Doença de Parkinson: efeito da terapia vibratória no recrutamento da musculatura postural
DOI:
https://doi.org/10.33233/fb.v20i1.1251Abstract
A Doença de Parkinson (DP) é uma doença degenerativa e progressiva do sistema nervoso central, caracterizada por sintomas motores, alterações musculoesqueléticas e posturais que podem ser influenciadas por um processo de organização sensorial anormal. A eletromiografia (EMG) é uma ferramenta de avaliação não invasiva importante para análise do recrutamento da musculatura postural. A terapia vibratória surge como uma opção promissora na estimulação somatossensorial desta população. Objetivo: Avaliar os efeitos da terapia vibratória no recrutamento da musculatura postural em pacientes com DP. Métodos: Foram analisados os músculos longuíssimo lombar (LL) e trapézio ascendente (TA) por EMG. Foi realizada a aplicação de um protocolo de 8 semanas (24 atendimentos) de terapia vibratória em 10 indivíduos com DP, com avaliação e reavaliação por análise eletromiográfica da contração isométrica voluntária (CIV). Resultados: A terapia vibratória não mostrou resultados significativos na ativação da musculatura postural na DP, pela avaliação por EMG, sendo na comparação pré e pós-tratamento TAD (p = 0,655), TAE (p = 0,655), LLD (p = 0,848) e LLE (p = 0,565). Conclusão: Não houve resultados significativos na EMG após intervenção com terapia vibratória em indivíduos com DP, o que pode ser devido principalmente ao tamanho amostral. Sugere-se a realização de novos estudos com maior tamanho amostral para comprovar a eficiência da terapia vibratória nesta população.
Palavras-chave: Parkinson, vibração, eletromiografia.
References
King LA, Peterson DS, Mancini M, Carlson-Kuhta P, Fling BW, Smulders K, et al. Do cognitive measures and brain circuitry predict outcomes of exercise in Parkinson Disease: a randomized clinical trial. BMC Neurol 2015;15:218-23. https://doi.org/10.1186/s12883-015-0474-2
Southard V, Di Francisco-Donoghue J, Mackay J, Idjadi S, Wright N. The effects of below knee compression garments on functional performance in individuals with Parkinson disease. I J Health Sci 2016;10(3):355-62. https://doi.org/10.12816/0048731
Rogan S, de Bruin ED, Radlinger L, Joehr C, Wyss C, Stuck NJ, et al. Effects of whole-body vibration on proxies of muscle strength in old adults: a systematic review and meta-analysis on the role of physical capacity level. Eur Rev Aging Phys Act 2015;8:12-7. https://doi.org/10.1186/s11556-015-0158-3
Oliveira JC, Delfino MM, Silva DD. Análise do equilÃbrio na Doença de Parkinson após utilização de plataforma vibratória. Revista Eletrônica Acervo Saúde 2014;1:70-6.
Pau M, Corona F, Pili R, Casula C, Sors F, Agostini T, et al. Effects of physical rehabilitation integrated with rhythmic auditory stimulation on spatio-temporal and kinematic parameters of gait in Parkinson’s disease. Front Neurol 2016;7:126-32. https://doi.org/10.3389/fneur.2016.00126.
Bronte-Stewart HM, Minn AY, Rodrigues K, Buckley EL, Nashner LM. Postural instability in idiopathic Parkinson’s disease: the role of medication and unilateral pollidotomy. Brain Res 2002;125:2100-14. https://doi.org/10.1093/brain/awf207
Nascimento ICB, Santos RCO, Guerreiro CF, Costa ACN, Camelier FWR. Avaliação postural na doença de Parkinson: estado da arte. Rev Pesq Fisio 2016;6:56-64. https://doi.org/10.17267/2238-2704rpf.v6i1.750
King GW, Abreu EL, Cheng AL, Chertoff KK, Brotto L, Kelly PJ, Brotto M. A multimodal assessment of balance in elderly and young adults. Oncotarget 2016;7:297-306. https://doi.org/10.18632/oncotarget.7758
He X, Hao MZ, Wei M, Xiao Q, Lan N. Contribution of inter-muscular synchronization in the modulation of tremor intensity in Parkinson’s disease. J Neuroeng Rehabil 2015;12:108-22. https://doi.org/10.1186/s12984-015-0101-x
Gallagher R, Damodaran H, Werner WG, Powell W, Deutsch JE. Auditory and visual cueing modulate cycling speed of older adults and persons with Parkinson’s disease in a Virtual Cycling (V-Cycle) system. J NeuroEng Rehabil 2016;13:77-88. https://doi.org/10.1186/s12984-016-0184-z
Vigotsky AD, Halperin I, Lehman GJ, Trajano GS and Vieira TM. Interpreting signal amplitudes in surface electromyography studies in sport and rehabilitation sciences. Front Physiol 2017;8:985. https://doi.org/10.31236/osf.io/fkbx8
Knaut S, Knaut L, Carneiro LJ. Estudo da arte da estimulação vibratória na fisioterapia neurofuncional. In: Associação Brasileira de Fisioterapia Neurofuncional; Garcia C; Facchinetti, LD, organizadores. PROFISIO Programa de Atualização em Fisioterapia Neurofuncional: Ciclo 2. Porto Alegre: Artmed Panamericana, 2014. p. 9-53.
