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de Moura JA, Chowdhury TI, Leal JC, Pimentel Piemonte ME, Kopczynski MC, Quarles JP, Dos Santos Mendes FA. Virtual functional mobility test: A potential novel tool for assessing mobility of individuals with Parkinson's disease in a multitask condition. J Clin Neurosci 2021; 93:17-22. [PMID: 34656243 DOI: 10.1016/j.jocn.2021.08.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 07/20/2021] [Accepted: 08/15/2021] [Indexed: 10/20/2022]
Abstract
There are few instruments available for evaluating functional mobility during multitasking in people with Parkinson's Disease (PD). Virtual Reality is a potentially tool capable of aiding in the evaluation of functional mobility. The purpose of this study is to verify the potential of the Virtual Functional Mobility Test (VFMT) as a clinical tool to assess functional mobility of people with PD during multitasking condition. 25 people with PD and 25 people without PD, matched for age and sex, were recruited. Participants were evaluated through the Trail Making Test, Timed "UP and GO" test, Timed "UP and GO" test in dual task condition and through the VFMT, composed of 1) a simple task, and 2) a complex task. The VFMT and clinical tests were sensitive to differentiate the groups, except the trail making test part B (p = 0.332) and complex task (p = 0.052). Strong correlations were observed between parts A and B of the trail making test (r = 0.75) and complex task (r = 0.72); Moderate correlations between Timed Up and Go test and Timed Up and Go test in dual task condition with simple task (r = 0.47) and complex task (r = 0.55), respectively, were found. The complex task and simple task showed excellent and moderate reliability intra-rater, respectively. It was concluded that the novel VFMT is feasible, sensible, reliable and has potential as an instrument for the evaluation of functional mobility during multitasking in people with PD.
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Affiliation(s)
- Júlia Araújo de Moura
- Graduate Program in Rehabilitation Sciences, Faculty of Ceilândia, University of Brasilia, Brazil
| | | | | | - Maria Elisa Pimentel Piemonte
- Fonoaudiology, Physiotherapy and Occupational Therapy Department, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
| | | | - John P Quarles
- Department of Computer Science, University of Texas at San Antonio, San Antonio, TX, USA.
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Efficacy of dance for Parkinson's disease: a pooled analysis of 372 patients. J Neurol 2021; 269:1195-1208. [PMID: 33966112 DOI: 10.1007/s00415-021-10589-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 04/27/2021] [Accepted: 04/30/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Parkinson's disease (PD) is a neurodegenerative disorder that presents with motor and nonmotor symptoms such as bradykinesia, resting tremor, postural instability, and cognitive and neuropsychiatric manifestations. Dance therapy or complex motor activity, besides pharmacological treatment, may have benefits in PD patients. OBJECTIVE To assess the effect of dance in patients with PD. METHODS We searched for clinical trials in PubMed, Scopus, and Web of Science, and Cochrane till April 2020 using relevant keywords. Data were extracted and pooled as mean difference (MD) with 95% confidence interval (CI) by Review Manager 5.3. RESULTS Fourteen randomized controlled trials with 372 patients were included. Dance showed a significant improvement over the control group in term of the Unified Parkinson's Disease Rating Scale III (UPDRS III) after three (MD = - 4.49, 95% CI [- 6.78, - 2.21], p = 0.00001), six, (MD = - 5.96, 95% CI [- 8.89, - 3.02], p < 0.0001), and 12 months (MD = - 14.58, 95% CI [- 24.76, - 4.4], p = 0.005), and Mini-BES test after 12 months. Compared to exercise, dance showed a significant improvement in Timed Up and Go (TUG) test, Berg Balance Scale (BBS), and Mini-BES test. CONCLUSION In comparison to other types of exercise or no activity, dance improves the symptoms and outcomes in patients with PD, especially motor symptoms. Dance also has positive effects on balance, functional mobility, and cognition.
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Passos-Monteiro E, B. Schuch F, T. Franzoni L, R. Carvalho A, A. Gomeñuka N, Becker M, Rieder CRM, Andrade A, G. Martinez F, S. Pagnussat A, A. Peyré-Tartaruga L. Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson's Disease: A Randomized Clinical Trial. J Funct Morphol Kinesiol 2020; 5:jfmk5040082. [PMID: 33467297 PMCID: PMC7739412 DOI: 10.3390/jfmk5040082] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 09/23/2020] [Accepted: 10/09/2020] [Indexed: 12/18/2022] Open
Abstract
Nordic walking's (NW) degree of effectiveness regarding health-related parameters in people with Parkinson's Disease (PD) is a subject of debate. While NW seems to improve functionality, a clear non-motor benefit has not been demonstrated. The aim of this randomized controlled trial was to compare the effects of 9-week NW and free walking (FW) training programs on quality of life, cognitive function, and depressive symptoms in individuals with PD. Thirty-three people with PD, (Hoehn and Yahr 1-4) were randomized into two groups: NW (n = 16) and FW (n = 17). We analyzed quality of life, cognitive function, depressive symptoms, and motor symptoms. Significant improvements were found in the overall, physical, psychological, social participation, and intimacy domains of quality of life, as well as in cognitive function and depressive symptoms for both groups. Only the NW group showed improvement in the autonomy domain. Individuals with PD had a similar enhancement of non-motor symptoms after walking training, with or without poles. However, the NW group showed a more significant improvement in the autonomy domain, strengthening the applied and clinical potential of NW in people with PD. Future studies are needed to determine the efficacy of walking training without poles in subjects with PD.
