Effects of group physiotherapy on motor function in parkinsonism

quasi-experimental study

Authors

DOI:

https://doi.org/10.33233/fb.v23i6.5269

Keywords:

Muscle Strength, Postural Balance, Physical Fitness, Physical Therapy Modalities, Parkinsonian Disorders

Abstract

Objective: To study the effects of short-term group physiotherapy protocols on motor functional variables in subjects with Parkinsonism. Methods: A quasi-experimental, controlled, non-randomized, open label study, with consecutive arms for one group (n = 6) and parallel arms for the other (n = 9). One group (n = 9) observed by the researchers, underwent group physical therapy once a week at a rehabilitation center for 5.5 to 7.5 months. Another group (n = 6) did not undergo physical therapy for a period of 5 months (control phase) and, consecutively, underwent group physical therapy twice a week for 12 weeks. Both groups were assessed with the Berg Balance Scale, Timed Up and Go Test, 5-Times Sit-to-Stand Test and 6-Minute Walk Test. Results: In all the variables analyzed, there were no statistically significant differences between the values measured in the assessments before and after the interventions (physical therapy once or twice a week) and the control phase. Conclusion: A short-term group physical therapy protocol, with a frequency of 1 or 2 times a week, may not be enough to improve motor control people with Parkinsonism.

Author Biographies

Aurelio de Melo Barbosa, Professor at the State University of Goias

Ft., M.Sc., Docente do curso de Fisioterapia na Universidade Estadual de Goiás, Goiânia, GO, Brasil

Nathyele Oliveira Fortaleza, State University of Goias

Egressa da Universidade Estadual de Goiás, Goiânia, GO, Brasil

Jordana Alves Castro, Resident in the Urgence Hospital of Goiania Otavio Lage

Residente no Hospital de Urgência de Goiânia Otávio Lage, Goiânia, GO, Brasil

Roseane Assis Rio Branco Bastos, Physiotherapist at Hospital Alberto Rassi

Ft., Hospital Alberto Rassi, Goiânia, GO, Brasil

Georgia Silva Menezes, Master degree student at Federal University of Goias

Hospital Israelita Albert Einstein Unidade Goiânia, Mestranda na Universidade Federal de Goiás, Goiânia, GO, Brasil

Mayara Cordeiro de Faria, Physiotherapista at the Center of Orientation, Rehabilitation and Assistence for Encephalic Injured Person

Ft., Centro de Orientação, Reabilitação e Assistência ao Encefalopata (CORAE), Goiânia, GO, Brasil

Flávia Martins Gervásio, Professor at State University of Goias

Ft., D.Sc., Docente do curso de Fisioterapia na Universidade Estadual de Goiás, Goiânia, GO, Brasil

Paola Ramos Silva Neves, Professor at State University of Goiás

Ft., Docente do curso de Fisioterapia na Universidade Estadual de Goiás, Goiânia, GO, Brasil

References

Hayes MT. Parkinson’s Disease and Parkinsonism. Am J Med 2019;132:802–7. doi: 10.1016/J.AMJMED.2019.03.001

Cabreira V, Massano J. Doença de Parkinson: Revisão clínica e atualização. Acta Med Port 2019;32:661–70. doi: 10.20344/AMP.11978

Azevedo IM, Gondim ITGO, Silva KMC, Oliveira CA, Lins CC dos SA, Coriolano M das GWS. Repercussões da estimulação auditiva rítmica sobre a funcionalidade na doença de Parkinson. Fisioter Mov 2021;34:1-2. doi: 10.1590/FM.2021.34116

Barbosa MT. Diagnóstico e tratamento da doença de Parkinson em idosos. In: Sociedade Brasileira de Geriatria e Gerontologia, Cabrera M, Cunha U, editors. PROGER Programa Atualização em Geriatr. e Gerontol. Ciclo 7, Porto Alegre: Artmed; 2021. p. 9-52.

Clementino ACCR, Menezes DSP, Guimarães DGG, Fernandes GN, Silva ASA, Menezes DMP, et al. Influence of group physiotherapy treatment on mobility, balance and quality of life in people with Parkinson’s disease. Brazilian J Dev 2022;8:9322-44. doi: 10.34117/BJDV8N2-060

Goulart F, Pereira LX, Goulart DF. Uso de escalas para avaliação da doença de Parkinson em fisioterapia. Fisioter Pesqui 2005;11:49-56. doi: 10.1590/FPUSP.V11I1.76385

Mello MPB, Botelho ACG. Correlação das escalas de avaliação utilizadas na doença de Parkinson com aplicabilidade na fisioterapia. Fisioter Mov 2010;23:121-7. doi: 10.1590/S0103-51502010000100012.

Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr 1994;52:01-7. doi: 10.1590/s0004-282x1994000100001

Christofoletti G, Freitas RT, Cândido ER, Cardoso CS. Eficácia de tratamento fisioterapêutico no equilíbrio estático e dinâmico de pacientes com doença de Parkinson. Fisioter Pesqui 2010;17:259-63. doi: 10.1590/S1809-29502010000300013

Santos FPV, Borges LL, Menezes RL. Correlação entre três instrumentos de avaliação para risco de quedas em idosos. Fisioter Mov 2013;26:883–94. doi: 10.1590/S0103-51502013000400017

Bertoldi FC, Silva JAMG, Faganello-Navega FR. Influência do fortalecimento muscular no equilíbrio e qualidade de vida em indivíduos com doença de Parkinson. Fisioter Pesqui 2013;20:117-22. doi: 10.1590/S1809-29502013000200004

Nakano MM. Versão brasileira da Short Physical Performance Battery SPPB: adaptação cultural e estudo da confiabilidade. Campinas: Universidade Estadual de Campinas, 2007. doi: 10.47749/T/UNICAMP.2007.396756.