Santos VV, Leite MAA, Silveira R, Antoniolli R, Nascimento OJM, Freitas MRG. Fisioterapia na doença de Parkinson: uma breve revisão. Rev Bras Neurol 2010;46:17-25.
Castillo-Bueno I, Ramos-Campo DJ, Rubio-Arias JA. Effects of whole-body vibration training in patients with multiple sclerosis: A systematic review. NeurologÃa 2016:1-15. https://doi.org/10.1016/j.nrleng.2018.05.002
Tseng SY, Lai CL, Chang KL, Hsu PS, Lee MC, Wang CH. Influence of whole-body vibration training without visual feedback on balance and lower-extremity muscle strength of the elderly: a randomized controlled trial. Medicine (Baltimore) 2016;95:1-6. https://doi.org/10.1097/md.0000000000002709
Lee G. Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study. J Phys Ther Sci 2015; 27. https://doi.org/10.1589/jpts.27.1133
Sharififar S, Coronado RA, Romero S, Azari H, Thigpen M. The effects of whole body vibration on mobility and balance in Parkinson disease: a systematic review. Iran J Med Sci 2014;39:318-26.
Choin SJ, Shin WS, Oh BK, Bang DH. Effect of training with whole body vibration on the sitting balance of stroke patients. J. Phys Ther Sci 2014;26:1411-4. https://doi.org/10.1589/jpts.26.1411
Seniam Project. Surface electromyography for the non-invasive assessment of muscles. [citado 2016 Oct 10]. DisponÃvel em: http://www.seniam.org.
Mester J, Kleinoder H, Yue Z. Vibration training: benefits and risks. J Biomech 2006;39:1056-65. https://doi.org/10.1016/j.jbiomech.2005.02.015
De Nunzio AM, Nardone A, Schieppati M. The control of equilibrium in Parkinson’s disease patients: Delayed adaptation of balancing strategy to shifts in sensory set during a dynamic task. Brain Res 2007;74:258-70. https://doi.org/10.1016/j.brainresbull.2007.06.020
Gabner H, Janzen A, Schwirtz A, Jansen P. Random Whole body vibration over 5 weeks leads to effects similar to placebo: a controlled study in Parkinson’s disease. Hindawi Publishing Corporation. Parkinson’s Disease 2014:1-9.
Ebersbach G, Edler D, Kaufhold O, Wissel J. Whole body vibration versus conventional physiotherapy to improve balance and gait in Parkinson's disease. Arch Phys Med Rehabil 2008;3:399-403. https://doi.org/10.1016/j.apmr.2007.09.031
Silva AT, Dias MPF, Calixto R, Jr, Carone AL, Martinez BB, Silva AM, Honorato DC. Acute effects of whole-body vibration on the motor function of patients with stroke: a randomized clinical trial. Am J Phys Med Rehab 2014;93:310-19. https://doi.org/10.1097/phm.0000000000000042
Floeter MK, Zhai P, Saigal R, Kim Y, Statland J. Motor neuron firing dysfunction in spastic patients with primary lateral sclerosis. J Neurophysiol 2005;2:919-27. https://doi.org/10.1016/j.ncl.2015.07.007
Kaut O, Allert N, Coch C, Paus S, Grzeska A, Minnerop M, et al. Stochastic resonance therapy in Parkinson’s disease. Neuro Rehabilitation 2011;28:353-8. https://doi.org: 10.3233/NRE-2011-0663.
Hoyo M, Carrasco L, Grigoletto MES, Sañudo B, Villarraso JC, Arriaza E, Escobar MC. Impact of an acute bout of vibration on muscle contractile properties, creatine kinase and lactate dehydrogenase response. Eur J Sport Sci 2013;13:666-73. https://doi.org/10.1080/17461391.2013.774052
Cutsuridis V. Origins of a repetitive and co-contractive biphasic pattern of muscle activation in Parkinson’s disease. Neural Networks 2011;24:592-601. https://doi.org/10.1016/j.neunet.2011.03.008
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