Treino do passo e da marcha com estimulação auditiva rí­tmica na doença de Parkinson: um ensaio clí­nico randomizado piloto

Authors

  • Renato Alves da Silva UFPE
  • Ihana Thaí­s Guerra de Oliveira Gondim UFPE
  • Caroline de Cássia Batista de Souza UFPE
  • Kássia Maria Clemente da Silva UFPE
  • Liliane Pereira da Silva UFPE
  • Maria das Graças Wanderley de Sales Coriolano UFPE

DOI:

https://doi.org/10.33233/fb.v18i5.705

Abstract

Introdução: Estudos têm evidenciado que estí­mulos sensoriais podem ser utilizados para adequação da marcha de indiví­duos com doença de Parkinson. Objetivo: Avaliar os efeitos do treino do passo e da marcha associados í  estimulação auditiva rí­tmica sobre a marcha e mobilidade funcional na doença de Parkinson. Métodos: Ensaio clí­nico randomizado piloto. Os indiví­duos foram randomicamente alocados em dois grupos e ambos receberam como intervenção nove exercí­cios. O grupo com estimulação auditiva rí­tmica (GEAR) executou o treino do passo e da marcha com a estimulação auditiva rí­tmica, enquanto o grupo controle (GC), sem o estí­mulo. Os indiví­duos foram avaliados pelo Teste de caminhada de 10 metros (TC10m) e o Timed Up & go (TUG). Resultados: O GEAR apresentou redução do tempo no TUG (diferença de média DM= -0,27; intervalo de confiança IC 95% 4,12-4,65) e no TC10m (DM = -0,53; IC 95% 1,76-2,81), maior velocidade (DM= 0,14; IC 95% 0,44-0,72) e cadência (DM= 0,12; IC 95% 0,19-0,43) no TC10m. Não houve diferença significativa com o teste T pareado em nenhum parâmetro (p>0,05). Conclusão: Considerando as limitações, não é possí­vel inferir que a estimulação auditiva rí­tmica adicionada aos treinos propiciou melhores resultados que a realização dos treinos isoladamente, entretanto, a análise pareada no GEAR sugere que esta estratégia pode ser promissora, necessitando mais investigações.

Palavras-chave: doença de Parkinson, estimulação acústica, música, marcha, limitação da mobilidade. 

Author Biographies

Renato Alves da Silva, UFPE

Programa Pró-Parkinson, Hospital das Clí­nicas, Universidade Federal de Pernambuco, Recife/PE

Ihana Thaí­s Guerra de Oliveira Gondim, UFPE

Programa Pró-Parkinson, Hospital das Clí­nicas, Universidade Federal de Pernambuco, Recife/PE

Caroline de Cássia Batista de Souza, UFPE

Programa Pró-Parkinson, Hospital das Clí­nicas, Universidade Federal de Pernambuco, Recife/PE

Kássia Maria Clemente da Silva, UFPE

Programa Pró-Parkinson, Hospital das Clí­nicas, Universidade Federal de Pernambuco, Recife/PE

Liliane Pereira da Silva, UFPE

Programa Pró-Parkinson, Hospital das Clí­nicas, Universidade Federal de Pernambuco, Recife/PE

Maria das Graças Wanderley de Sales Coriolano, UFPE

Professora adjunta, Departamento de Anatomia, Universidade Federal de Pernambuco, Recife/PE, Programa Pró-Parkinson, Hospital das Clí­nicas, Universidade Federal de Pernambuco, Recife PE

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Published

2018-02-27