Pacientes com doença de Parkinson sob assistência fisioterapêutica apresentam parâmetros pulmonares melhores do que controles sedentários

Thomé, Jéssica dos Santos; Olmedo, Larissa; Santos, Fabiana Maria dos; Magnani, Karla Luciana; Müller, Paulo de Tarso; Christofoletti, Gustavo

doi:10.1590/1809-2950/14415623012016

Cited by 4 publications

(6 citation statements)

References 24 publications

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“…Foram empregados como critérios de inclusão, idosas cooperativas 16,19 , com boa cognição 20 , conscientes 19 , portadoras de doenças cardíacas, metabólicas, renais e hepáticas, obesas, sedentárias 19 , que responderam ao Questionário estratificado de risco cardiovascular (QERC) e que concordaram em assinar o Termo de consentimento livre e esclarecido (TCLE). Como critérios de exclusão utilizou--se a idade inferior a 65 e maior que 85 anos, com déficit cognitivo elevado 7,10,16,[20][21][22][23][24][25] , traqueostomizadas 19 , fumantes 7,10,19,24,26,[27][28][29] , portadoras de doenças respiratórias 7,8,16,21,22,28-30 e neurológicas 10,23,25,30,31 , cadeirantes 16,21,25,28,29 , acamadas 16 , com demência e que expuseram quaisquer condições que as impossibilitaram de realizar os exercícios propostos. Os dados para a cirtometria torácica foram comparados por das médias e dos desvios-padrões entre a primeira e a oitava visitas respectivamente, antes e após a intervenção, sendo realizadas as circunferências torácicas nos pontos anatômicos: axilar,…”

Section: Metodologiaunclassified

[Id 39669] Comparação Do Pico De Fluxo Expiratório E a Cirtometria Torácica Entre Idosas, Antes E Após a Realização De Fisioterapia Respiratória

Moreira¹,

Cassimiro²,

Sales³

et al. 2020

RBCS

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Objetivo: Este estudo visou comparar o Pico de fluxo expiratório (PFE) e a Cirtometria torácica de idosas não institucionalizadas e institucionalizadas, antes e após a realização de exercícios respiratórios. Metodologia: Após o cálculo amostral, 21 mulheres com idade compreendida entre 65 e 85 anos (74,71±6,47 anos) foram submetidas à realização da espirometria e da cirtometria torácica, antes e após a realização dos exercícios respiratórios. Foram realizadas oito visitas, com as voluntárias divididas em dois grupos. As médias e os desvios padrões foram utilizados para a análise descritiva e para normalidade dos dados, por meio do teste de Shapiro-Wilk. Comparou-se as médias pré vs. pós a realização das oito sessões com o teste ANOVA de dois caminhos e medidas repetidas, para identificar a interação no fator tempo. O nível de significância adotado foi de α=0,05 e análises foram realizadas no software SPSS 17.0 for Windows®. Resultados: O PFE pré vs. pós realização dos exercícios respiratórios, apresentou diferenças significativas (p

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Section: Metodologiaunclassified

[Id 39669] Comparação Do Pico De Fluxo Expiratório E a Cirtometria Torácica Entre Idosas, Antes E Após a Realização De Fisioterapia Respiratória

Moreira¹,

Cassimiro²,

Sales³

et al. 2020

RBCS

View full text Add to dashboard Cite

show abstract

“…However, few studies approach interventions based on physical activity programs, whose main outcomes are the limitations related to ventilatory variables [ 10 , 11 ]. The existing ones use incentive spirometry [ 12 , 13 ], while few studies approach physical activities and/or ventilatory patterns [ 4 , 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…It has been currently reported that more people in this population die from pneumonia than same-age older adults [3] and that respiratory problem share the main cause of death in PD [1,2]. Besides the mortality rates, respiratory limitations also impair PD patients' overall functioning, causing them to progressively lose their independence and quality of life [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Results in the literature present di erent causal approaches regarding the characteristics of pulmonary function in PD. Studies indicate sharper respiratory changes than in healthy older people [1][2][3][4][5], which seem to be also related to PD progression [2]. Furthermore, ventilatory limitations can be part of a vicious cycle involving physical-functional limitations (e.g., walking di culties) and the PD patients' perception of fatigue [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…e existing ones use incentive spirometry [12,13], while few studies approach physical activities and/or ventilatory patterns [4,[14][15][16].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of an Aquatic Physical Exercise Program on Ventilatory Parameters in People with Parkinson’s Disease

