Effects of dual-task exercise on postural instability and respiratory parameters in patients with Parkinson's disease
DOI:
https://doi.org/10.33233/rbfex.v20i1.4604Keywords:
Parkinson's disease; physical exercise; muscle strength; balance; breathAbstract
Introduction: Parkinson’s disease presents physiological changes that compromise the patient’s daily physical behavior, altering postural instability as well as injuries on the respiratory system. Objectives: The aim of the present study was to verify the quality of life and the effects of dual-task exercise on postural instability and respiratory parameters in patients with Parkinson’s disease. Methods: Fourteen patients underwent dual-task exercises (vestibular and respiratory), 3 times a week and lasting 45 minutes for a period of 60 days. Quality of life, disease staging, respiratory indicators, physical fitness, and vestibular parameters were evaluated before and 48 hours after the intervention period. Results: The quality of life indicators, such as mobility, activity of daily living, emotional well-being, stigma, cognition, communication, and body discomfort, showed a statistically significant difference when compared to baseline data. Lung function, physical fitness and vestibular system data showed improvement after the intervention program. Conclusion: The results obtained suggest that the effects of dual-task physical exercise in PD patients with Parkinson´s disease have positive effects on behavioral and functional aspects involved in the quality of life, contributing to the regulation of the vestibular system.
References
Emborg ME. Evaluation of animal models of Parkinson's disease for neuroprotective strategies. J Neurosci Methods 2004;139(2):121-43. doi: 10.1016/j.jneumeth.2004.08.004
Protter D, Lang C, Cooper AA. Α-Synuclein and mitochondrial dysfunction: a pathogenic partnership in Parkinson’s disease? Parkinson's Disease 2012;1-12. doi: 10.1155/2012/829207
Tuon T, Souza OS, Santos MF, Pereira FT, Pedroso GS, Luciano TF et al. Physical training regulates mitochondrial parameters and neuroinflammatory mechanisms in an experimental model of Parkinson’s disease. Oxidative Medicine and Cellular Longevity 2015;1-10. doi: 10.1155/2015/261809
Tuon T, Valvassori SS, Lopes-Borges J, Luciano T, Trom CB, Silva LA et al. Physical training exerts neuroprotective effects in the regulation of neurochemical factors in an animal model of Parkinson’s disease. Neuroscience 2012;227:305-12. doi: 10.1016/j.neuroscience.2012.09.063
Ni M, Signorile JF, Mooney K, Balachandran A, Potiaumpai M. Comparative effect of power training and high-speed yoga on motor function in older patients with Parkinson disease. Arch Phys Med Rehabil 2016;97(3):345-54. doi: 10.1016/j.apmr.2015.10.095
Ramos ML, Neves DR, Lima VP, Orsini M, Machado D, Bastos VH, Santos AP. Análise de parâmetros pneumofuncionais em pacientes com doença de Parkinson: estudo piloto. Rev Bras Neurol 2014;50(2):38-43
Suarez H, Dario G, Ferreira ED, Nogueira S, Arocena S, San Roman C, Suarez A. Balance in Parkinson's disease patients changing the visual input. Braz J Otorhinolaryngol 2011;77(5):651-5. doi: 10.1590/S1808-86942011000500019
Sallem AF, Sapienza CM, Okun MS. Respiratory muscle strength training: treatment and response duration in a patient with early idiopathic Parkinson´s disease. Neuro Rehabilitation 2005;20:323-33
Ferreira FV, Cielo CA, Trevisan ME. Aspectos respiratórios, posturais e vocais da doença de Parkinson: considerações teóricas. Rev CEFAC 2011;13(3):534-40. doi: 10.1590/S1516-18462010005000135
Zigmond M, Cameron JL, Hoffer BJ, Smeyne RJ. Neurorestoration by physical exercise: moving forward. Parkinsonism Relat Disord 2012;18(Suppl1):147-50. doi: 10.1016/S1353-8020(11)70046-3
Kurtais Y, Kutlay S, Tur BS, Gok H, Akbostanci C. Does treadmill training improve lower-extremity tasks in Parkinson disease? A randomized controlled trial. Clin J Sport Med 2018;18(3):289-91. doi: 10.1097/JSM.0b013e318170626d
Pelosin E, Faelli E, Lofrano F, Avanzino L, Marinelli L, Bove M, Ruggeri P, Abbruzzese G. Effects of treadmill training on walking economy in Parkinson's disease: a pilot study. Neurol Sci 2009;30(6):499-504. doi: 10.1007/s10072-009-0141-8