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Affiliation(s)
- Elren Passos-Monteiro
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, Brazil;
- Human Movement Sciences Graduate Program, School of Physical Education, Universidade Federal do Pará (UFPA), Castanhal 66075-110, PA, Brazil
| | - Felipe B. Schuch
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Department of Sports Methods and Techniques, Universidade Federal de Santa Maria (UFSM), Santa Maria 97105-900, RN, Brazil
- Correspondence: ; Tel.: +55-55-32207788
| | - Leandro T. Franzoni
- Postgraduate Program in Medical Science, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil;
| | - Alberito R. Carvalho
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Physical Therapy College, Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel 85819-170, PA, Brazil
| | - Natalia A. Gomeñuka
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Departamento de Investigación de la Facultad de Ciencias de la Salud, Universidad Católica de las Misiones, Posadas (UCAMI), Misiones N3300, Argentina
| | - Marindia Becker
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
| | - Carlos R. M. Rieder
- Movement Disorders Clinics, Division of Neurology, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90050-170, RS, Brazil;
| | - Alexandro Andrade
- Laboratory of Psychology of Sport and Exercise, Department of Physical Education, Center of Health Sciences and Sports, Santa Catarina State University (UDESC), Florianópolis 89223-100, SC, Brazil;
| | - Flávia G. Martinez
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
| | - Aline S. Pagnussat
- Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre 90040-060, RS, Brazil;
- Rehabilitation Sciences Graduate Program, Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFSCPA), Porto Alegre 90050-170, RS, Brazil
| | - Leonardo A. Peyré-Tartaruga
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90040-060, RS, Brazil; (E.P.-M.); (A.R.C.); (N.A.G.); (M.B.); (F.G.M.); (L.A.P.-T.)
- Human Movement Sciences Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre 90040-060, RS, Brazil
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Dos Santos Delabary M, Monteiro EP, Donida RG, Wolffenbuttel M, Peyré-Tartaruga LA, Haas AN. Can Samba and Forró Brazilian rhythmic dance be more effective than walking in improving functional mobility and spatiotemporal gait parameters in patients with Parkinson's disease? BMC Neurol 2020; 20:305. [PMID: 32811464 PMCID: PMC7433088 DOI: 10.1186/s12883-020-01878-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 08/05/2020] [Indexed: 01/09/2023] Open
Abstract
Background Parkinson’s disease (PD) causes motor and nonmotor disorders in patients. Unlike aerobic training, potential adaptations from the practice of dance are less understood in PD, particularly compared with better known exercise modes. This study aimed to verify and compare the effects of a Brazilian dance program, inspired by Samba and Forrró rhythms, and a walking program on functional mobility and spatiotemporal gait parameters in patients with PD. Methods Eighteen participants with PD were divided into a dance group (DG) and a walking group (WG) and were assessed before and after an intervention period of 24 1-h sessions, performed twice per week for 12 weeks. The timed-up-and-go test (TUG) and walking kinematics at self-selected speed (SSS) and fast speed (FS) were determined. The generalized estimating equation method was used to compare the DG and WG pre- and post-intervention and to evaluate the group*time interaction (α < 0.05). Results Both groups demonstrated a significant improvement in TUG test at SSS (p = 0.02; effect size [ES] = 0.42) and FS (p = 0.02; ES = 0.24). In general, spatiotemporal parameters remained unchanged, except at SSS, in which the DG increased the stride frequency (p = 0.011; ES = 0.72). At FS, the swing time demonstrated a significant group*time interaction (p < 0.001; ES = 1.10), in which the two groups exhibited different behaviors: DG decreased (p = 0.015) and WG increased (p = 0.012). Conclusions Functional mobility improved similarly in both groups. The results suggest that a 12-week program of Brazilian dance was sufficient to produce improvements in functional mobility and gait in individuals with PD. Trial registration This study is registered with the International Clinical Trial Registry under number NCT03370315. Registered December 28, 2017 - Retrospectively registered.
