Maria das Graças Wanderley de Sales Coriolano

Monitorando a deglutição através da eletromiografia de superfície

OBJETIVO: descrever o metodo de registro da eletromiografia de superficie atraves da utilizacao de um protocolo desenvolvido para o estudo da degluticao e demonstrar a degluticao de um paciente com doenca de Parkinson e de um sujeito normal atraves do registro da eletromiografia de superficie (EMGs). METODOS: para ilustrar os parâmetros eletrofisiologicos registrados apos execucao do protocolo foram utilizados dois voluntarios do sexo feminino, sendo um sem doenca e outro apresentando doenca de Parkinson (DP) no estagio III de acordo com a escala de Hoehn e Yahr. Os parâmetros analisados pelo foram: a duracao da atividade eletrica durante a degluticao, a amplitude (rms) e o limite de disfagia. RESULTADOS: os resultados mostram diferencas entre os eletromiogramas ilustrativos. CONCLUSAO: a EMGs pode ser utilizada como metodo de avaliacao e monitorizacao da degluticao de sujeitos sem doenca e com DP.

Efeitos do tratamento com realidade virtual não imersiva na qualidade de vida de indivíduos com Parkinson

This research aimed to investigate the effects of treatment with non-immersive virtual reality in the quality of life of individuals with Parkinsons disease before and after treatment with the questionnaire of Parkinsons disease PDQ-39. It corresponds to an experimental study, quantitative, of uncontrolled clinical trial type. It involved 14 individuals who underwent 20 individual treatment sessions divided into two weekly sessions lasting 30 to 40 minutes each. In the data analysis, the Wilcoxon test was used to find the value of statistical significance p = 0.05. The scores of Questionnaire Parkinsons disease-39 overall and its domains decreased when compared to the evaluation period and the revaluation of patients. However, p values express that this decrease was significant if specific areas for mobility, emotional well-being, stigma and cognition, and the Questionnaire score of Parkinsons Disease-39 overall. Thus, the results demonstrated that non-immersive virtual reality contributed positively on the quality of life of these individuals.

Efeitos da fisioterapia aquática na qualidade de vida de sujeitos com doença de Parkinson

Parkinsons Disease (PD) is a progressive, degenerative disease of the central nervous system, and its symptoms may lead to a decline in quality of life (QOL) of patients, which may be positively influenced by aquatic physiotherapy (AP). The AP is a physiotherapy tool that uses the physical, physiological and kinesiological effects that come from immersing the body in a heated pool. The Parkinsons Disease Questionnaire 39 (PDQ-39) is the most appropriate instrument for assessing QOL of PD patients. The aim of this study was to evaluate the effects of AP on QOL of patients with PD, in stages from mild to moderate, through the PDQ-39. 13 PD patients were included, aged between 45 and 74, who were between stages 1-3 of the disease (Hoehn-Yahr). The patients underwent 16 sessions of AP twice a week, lasting one hour, in a heated therapy pool. The perception of QOL was measured by the PDQ-39, before and after AP. After AP, there was a statistically significant reduction (p<0.0001) both in the total score of the PDQ-39 and in all areas (p=0.032). QOL was more affected at higher stages of the disease. Before FA, QOL was worse in the more advanced stage of the disease, and despite improvement of QOL scores after the FA, the most advanced stage continues to show worse perception of QOL. AP led to an improvement in the quality of life of patients with Parkinsons disease in this study.Parkinsons Disease (PD) is a progressive, degenerative disease of the central nervous system, and its symptoms may lead to a decline in quality of life (QOL) of patients, which may be positively influenced by aquatic physiotherapy (AP). The AP is a physiotherapy tool that uses the physical, physiological and kinesiological effects that come from immersing the body in a heated pool. The Parkinsons Disease Questionnaire 39 (PDQ-39) is the most appropriate instrument for assessing QOL of PD patients. The aim of this study was to evaluate the effects of AP on QOL of patients with PD, in stages from mild to moderate, through the PDQ-39. 13 PD patients were included, aged between 45 and 74, who were between stages 1-3 of the disease (Hoehn-Yahr). The patients underwent 16 sessions of AP twice a week, lasting one hour, in a heated therapy pool. The perception of QOL was measured by the PDQ-39, before and after AP. After AP, there was a statistically significant reduction (p<0.0001) both in the total score of the PDQ-39 and in all areas (p=0.032). QOL was more affected at higher stages of the disease. Before FA, QOL was worse in the more advanced stage of the disease, and despite improvement of QOL scores after the FA, the most advanced stage continues to show worse perception of QOL. AP led to an improvement in the quality of life of patients with Parkinsons disease in this study.