Antônio AM, Antônio AM dos S, Bertoldi FC, Faganello-Navega FR. Influência do fortalecimento muscular na independência funcional de indivíduos parkinsonianos. ConScientiae Saúde 2013;12:439-46. doi: 10.5585/conssaude.v12n3.4376

Caporrino FA, Faloppa F, Santos JBG, Réssio C, Soares FHC, Nakachima LR, et al. Estudo populacional da força de preensão palmar com dinamômetro Jamar®. Rev Bras Ortop [Internet] 1998[cited 2022 Nov 14];33:150-4. Available from: https://cdn.publisher.gn1.link/rbo.org.br/pdf/33-2/1998_fev_04.pdf

Richards LG, Olson B, Palmiter-Thomas P. How forearm position affects grip strength. Am J Occup Ther 1996;50:133–8. doi: 10.5014/AJOT.50.2.133

Crapo RO, Casaburi R, Coates AL, Enright PL, MacIntyre NR, McKay RT, et al. ATS Statement 2012;166:111-7. doi: 10.1164/AJRCCM.166.1.AT1102

Microsoft Corporation. Microsoft 365 Excel 2018.

Grupo EstatCamp. Action Stat Pro® 2017.

Almeida CO. Ensaios da amostra ao teorema do limite central: um pouco dos fundamentos e uma aplicação prática. Cruz Das Almas (BA): Embrapa Mandioca e Fruticultura; 2019.

Rumsey DJ. Estatística II para leigos. Rio de Janeiro: Alta Books; 2014.

Tollár J, Nagy F, Kovács N, Hortobágyi T. A high-intensity multicomponent agility intervention improves parkinson patients’ clinical and motor symptoms. Arch Phys Med Rehabil 2018;99:2478-2484.e1. doi: 10.1016/j.apmr.2018.05.007

Tollár J, Nagy F, Kovács N, Hortobágyi T. Two-year agility maintenance training slows the progression of parkinsonian symptoms. Med Sci Sports Exerc 2019;51:237-45. doi: 10.1249/MSS.0000000000001793

Kurt EE, Büyükturan B, Büyükturan Ö, Erdem HR, Tuncay F. Effects of Ai Chi on balance, quality of life, functional mobility, and motor impairment in patients with Parkinson’s disease. Disabil Rehabil 2018;40:791-7. doi: 10.1080/09638288.2016.1276972

Hashimoto H, Takabatake S, Miyaguchi H, Nakanishi H, Naitou Y. Effects of dance on motor functions, cognitive functions, and mental symptoms of Parkinson’s disease: a quasi-randomized pilot trial. Complement Ther Med 2015;23:210-9. doi: 10.1016/J.CTIM.2015.01.010

Hubble RP, Naughton G, Silburn PA, Cole MH. Trunk exercises improve gait symmetry in Parkinson disease: a blind phase II randomized controlled trial. Am J Phys Med Rehabil 2018;97:151-9. doi: 10.1097/PHM.0000000000000858

Hubble RP, Silburn PA, Naughton GA, Cole MH. Trunk exercises improve balance in Parkinson disease: A phase II randomized controlled trial. J Neurol Phys Ther 2019;43:96-105. doi: 10.1097/NPT.0000000000000258

Claesson IM, Ståhle A, Lökk J, Grooten WJA. Somatosensory Focused Balance Training without cues can improve balance and gait in early Parkinson’s disease – a randomised pilot study. Eur J Physiother 2017;20:67-73. doi: 10.1080/21679169.2017.1363284

King LA, Wilhelm J, Chen Y, Blehm R, Nutt J, Chen Z, et al. Effects of group, individual, and home exercise in persons with Parkinson disease. J Neurol Phys Ther 2015;39:204-12. doi: 10.1097/NPT.0000000000000101

Conradsson D, Löfgren N, Nero H, Hagströmer M, Ståhle A, Lökk J, et al. The effects of highly challenging balance training in elderly with Parkinson’s disease: A randomized controlled trial. Neurorehabil Neural Repair 2015;29:827-36. doi: 10.1177/1545968314567150

Sparrow D, Angelis TR, Hendron K, Thomas CA, Saint-Hilaire M, Ellis T. Highly challenging balance program reduces fall rate in Parkinson disease. J Neurol Phys Ther 2016;40:24-30. doi: 10.1097/NPT.0000000000000111

Landers MR, Navalta JW, Murtishaw AS, Kinney JW, Pirio Richardson S. A High-intensity exercise boot camp for persons with Parkinson disease: a phase II, pragmatic, randomized clinical trial of feasibility, safety, signal of efficacy, and disease mechanisms. J Neurol Phys Ther 2019;43:12-25. doi: 10.1097/NPT.0000000000000249

Published

2022-12-22