Monografia (especialização)
Efeitos dos exercícios no equilíbrio e nas quedas de indivíduos com doença de parkinson
Fecha
2012-12-07Autor
Nathália da Silva Ferreira Dias
Institución
Resumen
Parkinson's Disease (PD) is a chronic degenerative disease of the Central Nervous
System (CNS) characterized by resting tremor, rigidity, bradykinesia, postural
abnormalities, gait disturbances and postural instability. Currently, postural instability
has been considered one of the main features of PD patients that other associated
manifestations, culminating in gait and balance disorders. All these changes mean
that individuals with PD have reduced their activity levels, resulting in greater
immobility and consequently strengthening the weaknesses and limitations, exposing
them to falls. Deficits in balance and falls are frequent and bring serious
consequences to individuals with PD. In addition to drug treatment, and physical
therapy has been used in maintaining the well-being of the individual, keeping it
active and functional. The objective of this review was to assess the impact of an
exercise program on balance and falls in patients with Parkinson's disease (PD),
through its impact on functional testing. Two randomized controlled trials were
included. The results of the Berg balance scale (BBS), Time up and go test (TUG)
and Diary Falls were used for analysis. The results suggest benefits of balance
training on falls in individuals with PD, although not presenting statistically significant
differences in the results of the TUG and Diary Falls. Only one study showed a
statistically significant difference in the results of BBS. However, more studies are
needed to investigate the efficacy of exercise in improving balance and falls in
patients with PD.