Efectos de la fisioterapia acuática en la calidad de vida de sujetos con enfermedad de Parkinson

Parkinsons Disease (PD) is a progressive, degenerative disease of the central nervous system, and its symptoms may lead to a decline in quality of life (QOL) of patients, which may be positively influenced by aquatic physiotherapy (AP). The AP is a physiotherapy tool that uses the physical, physiological and kinesiological effects that come from immersing the body in a heated pool. The Parkinsons Disease Questionnaire 39 (PDQ-39) is the most appropriate instrument for assessing QOL of PD patients. The aim of this study was to evaluate the effects of AP on QOL of patients with PD, in stages from mild to moderate, through the PDQ-39. 13 PD patients were included, aged between 45 and 74, who were between stages 1-3 of the disease (Hoehn-Yahr). The patients underwent 16 sessions of AP twice a week, lasting one hour, in a heated therapy pool. The perception of QOL was measured by the PDQ-39, before and after AP. After AP, there was a statistically significant reduction (p<0.0001) both in the total score of the PDQ-39 and in all areas (p=0.032). QOL was more affected at higher stages of the disease. Before FA, QOL was worse in the more advanced stage of the disease, and despite improvement of QOL scores after the FA, the most advanced stage continues to show worse perception of QOL. AP led to an improvement in the quality of life of patients with Parkinsons disease in this study.Parkinsons Disease (PD) is a progressive, degenerative disease of the central nervous system, and its symptoms may lead to a decline in quality of life (QOL) of patients, which may be positively influenced by aquatic physiotherapy (AP). The AP is a physiotherapy tool that uses the physical, physiological and kinesiological effects that come from immersing the body in a heated pool. The Parkinsons Disease Questionnaire 39 (PDQ-39) is the most appropriate instrument for assessing QOL of PD patients. The aim of this study was to evaluate the effects of AP on QOL of patients with PD, in stages from mild to moderate, through the PDQ-39. 13 PD patients were included, aged between 45 and 74, who were between stages 1-3 of the disease (Hoehn-Yahr). The patients underwent 16 sessions of AP twice a week, lasting one hour, in a heated therapy pool. The perception of QOL was measured by the PDQ-39, before and after AP. After AP, there was a statistically significant reduction (p<0.0001) both in the total score of the PDQ-39 and in all areas (p=0.032). QOL was more affected at higher stages of the disease. Before FA, QOL was worse in the more advanced stage of the disease, and despite improvement of QOL scores after the FA, the most advanced stage continues to show worse perception of QOL. AP led to an improvement in the quality of life of patients with Parkinsons disease in this study.

Effects of aquatic physiotherapy on life quality on subjects with Parkinson disease

Parkinsons Disease (PD) is a progressive, degenerative disease of the central nervous system, and its symptoms may lead to a decline in quality of life (QOL) of patients, which may be positively influenced by aquatic physiotherapy (AP). The AP is a physiotherapy tool that uses the physical, physiological and kinesiological effects that come from immersing the body in a heated pool. The Parkinsons Disease Questionnaire 39 (PDQ-39) is the most appropriate instrument for assessing QOL of PD patients. The aim of this study was to evaluate the effects of AP on QOL of patients with PD, in stages from mild to moderate, through the PDQ-39. 13 PD patients were included, aged between 45 and 74, who were between stages 1-3 of the disease (Hoehn-Yahr). The patients underwent 16 sessions of AP twice a week, lasting one hour, in a heated therapy pool. The perception of QOL was measured by the PDQ-39, before and after AP. After AP, there was a statistically significant reduction (p<0.0001) both in the total score of the PDQ-39 and in all areas (p=0.032). QOL was more affected at higher stages of the disease. Before FA, QOL was worse in the more advanced stage of the disease, and despite improvement of QOL scores after the FA, the most advanced stage continues to show worse perception of QOL. AP led to an improvement in the quality of life of patients with Parkinsons disease in this study.Parkinsons Disease (PD) is a progressive, degenerative disease of the central nervous system, and its symptoms may lead to a decline in quality of life (QOL) of patients, which may be positively influenced by aquatic physiotherapy (AP). The AP is a physiotherapy tool that uses the physical, physiological and kinesiological effects that come from immersing the body in a heated pool. The Parkinsons Disease Questionnaire 39 (PDQ-39) is the most appropriate instrument for assessing QOL of PD patients. The aim of this study was to evaluate the effects of AP on QOL of patients with PD, in stages from mild to moderate, through the PDQ-39. 13 PD patients were included, aged between 45 and 74, who were between stages 1-3 of the disease (Hoehn-Yahr). The patients underwent 16 sessions of AP twice a week, lasting one hour, in a heated therapy pool. The perception of QOL was measured by the PDQ-39, before and after AP. After AP, there was a statistically significant reduction (p<0.0001) both in the total score of the PDQ-39 and in all areas (p=0.032). QOL was more affected at higher stages of the disease. Before FA, QOL was worse in the more advanced stage of the disease, and despite improvement of QOL scores after the FA, the most advanced stage continues to show worse perception of QOL. AP led to an improvement in the quality of life of patients with Parkinsons disease in this study.