Yamaguchi

Iucksch

Paladini

et al. 2022

Parkinson's Disease

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Problems in the respiratory system are the main cause of death in Parkinson’s disease (PD). Ventilatory limitations can also be part of a vicious cycle involving physical-functional limitations (e.g., walking difficulties) and the patients’ perception of fatigue. The objective of this study was to analyze the effects of an aquatic physical exercise intervention program on ventilatory parameters, perception of fatigue, and gait capacity in participants with PD. This quasi-experimental study had a single group with repeated measures in four assessments, proposing an aquatic physical exercise intervention program. The inclusion criteria encompassed being in levels 1 to 4 on the Hoehn and Yahr scale and having a medical certificate for the activities. Assessments took place at 3-month intervals between them—the first period was the control, the second following the intervention, and the third period was the follow-up. The intervention had 25 biweekly sessions over 3 months. A total of 13 people (71.3 ± 5.61 years old) participated in the intervention, without significant differences in the control period. Between the intervention assessments, they had statistically significant differences in MIP, MEP, FVC, Tiffeneau index, MVV, and fatigue. The study demonstrated that the aquatic physical exercise intervention was effective for ventilatory outcomes and fatigue in people with PD.

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Does one session of dry needling effect vital capacity in people with Parkinsons Disease?

Santiago

Tahara

Gastaldi

et al. 2023

Preprint

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Respiratory function problems are caused by both motor and non-motor symptoms of Parkinson disease (PD). One major problem involving the changes in respiratory function in people with PD is a decrease in chest movement caused by musculoskeletal problems around the neck and upper trunk. The relationship between these respiratory changes and pulmonary volume in people with PD can lead to the main cause of mortality as the disease progresses. Dry needling technique (DNT) is a myofascial release technique that has been reported to provide an immediate effect on pain, decreased muscle spasm or tightness and lead to restoration of range of motion of upper trunk by using needles to stimulate hypersensitive and painful nodules in the musculature called trigger points (TP). However, to date, the use of this technique has not been reported to release muscle tightness or pain in people with PD. The present study aimed to explore the effects of a single session of bilateral DNT to the trapezius muscles trigger point on chest expansion and vital capacity which could lead to improvements in respiratory function in people with PD. Thirty-eight people with PD were randomly allocated to DN and Sham needling treatment groups. The maximum and mean volumes of vital capacity were assessed by using a ventilometer at pre-intervention, immediately after intervention, and one-week follow-up. Mixed Model Analysis of Variance(MM ANOVA) tests with post hoc pairwise comparisons were used to test the differences between groups and assessment time points. No interaction effects were found between groups and assessment time points for maximum and mean vital capacity volume. In addition, no statistically significant main effects of DNT were found for both groups and assessment time points for either maximum or mean vital capacity volume. These findings can provide evidence that a single session of dry needling does not help to improve respiratory function in people with PD. However, slight improvements in vital capacity were observed in the DN group, which may be clinically relevant when considering progressive neurodegenerative disease. More sessions of dry needling need to be explored over a greater time period to determine if longer term effect are possible with this treatment.

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Pacientes com doença de Parkinson sob assistência fisioterapêutica apresentam parâmetros pulmonares melhores do que controles sedentários

Cited by 4 publications

References 24 publications

[Id 39669] Comparação Do Pico De Fluxo Expiratório E a Cirtometria Torácica Entre Idosas, Antes E Após a Realização De Fisioterapia Respiratória

[Id 39669] Comparação Do Pico De Fluxo Expiratório E a Cirtometria Torácica Entre Idosas, Antes E Após a Realização De Fisioterapia Respiratória

Effects of an Aquatic Physical Exercise Program on Ventilatory Parameters in People with Parkinson’s Disease

Does one session of dry needling effect vital capacity in people with Parkinsons Disease?

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