Estimulação Cerebral Vibro acústica na performance de marcha de um paciente com Doença de Parkinson: Um estudo de caso

Abstract

The Parkinson's disease, central nervous system involvement, has degenerative, progressive and chronic characteristics, established from the degeneration of dopaminergic neurons and subsequent reduction of neuromelanin-containing neurons, resulting in a bradykinesia, trembling to rest, stiffness, postural changes, balance and gait. A protocol in study for the rehabilitation of this comorbidity is the binaural vibro-acoustic cerebral stimulation (BVACS), it already has evidence in the recovery of cognitive and motor areas in neurological patients. The objective of this study is to measure the gait performance of a patient with PD submitted to the treadmill training program combined with the use of BVACS. The individual pass through initial evaluation with the application of Hoehn and Yahr scale, the gait analysis protocol Functional Gait Assessment and had the stop phenomenon analyzed by the Freezing Of Qait Questionnaire, and the intervention with BVACS associated with the traction technique was started over the course of 16 days, undergoing reassessment in the same initial molds 48 hrs after the last application. It was noticed the maintenance of the gait analysis score without significant changes in this aspect, although it was demonstrated an improvement in the time of walking with eyes closed and walking back and a relevant improvement in the freezing frame. An analysis with the objective of tracking the activation of brain activity after the intervention, as well as an analysis of its performance with a larger number of patients, is pertinent. Therefore, it was concluded that the binaural vibro-acoustic brain stimulation associated with treadmill running was effective in maintaining the gait pattern of the patient, as well as being positive in improving the patient's freezing frame.