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Affiliation(s)
- Marcela Dos Santos Delabary
- Federal University of Rio Grande do Sul, Street Felizardo, 750, Jardim Botânico, Porto Alegre, Rio Grande do Sul, Brazil.
| | | | - Rebeca Gimenes Donida
- Federal University of Rio Grande do Sul, Street Felizardo, 750, Jardim Botânico, Porto Alegre, Rio Grande do Sul, Brazil
| | - Mariana Wolffenbuttel
- Federal University of Rio Grande do Sul, Street Felizardo, 750, Jardim Botânico, Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Aline Nogueira Haas
- Federal University of Rio Grande do Sul, Street Felizardo, 750, Jardim Botânico, Porto Alegre, Rio Grande do Sul, Brazil
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dos Santos Delabary M, Komeroski IG, Monteiro EP, Costa RR, Haas AN. Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson's disease: a systematic review with meta-analysis. Aging Clin Exp Res 2018; 30:727-735. [PMID: 28980176 DOI: 10.1007/s40520-017-0836-2] [Citation(s) in RCA: 85] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 09/22/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Patients with Parkinson's Disease (PD) undergo motor injuries, which decrease their quality of life (QL). Dance, added to drug therapy, can help treating these patients AIMS: To conduct a systematic review with meta-analysis with the aim to analyze the effects of dance classes in comparison to other interventions or to the absence of intervention, in randomized clinical trials (RCTs), on functional mobility, motor symptoms and QL of PD patients METHODS: The search was conducted in MEDLINE, LILACS, SciELO, Cochrane and PsycINFO (last searched in August 2017). RCTs analyzing dance effects in comparison to other physical training types or to no intervention, on functional mobility, motor symptoms and QL of PD patients were selected. The outcomes assessed were motor symptoms with Unified PD Rating Scale III (UPDRSIII), functional mobility with Timed Up and Go Test (TUG), endurance with 6 min walking test (6MWT), freezing of gait with Freezing of Gait Questionnaire (FOG_Q), walking velocity with GAITRite and QL with PD Questionnaire (PDQ39). Two reviewers independently extracted methodological quality and studies data. Results are presented as weighted mean differences. RESULTS Five RCTs were included, totaling 159 patients. Dance promoted significant improvements on UPDRSIII, and a decrease in TUG time when compared to other types of exercise. In comparison to the absence of intervention, dance practice also showed significant improvements in motor scores. CONCLUSION Dance can improve motor parameters of the disease and patients' functional mobility.
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Bueno MEB, Andrello ACDR, Terra MB, Santos HBCD, Marquioli JM, Santos SMS. Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease. FISIOTERAPIA EM MOVIMENTO 2017. [DOI: 10.1590/1980-5918.030.004.ao04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: Gait impairments are one of the earliest signs reported by patients with Parkinson’s disease (PD) and cause an increased number of falls and decreased quality of life among these patients. Objective: To compare the effectiveness of three physical therapy interventions using Rhythmic Cues (RC), Swiss Ball (SB) and Dual Task (DT), with an emphasis on gait treatment (step and stride length, duration and velocity), in individuals with PD. Methods: Quasi-randomized clinical trial addressing a sample composed of 45 individuals assigned to three groups. The individuals were assessed before and after the intervention protocol using the following: Modified Hoehn and Yahr Scale (HY), Unified Parkinson’s Disease Rating Scale (UPDRS), Footprint analysis, Video Gait analysis, and Timed Up and Go Test (TUG). The groups were homogeneous concerning age, HY and UPDRS. Statistical analysis was performed using SPSS, version 20.0. Results: Statistically significant differences were found in all the variables analyzed in the RC and SB groups when compared in the pre- and post-intervention. With the exception of the TUG variable, the DT group presented statistically significant differences in all the remaining variables. Conclusion: The three interventions were effective for the outcomes under study, but the SB group presented the greatest magnitude of change (effect size), while the RC group presented the greatest improvement in the temporal gait variables (duration and velocity) and TUG.
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Aspectos biomecânicos da locomoção de pessoas com doença de Parkinson: revisão narrativa. REVISTA BRASILEIRA DE CIÊNCIAS DO ESPORTE 2017. [DOI: 10.1016/j.rbce.2016.07.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Hallal CZ, Navega MT, Silva JAMG, Spinoso DH, Morcelli MH, Crozara LF, Marques NR. Do cognitive tasks during gait increase the risk of accidents with pedestrians? A study based on electromyographic parameters. FISIOTERAPIA EM MOVIMENTO 2017. [DOI: 10.1590/1980-5918.030.001.ao13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction Accidents involving pedestrians are responsible for many cases of serious injuries and deaths. Crossing streets safely requires complex planning and cognitive demand because it is necessary to perform more than one task at a time. Objective The aim of this study was to identify electromyographic changes during gait in young subjects who performed the cognitive tasks concurrently. Methods The study included 17 younger women aged between 18 and 25 years. Data collection was performed on a treadmill. The volunteers were instructed to walk in four different conditions: normal gait (NG), gait with dual easy task (DET), gait with dual hard task (DHT) and gait with dual mixed task (DMT). Results Significant differences were found between the MN condition to the other conditions for all muscles and, during the NG, smaller values of muscle activation were found. Muscle co-contraction between muscles VM / BF showed a significant difference between the conditions of NG and DMT (p = 0.04) and, during the NG, smaller values of co-contraction were observed. Conclusion The data of this study permits to conclude that the competition between motor and cognitive resources significantly affects the levels of muscle activation and co-contraction during gait in young adult women. Thus, we conclude that the performance of dual cognitive tasks while driving can be considered a risk factor for safe driving.
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