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Authors
Advisor(s)
Abstract(s)
Introdução: A doença de Parkinson (DP) é uma doença neurodegenerativa e as quedas são um problema debilitante para estes indivíduos. A prevenção de quedas alivia os encargos socioeconómicos e diminui consequências. Objetivo: Verificar a efetividade da fisioterapia na prevenção de quedas na DP. Método: Foi efetuada uma revisão sistemática, seguindo as normas da PRISMA. A pesquisa foi realizada nas bases de dados PubMed/Medline, Web of Science, Scopus, Cochrane Trials, SciELO e PEDro. Foram incluídos estudos RCT (experimentais controlados e aleatorizados). A seleção de estudos e avaliação da qualidade metodológica (escala PEDro) foram conduzidas por 2 avaliadores, independentemente. Resultados: A pesquisa nas bases de dados resultou em 104 artigos, tendo sido incluídos 5 destes estudos após a aplicação dos critérios de elegibilidade. De uma forma geral, a taxa de quedas diminuiu nos grupos de estudo. A velocidade da marcha aumentou significativamente em 2 dos estudos, nos grupos em análise. O comprimento do passo e da passada demonstraram melhorias em dois dos estudos. Conclusão: Há evidência de que o treino de equilíbrio, de marcha, fortalecimento dos membros superiores e inferiores e educação para a prevenção de quedas é eficaz na prevenção de quedas na Doença de Parkinson.
ABSTRACT - Introduction: Parkinson's disease (PD) is a common neurodegenerative disease and falls are a debilitating problem for these people. Falls prevention can lighten socioeconomic burdens and decrease adverse effects. Objective: to investigate the effectiveness of physiotherapy in preventing falls in PD. Method: A systematic review was carried out, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched in the PubMed/Medline, Web of Science, Scopus, Cochrane Trials, SciELO, and PEDro databases. Only RCT (randomized controlled trials) studies were included. The selection of studies and evaluation of the methodological quality (PEDro scale) were conducted by 2 evaluators, independently. Results: The search resulted in a total of 104 studies, 5 of which were included after the application of the eligibility criteria. In general, the rate of falls decreased in the study groups. Gait speed increased significantly in two of the studies, in the study groups. Step length and stride length improved in two of the studies, in the study groups. Conclusion: There is evidence that balance training, gait training, strengthening of the upper and lower limbs, and education for the prevention of falls is effective in preventing falls in Parkinson’s Disease.
ABSTRACT - Introduction: Parkinson's disease (PD) is a common neurodegenerative disease and falls are a debilitating problem for these people. Falls prevention can lighten socioeconomic burdens and decrease adverse effects. Objective: to investigate the effectiveness of physiotherapy in preventing falls in PD. Method: A systematic review was carried out, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched in the PubMed/Medline, Web of Science, Scopus, Cochrane Trials, SciELO, and PEDro databases. Only RCT (randomized controlled trials) studies were included. The selection of studies and evaluation of the methodological quality (PEDro scale) were conducted by 2 evaluators, independently. Results: The search resulted in a total of 104 studies, 5 of which were included after the application of the eligibility criteria. In general, the rate of falls decreased in the study groups. Gait speed increased significantly in two of the studies, in the study groups. Step length and stride length improved in two of the studies, in the study groups. Conclusion: There is evidence that balance training, gait training, strengthening of the upper and lower limbs, and education for the prevention of falls is effective in preventing falls in Parkinson’s Disease.
Description
Mestrado em Fisioterapia Neurológica
Keywords
Doença de Parkinson Queda Prevenção na saúde Fisioterapia Parkinson disease Falls Health prevention Physiotherapy
Citation
Cavaca CI. Fisioterapia para a prevenção de quedas na doença 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