The Mental Practice (MP) consists of a training method by which a given specific motor act is cognitively reproduced internally and repeated with the intention of promoting learning or improvement of motor skills, without inducing any real movement. The results of MP to research in Parkinson's disease are still ambiguous due to various reasons such as the diversity of the intervention protocols. The MP with intervention protocols are cognitively complex and challenging presenting variations in its application concerning the type of PM, task/movement to be imagined and type of instruction. Objective: The study aimed to investigate the literature MPs protocols used for motor rehabilitation of individuals with Parkinson's disease. Methods: The searches of this systematic review was performed on the portals databases: PubMed, Scopus, Web of Science and Medicine. The descriptors were: ("mental practice" or "engine imagery" or "imagery training" and "Parkinson"). Results: 128 articles were found, of which only 4 were included according to the eligibility criteria. Conclusion: The protocols that have proven to be effective for reducing bradykinesia, improving mobility and gait speed used the MP combined with physical practice in 12 sessions, of 5 to 30 minutes, visual or visual and kinesthetic imagery of specific activities and used gait videos of patients or healthy subjects promote familiarization and identification of kinematic components of the movement.
A doença de Parkinson (DP) é uma patologia neurodegenerativa e progressiva podendo causar algumas limitações motoras que, por sua vez, podem impactar negativamente na qualidade de vida (QV) de indivíduos com DP. A realidade virtual (RV) vem sendo utilizada como tratamento destes pacientes. Objetivo: Avaliar a capacidade funcional e a QV de indivíduos com DP submetidos à RV com X-Box Kinect®. Método: Foram selecionados 20 indivíduos entre 50 a 80 anos, nos estágios 1 a 3 da doença. Divididos através de sorteio em dois grupos, o controle (GC) e o experimental (GE). O GC tratado com fisioterapia convencional, no período de cinco semanas, com duas sessões semanais de 60 minutos, enquanto o GE passou a metade do tempo com fisioterapia convencional e a outra metade realizou a RV. Os indivíduos foram submetidos a avaliações antes e após o tratamento através das seguintes escalas: UPDRS e PDQ-39. Resultados: Encontrou-se redução nos escores de todos os domínios da UPDRS e do PDQ-39 de ambos os grupos, sendo significativo apenas no grupo da GE. Conclusão: A RV aliada à fisioterapia é um método eficiente, influenciando no aspecto clínico e melhora da QV de indivíduos com DP.
The Mental Practice (MP) consists of a training method by which a given specific motor act is cognitively reproduced internally and repeated with the intention of promoting learning or improvement of motor skills, without inducing any real movement. The results of MP to research in Parkinson’s disease are still ambiguous due to various reasons such as the diversity of the intervention protocols. The MP with intervention protocols are cognitively complex and challenging presenting variations in its application concerning the type of PM, task/movement to be imagined and type of instruction. Objective: The study aimed to investigate the literature MPs protocols used for motor rehabilitation of individuals with Parkinson’s disease. Methods: The searches of this systematic review was performed on the portals databases: PubMed, Scopus, Web of Science and Medicine. The descriptors were: (“mental practice” or “engine imagery” or “imagery training” and “Parkinson”). Results: 128 articles were found, of which only 4 were included according to the eligibility criteria. Conclusion: The protocols that have proven to be effective for reducing bradykinesia, improving mobility and gait speed used the MP combined with physical practice in 12 sessions, of 5 to 30 minutes, visual or visual and kinesthetic imagery of specific activities and used gait videos of patients or healthy subjects promote familiarization and identification of kinematic components of the movement
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