Alberts JL, Phillips M, Lowe MJ, Frankemolle A, Thota A, Beall EB et al. Cortical and motor responses to acute forced exercise in Parkinson's disease. Parkinsonism Relat Disord 2016;24:56-62. doi: 10.1016/j.parkreldis.2016.01.015
Rikli Re, Jones CJ. Functional fitness normative scores for community-residing older adults, ages 60-94. J Aging Phys Act 1999;7:162-81. doi: 10.1123/japa.7.2.162
Azadian E, Torbati HR, Kakhki AR, Farahpour N, Azadian E. The effect of dual task and executive training on pattern of gait in older adults with balance impairment: A Randomized controlled trial. Arch Gerontol Geriatr 2016;62:83-9. doi: 10.1016/j.archger.2015.10.001
Christofoletti G, Andrade LP, Beinotti F, Borges G. Cognition and dual-task performance in older adults with Parkinson's and Alzheimer's disease. Int J Gen Med 2014;7:383-8. doi: 10.2147/IJGM.S65803
Assumpção FB, Kuczynski E, Sporovieri MH, Aranha EMG. Escalas de avaliação de qualidade de vida. Arq Neuropsiquiatr 2000;58:119-27. doi: 10.1590/S0004-282X2000000100018
Marinus J, Ramaker C, Van Hilten JJ, Stiggelbout AM. Health related quality of life in Parkinson's disease: a systematic review of disease specific instruments. J Neurol Neurosurg Psychiatry 2002;72(2):241-8. doi: 10.1136/jnnp.72.2.241
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967;17(5):427-42.
Lana RC, Álvares LMRS, Nasciutti-Prudente C, Goulart FRP, Teixeira-Salmela LF, 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
Deane KH, Jones D, Playfor DED, Ben-Shlomo Y, Clarke CE. Physiotherapy for patients with Parkinson's Disease: a comparison of techniques. Cochrane Database Syst Rev 2001;3.CD002817. doi: 10.1002/14651858
Wade DT, Gage H, Owen C, Trend P, Grossmith C, Kaye J. Multidisciplinary rehabilitation for people with Parkinson's disease: a randomised controlled study. J Neurol Neurosurg Psychiatry 2003;74(2):158-62. doi: 10.1136/jnnp.74.2.158
Tarsy D, Hurtig HI, Dashe JF. Nonpharmacologic management of Parkinson disease. Uptodate: last literature review 2008;1-5.
Torsney KM, Forsyth D. Respiratory dysfunction in Parkinson's disease. J R Coll Physicians Edinb 2017;47(1):35-39. doi: 10.4997/JRCPE.2017.108
Gustafsson H, Strahle JAS, Nordstrom A, Nordstrom P. Low muscle strength in late adolescence and Parkinson disease later in life. Neurology 2015;84(18):1862-9. doi: 10.1212/WNL.0000000000001534
Jöbges EM, Spittler-Schneiders H, Renner CI, Hummelsheim H. Clinical relevance of rehabilitation programs for patients with idiopathic Parkinson syndrome. II: Symptom-specific therapeutic approaches. Parkinsonism Relat Disord 2007;13(4):203-13. doi: 10.1016/j.parkreldis.2006.07.018
Goodwin VA, Richards SH, Taylor RS, Taylor AH, Campbell JL. The effectiveness of exercise interventions for people with Parkinson's disease: a systematic review and meta-analysis. Mov Disord 2008;23(5):631-40. doi: 10.1002/mds.21922
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(3):259-63. doi: 10.1590/S1809-29502010000300013Colnat
Colnat-Coulbois S, Gauchard GC, Maillard L, Barroche G, Vespignani H, Auque J, Perrin PHP. Bilateral subthalamic nucleus stimulation improves balance control in Parkinson’s disease. J Neurol Neurosurg Psychiatry 2015;76:780-7. doi: 10.1136/jnnp.2004.047829
Zeigelboim BS, Klagenberg KF, Teive HA, Munhoz RP, Martins-Bassetto J. Vestibular rehabilitation: clinical benefits to patients with Parkinson's disease. Arq Neuro-Psiquiatr 2009;67(2):219-23. doi: 10.1590/S0004-282X2009000200009
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Hérica Salvaro Fernandes, Talita Tuon, Paulo Roberto Lino, Miguel Rosado, Ricardo A Pinho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms: Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License which allows the sharing of work with acknowledgment of authorship and initial publication in this magazine; Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publish in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal; Authors are allowed and encouraged to publish and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase impact and citation of published work (See The Effect of Open Access).