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Abstract(s)
Introdução: A doença de Parkinson é uma doença degenerativa do sistema nervoso que é progressiva e incapacitante e, apresenta-se como a segunda maior doença degenerativa do sistema nervoso. Para além dos sintomas motores apresenta complicações ao nível cognitivo nomeadamente ao nível da memória e das funções executivas, que levam a dificuldades na rotina diária do indivíduo e a alterações do padrão de marcha. O objetivo desta revisão é estudar a relação das alterações das funções cognitivas nomeadamente, das alterações da memória e da função executiva no padrão de marcha do individuo com Parkinson. Método: Segundo as normas PRISMA foi realizada a pesquisa em três bases de dados (PubMed, ScienceDirect e Web of Science). De acordo com a questão PICo as palavras chave utilizadas foram: P - “Parkinson”, “Parkinson disease”, “Parkinsonism”; E - “Executive Function”, “Memory” O - “Walking”, “Walk”, “Gait. Com a seguinte combinação: “Parkinson” OR “Parkinson disease” OR “Parkinsonism” AND “Walk” OR “Walking” OR “Gait” AND “Memory” AND “Executive Function”. Os critérios de inclusão são: Estudos randomizados controlados; data de publicação entre 2012-2020; população em estudo: doentes com Parkinson; estudos em que os outputs analisados demonstrem a avaliação cognitiva e da marcha nos indivíduos com a doença de Parkinson, estudos que avaliem a marcha dos DP em laboratório. Como exclusão: os indivíduos em estudo não podem apresentar outras doenças; lesões ortopédicas e a toma de medicamentos (ex. psicotrópicos) que possam alterar o padrão de marcha. Para a avaliação metodológica dos estudos recorremos à ferramenta Pedro. Resultados: Da pesquisa nas bases de dados obteve-se um total de 7346 estudos. De acordo com os critérios definidos e após a leitura do título e resumo de todos os artigos obteve-se um total de 24 artigos com texto integral que foram verificados para elegibilidade. Após esta etapa, foram aplicados os critérios de inclusão desta revisão obtendo-se um total de 12 artigos elegíveis. Os resultados encontram-se organizados segundo os domínios da cognição, memória e funções executivas e a marcha. Conclusões: Existem padrões de marcha que se identificam mais com um estado cognitivo específico, sendo a memória e as funções executivas essenciais na funcionalidade e eficiência da marcha.
ABSTRACT - Introduction: Parkinson's disease is a progressive and disabling degenerative condition of the nervous system and presents itself as the second-largest degenerative nervous system disease. Besides motor symptoms, it presents complications in terms of memory and executive functions, which lead to difficulties in the individual's daily routine and impairments in gait patterns. The aim of this review is to study the relationship between changes in cognitive functions, such as memory and executive functions disturbance, in the gait pattern of an individual with Parkinson's. Methods: According to PRISMA standards, the research was carried out in three databases (PubMed, ScienceDirect, and Web of Science). According to the PICO question, the keywords used were: P - “Parkinson”, “Parkinson disease”, “Parkinsonism”; E - “Executive Function”, “Memory” O - “Walking”, “Walk”, “Gait. With the following combination: “Parkinson” OR “Parkinson disease” OR “Parkinsonism” AND “Walk” OR “Walking” OR “Gait” AND “Memory” AND “Executive Function”. Inclusion criteria are: Randomized controlled trials; publication date between 2012-2020; study population: Parkinson's patients; studies in which the outputs analyzed demonstrate cognitive and gait assessment in individuals with Parkinson's disease, studies that assess the gait of PD in the laboratory. As an exclusion: individuals under study cannot have other diseases; orthopedic injuries and taking medications (eg. psychotropic drugs) that may alter the gait pattern. For the methodological evaluation of the studies, we used the Pedro tool. Results: From the research in the databases, a total of 7346 studies were obtained. According to the defined criteria and after reading the title and abstract of all articles, a total of 24 full-text articles were obtained and checked for eligibility. After this step, the inclusion criteria of this review were applied, obtaining a total of 12 eligible articles. The results are organized according to the domains of cognition, memory and executive functions, and gait. Conclusions: There are gait patterns that are more identified with a specific cognitive state, with memory and executive functions being essential for gait functionality and efficiency.
ABSTRACT - Introduction: Parkinson's disease is a progressive and disabling degenerative condition of the nervous system and presents itself as the second-largest degenerative nervous system disease. Besides motor symptoms, it presents complications in terms of memory and executive functions, which lead to difficulties in the individual's daily routine and impairments in gait patterns. The aim of this review is to study the relationship between changes in cognitive functions, such as memory and executive functions disturbance, in the gait pattern of an individual with Parkinson's. Methods: According to PRISMA standards, the research was carried out in three databases (PubMed, ScienceDirect, and Web of Science). According to the PICO question, the keywords used were: P - “Parkinson”, “Parkinson disease”, “Parkinsonism”; E - “Executive Function”, “Memory” O - “Walking”, “Walk”, “Gait. With the following combination: “Parkinson” OR “Parkinson disease” OR “Parkinsonism” AND “Walk” OR “Walking” OR “Gait” AND “Memory” AND “Executive Function”. Inclusion criteria are: Randomized controlled trials; publication date between 2012-2020; study population: Parkinson's patients; studies in which the outputs analyzed demonstrate cognitive and gait assessment in individuals with Parkinson's disease, studies that assess the gait of PD in the laboratory. As an exclusion: individuals under study cannot have other diseases; orthopedic injuries and taking medications (eg. psychotropic drugs) that may alter the gait pattern. For the methodological evaluation of the studies, we used the Pedro tool. Results: From the research in the databases, a total of 7346 studies were obtained. According to the defined criteria and after reading the title and abstract of all articles, a total of 24 full-text articles were obtained and checked for eligibility. After this step, the inclusion criteria of this review were applied, obtaining a total of 12 eligible articles. The results are organized according to the domains of cognition, memory and executive functions, and gait. Conclusions: There are gait patterns that are more identified with a specific cognitive state, with memory and executive functions being essential for gait functionality and efficiency.
Description
Mestrado em Fisioterapia Neurológica
Keywords
Fisioterapia Doença de Parkinson Marcha Memória Funções cognitivas Physiotherapy Parkinson disease March Memory Cognitive functions
Citation
Paulino MR. Relação entre as funções cognitivas e a marcha nos doentes de Parkinson: revisão sistemática [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2021.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa