Effect of virtual reality on recruitment of muscle fibers and respiratory muscle strength in patients with Parkinson's disease - pilot study
DOI:
https://doi.org/10.33233/fb.v21i4.2932Keywords:
Parkinson's disease, virtual reality exposure therapy, respiratory muscles, postureAbstract
Introduction: Parkinson's disease commits the mobility of the rib cage, causing progressive ventilation limitation due to bending and stiffness. Virtual reality provides real-time interaction with activities and three-dimensional environments. Objective: To evaluate the effect of virtual reality on the recruitment of muscle fibers and respiratory and postural muscle strength in patients with Parkinson's disease. Methods: Clinical, pilot, prospective study, with allocation by convenience. Ten individuals were selected and allocated to a study group (EG n = 5) consisting of elderly people with Parkinson and a control group (CG n = 5) formed by elderly people in the same age group, without neurological and respiratory conditions. The measured variables were functional independence, motor performance, respiratory muscle strength, recruitment of respiratory and postural muscle fibers, and quality of life. 16 sessions were held with virtual reality. Results: The maximum inspiratory pressures (MIP) and maximum expiratory pressures (MEP) improved in some moments of the intervention. The recruitment of muscle fibers in the sternocleidomastoid decreased and the recruitment of muscle fibers in the diaphragm increased. Conclusion: MIP and MEP improved in some moments of treatment, and there was a decrease in the recruitment of muscle fibers from accessory respiratory muscles in patients with Parkinson´s disease.
References
Santos VV, Leite AAM, Silveira R, Antoniolli R, Nascimento JMO, Freitas RGM. Fisioterapia na Doença de Parkinson: uma breve revisão. Rev Bras Neurol 2010;46(2):17-25.
Souza MFC, Almeida PCH, Sousa BJ, Costa HP, Silveira SSY, Bezerra LCJ. A doença de Parkinson e o processo de envelhecimento motor: uma revisão de literatura. Rev Neurocienc 2011;19(4):718-23. doi: 10.34024/rnc.2011.v19.8330
Da Mata FAF, Barros SLA, Lima FC. Avaliação do risco de queda em pacientes com Doença de Parkinson. Rev Neurocienc 2008;16(1):20-4.
Santana FMC, Lins GO, Sanguinetti MCD, Silva PF, Angelo ADT, Coriolano SWGM, Camara BS, Silva APJ. Efeitos do tratamento com realidade virtual não imersiva na qualidade de vida de indivíduos com Parkinson. Rev Bras Geriatr Gerontol 2015;18(1):49-58. doi: 10.1590/1809-9823.2015.14004
Silva FS, Pabis JVPC, Alencar AG, Silva KB, Peternella FNM. Evolução da doença de Parkinson e comprometimento da qualidade de vida. Rev Neurocienc 2010;18(4):463-8.
O Sullivan SB, Schmitz TJ, Nascimento FG. Fisioterapia: avaliação e tratamento. 2a ed. São Paulo: Manole, 1993. 775p.
Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes para testes de função pulmonar 2002. J Bras Pneumol 2002;28(Supl 3).
SENIAM European Recommendations for Surface Electromyography. 2010. Disponível em: http://www.seniam.org
Minosso JSM, Amendola F, Alvarenga MRM, Oliveira MAC. Validação, no Brasil, do Índice de Barthel em idosos atendidos em ambulatórios. Acta Paul Enferm 2010;23(2):218-223. doi: 10.1590/S010321002010000200011
Lana RC, Álvares LMRS, Nasciutti-Prudente C, Goulart FRP, Teixiera-Salmela F, Cardoso FE. Percepção da qualidade de vida de indivíduos com doença de Parkinson através do PDQ-39. Rev Bras Fisioter 2007;11(5):397-402. doi: 10.1590/S1413-35552007000500011
Bueno MEB, Andrello ACR, Terra MB, Santos HBC, Marquioli JM, Santos SMS. Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson´s disease. Fisioter Mov 2017;30(4):691-701. doi: 10.1590/1980-5918.030.004.ao04
Navarro-Peternella FM, Marcon SS. Qualidade de vida de indivíduos com Parkinson e sua relação com tempo de evolução e gravidade da doença. Rev Latinoam Enferm 2012;20(2):1-8. doi: 10.1590/S0104-11692012000200023
Gonçalves GB, Leite MAA, Pereira JS. Influência das distintas modalidades de reabilitação sobre as disfunções motoras decorrentes da doença de Parkinson. Rev Bras Neurol 2011;47(2):22-30.
