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Introdução: A doença de Parkinson (DP) é uma doença neurodegenerativa progressiva que causa sintomas motores e não motores, levando a um estado de dependência, inatividade e isolamento social que diminui a qualidade de vida. O Pilates pode ser um método benéfico, no entanto poucos estudos experimentais têm sido realizados. Objetivos: avaliar a viabilidade e efetividade de um programa de Mat Pilates no equilíbrio, capacidade física e qualidade de vida em doentes de Parkinson. Metodologia: Após o recrutamento, foi selecionada a amostra por conveniência e feita a alocação no Grupo Pilates e Grupo Controlo. A intervenção durou 12 semanas, com sessões de 60 minutos duas vezes por semana. As avaliações foram feitas na baseline, 6 e 12 semanas após usando o Timed Up and Go, O 30 Seconds Chair Stand, o 2 Minutes Step Test e a 39‐item Parkinson’s Disease Questionnaire para avaliar o equilíbrio, força dos membros inferiores, capacidade aeróbia e a qualidade de vida, respetivamente. Foi ainda usada a Escala Perceção Global de melhoria – versão portuguesa. Resultados: Uma amostra de 15 participantes (9 no grupo Pilates e 5 no grupo controlo) foi analisada. A adesão ao programa foi excelente e o mesmo teve efeitos positivos nos participantes, sendo que os outcomes força dos membros inferiores e capacidade aeróbia apresentaram diferenças estatisticamente significativas (Mann-Whitney, p˂0,05). Conclusões: Pilates é um método viável que pode ser prescrito de forma segura para pessoas com DP leve a moderada. Futuros ensaios clínicos aleatorizados podem continuar a determinar a extensão de tais benefícios.
ABSTRACT - Introduction: Parkinson's disease (PD) is a progressive neurodegenerative disease that causes motor and non-motor symptoms, leading to a state of dependence, inactivity, and social isolation that affects the quality of life. Pilates can be a beneficial method, however, few studies have been conducted. Aims: To investigate the feasibility and effects of Pilates training on balance, physical capacity, and quality of life in patients with early-stage PD. Methods: After recruitment, the sample was selected and made the allocation to the Pilates Group and Control Group. The intervention lasted 12 weeks, with 60-minute sessions twice a week. The assessment was at baseline, 6 and 12 weeks after using the Timed Up and Go, 30 Seconds Chair Stand test, 2 Minutes Step test, and the 39-item Parkinson's Disease Questionnaire to evaluate balance, lower limb strength, aerobic capacity, and quality of life, respectively. The Patient Global Improvement Change Scale – Portuguese version was also used. Results: The data of 15 patients (9 in the Pilates group, and 6 in the control group) were analyzed. The adherence to the program was excellent and it had positive effects on participants. The outcomes of lower limb strength and aerobic capacity showed statistically significant differences (Mann-Whitney, p˂0.05). Conclusions: Pilates is a viable method that can be safely prescribed for people with mild to moderate PD. Future randomized controlled trials may continue to determine the extent of such benefits.
ABSTRACT - Introduction: Parkinson's disease (PD) is a progressive neurodegenerative disease that causes motor and non-motor symptoms, leading to a state of dependence, inactivity, and social isolation that affects the quality of life. Pilates can be a beneficial method, however, few studies have been conducted. Aims: To investigate the feasibility and effects of Pilates training on balance, physical capacity, and quality of life in patients with early-stage PD. Methods: After recruitment, the sample was selected and made the allocation to the Pilates Group and Control Group. The intervention lasted 12 weeks, with 60-minute sessions twice a week. The assessment was at baseline, 6 and 12 weeks after using the Timed Up and Go, 30 Seconds Chair Stand test, 2 Minutes Step test, and the 39-item Parkinson's Disease Questionnaire to evaluate balance, lower limb strength, aerobic capacity, and quality of life, respectively. The Patient Global Improvement Change Scale – Portuguese version was also used. Results: The data of 15 patients (9 in the Pilates group, and 6 in the control group) were analyzed. The adherence to the program was excellent and it had positive effects on participants. The outcomes of lower limb strength and aerobic capacity showed statistically significant differences (Mann-Whitney, p˂0.05). Conclusions: Pilates is a viable method that can be safely prescribed for people with mild to moderate PD. Future randomized controlled trials may continue to determine the extent of such benefits.
Descrição
Mestrado em Fisioterapia – Área de especialização: Fisioterapia Neurológica
Palavras-chave
Fisioterapia Medicina de reabilitação Doença de Parkinson Pilates Equilíbrio Aptidão física Qualidade de vida Physiotherapy Rehabilitation Parkinson disease Balance Physical fitness Quality of life
Contexto Educativo
Citação
Martins JF. Efeitos de um programa de Pilates Clínico no equilíbrio, força dos membros inferiores, capacidade aeróbia e qualidade de vida em doentes de Parkinson [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2022.
Editora
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa