., Erdem, H. R., & Tuncay, F. (2018). Effects of Ai Chi on balance, quality of life, functional mobility, and motor impairment in patients with Parkinson’s disease*. Disability and Rehabilitation, 40(7), 791-797. https://doi.org/10.1080/09638288.2016.1276972
- Lauzé, M., Daneault, J. F., & Duval, C. (2016). The Effects of Physical Activity in Parkinson’s Disease: A Review. Journal of Parkinson’s Disease, 6(4), 685-698. https://doi.org/10.3233/JPD-160790
- Lei, C., Sunzi, K., Dai, F., Liu, X., Wang, Y., Zhang, B., He, L., & Ju, M. (2019). Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson’s disease: A systematic review. PLoS ONE, 14(11), 1-17. https://doi.org/10.1371/journal.pone.0224819
- Li, F., Harmer, P., Fitzgerald, K., Eckstrom, E., Stock, R., Galver, J., Maddalozzo, G., & Batya, S. S. (2012). Tai Chi and Postural Stability in Patients with Parkinson’s Disease. New England Journal of Medicine, 366(6), 511-519. https://doi.org/10.1056/nejmoa1107911
- Lima, L. O., Scianni, A., & Rodrigues-de-Paula, F. (2013). Progressive resistance exercise improves strength and physical performance in people with mild to moderate Parkinson’s disease: A systematic review. Journal of Physiotherapy, 59(1), 7-13. https://doi.org/10.1016/S1836-9553(13)70141-3
- Marín, D. S., Carmona, H., Ibarra, M., & Gámez, M. (2018). Enfermedad de Parkinson: fisiopatología, diagnóstico y tratamiento. Revista de La Universidad Industrial de Santander. Salud, 50(1), 79-92.
- Martínez-Jurado, E., Cervantes-Arriaga, A., & Rodríguez-Violante, M. (2010). Calidad de vida en pacientes con enfermedad de Parkinson. Revista Mexicana de Neurociencia, 11(6), 480-486.
- Morales-Gómez, S., Elizagaray-García, I., Yepes-Rojas, Ó., de la Puente-Ranea, L., & Gil-Martínez, A. (2018). Effectiveness of virtual immersion programmes in patients with Parkinson’s disease. A systematic review. Revista de Neurología, 66(3), 69-80. https://doi.org/10.33588/rn.6603.2017459
- Ortiz-Rubio, A., Cabrera-Martos, I., Torres-Sánchez, I., López-López, L., Rodríguez-Torres, J., & Valenza, M. C. (2018). Relación entre los síntomas musculoesqueléticos y la funcionalidad en personas con enfermedad de Parkinson. Revista Facultad de Ciencias de La Salud UDES, 5(2), 14. https://doi.org/10.20320/rfcsudes.v5i2.102
- Pacchetti, C., Mancini, F., Aglieri, R., Fundaró, C., Martignoni, E., & Nappi, G. (2000). Active music therapy in Parkinson’s disease: An integrative method for motor and emotional rehabilitation. Psychosomatic Medicine, 62(3), 386-393. https://doi.org/10.1097/00006842-200005000-00012
- Pérez-de la Cruz, S., García Luengo, A. V., & Lambeck, J. (2016). Effects of an Ai Chi fall prevention programme for patients with Parkinson’s disease. Neurología (English Edition), 31(3), 176-182. https://doi.org/10.1016/j.nrleng.2015.05.006
- Podsiadlo, D., & Richardson, S. (1991). “Timed Get Up and Go Test”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39(2), 142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
- Riverón, W.J., Sarmiento, A.B., Amor, A., Martínez, M. y Novellas, A. E. (2020). Fase premotora de la enfermedad de Parkinson . Hospital Lucía Íñiguez Landín-julio 2017 a enero del 2018 HolCien, 1(1), 1-14. https://revholcien.sld.cu/index.php/holcien/article/view/3/5
- Rocha, P. A., Slade, S. C., McClelland, J., & Morris, M. E. (2017). Dance is more than therapy: Qualitative analysis on therapeutic dancing classes for Parkinson’s. Complementary Therapies in Medicine, 34(July), 1-9. https://doi.org/10.1016/j.ctim.2017.07.006
- Rosales, M. A. O., Durán, C. Z., González, C. A. M., & Zumbado, W. A. J. (2015). Efecto de un método de entrenamiento contrarresistencia en la capacidad funcional y calidad de vida de sujetos con Parkinson idiopático. Archivos de Medicina Del Deporte, 32(2), 70-75.
- Santos, S. M., Da Silva, R. A., Terra, M. B., Almeida, I. A., De Melo, L. B., & Ferraz, H. B. (2017). Balance versus resistance training on postural control in patients with Parkinson’s disease: A randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 53(2), 173-183. https://doi.org/10.23736/S1973-9087.16.04313-6
- Seco Calvo, J., & Gago Fernández, I. (2010). Eficacia de un programa intensivo y continuado de fisioterapia para la mejoría clínica en pacientes con enfermedad de Parkinson. Fisioterapia, 32(5), 208-216. https://doi.org/10.1016/j.ft.2010.06.002
- Stożek, J., Rudzińska, M., Pustułka-Piwnik, U., & Szczudlik, A. (2016). The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson’s disease. Aging clinical and experimental research, 28(6), 1169-1177.
- Suárez-Iglesias, D., Miller, K. J., Seijo-Martínez, M., & Ayán, C. (2019). Benefits of pilates in Parkinson’s disease: A systematic review and meta-analysis. Medicina (Lithuania), 55(8), 1-14. https://doi.org/10.3390/medicina55080476
- Tanaka, K., de Quadros, A. C., Santos, R. F., Stella, F., Gobbi, L. T. B., & Gobbi, S. (2009). Benefits of physical exercise on executive functions in older people with Parkinson’s disease. Brain and cognition, 69(2), 435-441. https://doi.org/10.1016/j.bandc.2008.09.008
- Tollár, J., Nagy, F., Kovács, N., & Hortobágyi, T. (2018). A High-Intensity Multicomponent Agility Intervention Improves Parkinson Patients’ Clinical and Motor Symptoms. Archives of Physical Medicine and Rehabilitation, 99(12), 2478-2484.e1. https://doi.org/10.1016/j.apmr.2018.05.007
- Tomlinson, C. L., Patel, S., Meek, C., Herd, C. P., Clarke, C. E., Stowe, R., Shah, L., Sackley, C., Deane, K. H. O., Wheatley, K., & Ives, N. (2012). Physiotherapy intervention in Parkinson’s disease: Systematic review and meta-analysis. BMJ, 345(7872), 1-14. https://doi.org/10.1136/bmj.e5004
- Toole, T., Hirsch, M. A., Forkink, A., Lehman, D. A., & Maitland, C. G. (2000). The effects of a balance and strength training program on equilibrium in Parkinsonism: A preliminary study. NeuroRehabilitation, 14(3), 165-174. https://doi.org/10.3233/nre-2000-14306