Li H, Zhang M, Chen L, Zhang J, Zhong P, Hu A et al. Nonmotor symptoms are independently associated with impaired health-related quality of life in Chinese patients with Parkinson´s disease. Mov Disord 2010;25(16):2740-6. doi: 10.1002/mds.23368
Behari M, Srivastava AK, Pandey RM. Quality of life in patients with Parkinson´s disease. Parkinsonism Rel Disord 2005;11(4):221-226. doi: 10.1016/j.parkreldis.2004.12.005
Carod-Artal FJ, Vargas AP, Martinez-Martin P. Determinants of quality of life in Brazilian patients with Parkinson´s disease. Mov Disord 2007;22(10):1408-15. doi: 10.1002/mds.21408
Paula FR, Teixeira-Salmela LF, Faria CDCM, Brito PR, Cardoso F. Impact of an exercise program on physical, emotional, and social aspects of quality of life of individuals with Parkinson´s disease. Mov Disord 2006:21(8):1073-77. doi: 10.1002/mds.20763
Guedes JM, Silveira RCR. Análise da capacidade funcional da população geriátrica institucionalizada na cidade de Passo Fundo, RS. Revista Brasileira de Ciências do Envelhecimento Humano 2004;1(2):10-21. doi: 10.5335/rbceh.2012.10
Mascarenhas CHM, Souza MP. Avaliação funcional de indivíduos portadores da doença de Parkinson. Arq Ciênc Saúde 2010;17(4):179-84.
Filippin NT, Martins JS, Libera LBD, Halberstadt BF, Severo AR. Qualidade de vida de sujeitos com doença de Parkinson e seus cuidadores. Fisioter Mov 2014;27(1):57-66. doi: 10.1590/0103-5150.027.001.AO06
Costa HC, Santos BS, Oliveira PS, Nascimento ICB, Nóbrega AC, Camelier FWR et al. Alterações funcionais respiratórias na doença de Parkinson. Rev Pesqui Fisioter 2016;6(3):353-363. doi: 1017267/2238-2704rpf.v6i3.987
Monteiro L, Souza-Machado A, Pinho P, Sampaio M, Nóbrega AC, Melo A. Swallowing impairment and pulmonary dysfunction in Parkinson's disease: the silent threats. J Neurol Sci 2014;339(1-2):149-52. doi: 10.1016/j.jns.2014.02.004
Sanches VS, Santos FM, Fernandes JM, Santos ML, Müller PT, Christofoletti G. Neurodegenerative disorders increase decline in respiratory muscle strength in older adults. Respir Care 2014;59(12):1838-45. doi: 10.4187/respcare.03063
Ramos ML, Neves DR, Lima VP, Orsini M, Machado D, Bastos VHV, Santos AP. Análise de parâmetros pneumofuncionais em pacientes com doença de Parkinson: estudo piloto. Rev Bras Neurol 2014;50(2):38-43.
Ferreira FV, Cielo CA, Trevisan ME. Força muscular respiratória, postura corporal, intensidade vocal e tempos máximos de fonação na Doença de Parkinson. Rev CEFAC 2012;14(2):361-8. doi: 10.1590/S1516-18462010005000135
Harper CJ, Shahgholi L, Cieslak K, Hellyer NJ, Strommen JA, Boon AJ. Variability in diaphragm motion during normal breathing, assessed with B-Mode Ultrasound. J Orthop Sports Phys Ther 2013;43(12):927-31. doi: 10.2519/jospt.2013.4931
Pereira FF, Assumpção FF, Rosa JS, Lima MIL, Gonçalves MCP, Faria L. Efeitos da fisioterapia respiratória em portadores da Doença de Parkinson. Rev Fisioter Ser 2010;5(4):235-40.
Haas BM, Trew M, Castle PC. Effects of respiratory muscle weakness on daily living function, quality of life, activity levels and exercise capacity in mild tomoderate Parkinson´s disease. Am J Phys Med Rehabilit 2004;83(8):601-7. doi: 10.1097/01.phm.0000133436.61009.02
Pitts T, Bolser D, Rosenbek J, Troche M, Okun MS, Sapienza C. Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease. Chest. 2009;135(5):1301-8. doi: 10.1378/chest.08-1389
Saleem AF, Sapienza CM, Okun MS. Respiratory muscle strength training: treatment and response duration in a patient with early idiopathic Parkinson´s disease. Neuro Rehabil 2005;20(4):323-33. doi: 10.3233/NRE-2005-20407
Nogaki H, Kakinuma S, Morimatsu M. Muscle weakness in Parkinson´s disease: a follow-up study. Parkinsonism Rel Disord 2001;8:57-62. doi: 10.1016/s1353-8020(01)00002-5
Silva DM, Nunes COM, Oliveira PJAL, Coroliano MGWS, Berenguer FA, Lins OG, Ximenes DKG. Efeitos da fisioterapia aquática na qualidade de vida de sujeitos com doença de Parkinson. Fisioter Pesqui 2013;20(1):17-23. doi: 10.1590/S1809-29502013000100004
Silva JAMG, Filho AVD, Faganello FR. Mensuração da qualidade de vida de indivíduos com a doença de Parkinson por meio do questionário PDQ-39. Fisioter Mov 2011;24(1):141-6. doi: 10.1590/S0103-51502011000100016
Shill H, Stacy M. Respiratory complications of Parkinson´s disease. Semin Respir Crit Care Med 2002;23(3):261-5. doi: 10.4997/JrcPe.2017.108
Published
Issue
Section
License
Copyright (c) 2020 Lurian Bastos Araujo, Ana Carolina Lima Freitas, Jessica Amanda Campos, João Pedro Kosour Guimarães, Luciana Maria dos Reis, Andreia Maria Silva, Carolina Kosour
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
