RESPOSTA DOS PARÂMETROS DO ANDAR APÓS INTERVENÇÃO COM DICAS AUDITIVAS RÍTMICAS EM IDOSOS COM DOENÇA DE PARKINSON
DOI:
https://doi.org/10.22456/2316-2171.102107Palavras-chave:
Palavras chave, doença de Parkinson, marcha, dicas auditivas rítmicasResumo
Introdução: os comprometimentos do andar em idosos com doença de Parkinson (DP) estão associados à elevada ocorrência de quedas e à redução dos níveis de independência. O objetivo do estudo foi comparar a resposta dos parâmetros do andar em idosos com doença de Parkinson (DP), durante, imediatamente após e até uma hora após o término de uma sessão de treinamento do andar com e sem dicas auditivas rítmicas, utilizando três ritmos diferentes para o grupo dica (10% abaixo da cadência preferida, cadência preferida e 10% acima) e um ritmo diferente para o grupo controle (velocidade usual de cada participante). Métodos: vinte e nove idosos foram aleatoriamente distribuídos em dois grupos: “controle” e “dica”. As sessões de intervenção tiveram 30 minutos de duração e a diferença entre os grupos foi a utilização de dicas auditivas rítmicas oferecidas por um metrônomo no grupo dica. O andar foi avaliado antes, durante e até uma hora após a sessão de intervenção. Resultados: os grupos apresentaram desempenhos similares ao longo das avaliações, com aumento do comprimento do passo e redução da variabilidade da
duração do passo. Conclusão: a sessão de intervenção com dicas auditivas rítmicas apresentou efeitos similares aos da sessão de treino sem dica para o andar de idosos com DP.
Downloads
Referências
REFERÊNCIAS
ASHBURN, Ann. The circumstances of falls among people with Parkinson's disease and the use of Falls Diaries to facilitate reporting. Disability And Rehabilitation, Southampton, v. 30, n. 16, p. 1205-1212, 2008.
ASHOORI, Aidin. Effects of auditory rhythm and music on gait disturbances in Parkinson´s disease. Frontierns Of Neurology, New York, v. 6, n. 234, p. 1-11, 11 nov. 2015.
BARBOSA, Maira Tonidandel. Parkinsonism and Parkinson’s Disease in the Elderly: A Community-Based Survey in Brazil (the Bambu?´ Study). Movement Disorders, São Paulo, v. 21, n. 6, p. 800-808, 2006.
BÉGEL, Valentin. Test-retest reliability of the battery for the assessment of auditory sensorimotor and timing abilities (BAASTA). / Annals Of Physical And Rehabilitation Medicine, Germany, p. 1-1175, abr. 2018.
BELLA, Simone dalla; BENOIT, Charles-etienne; FARRUGIA, Nicolas; KELLER, Peter E.; OBRIG, Hellmuth; MAINKA, Stefan; KOTZ, Sonja A.. Gait improvement via rhythmic stimulation in Parkinson’s disease is linked to rhythmic skills. Scientific Reports, [s.l.], v. 7, n. 1, p. 1-11, fev. 2017. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/srep42005.
BELLA, Simone dalla; BENOIT, Charles-etienne; FARRUGIA, Nicolas; SCHWARTZE, Michael; KOTZ, Sonja A.. Effects of musically cued gait training in Parkinson's disease: beyond a motor benefit. : beyond a motor benefit. Annals Of The New York Academy Of Sciences, [s.l.], v. 1337, n. 1, p. 77-85, mar. 2015. Wiley. http://dx.doi.org/10.1111/nyas.12651.
BELLA, Simone dalla; DOTOV, Dobromir; BARDY, Benoît; COCK, Valérie Cochen de. Individualization of music-based rhythmic auditory cueing in Parkinson's disease. Annals Of The New York Academy Of Sciences, [s.l.], v. 1423, n. 1, p. 308-317, 4 jun. 2018. Wiley. http://dx.doi.org/10.1111/nyas.13859.
BRUCK, Sonia. SUGESTOES PARA O USO DO MINI-EXAME DO ESTADO MENTAL NO BRASIL. Arq Neuropsiquiatr, São Paulo, v. 61, n. 3, p. 777-781, mar. 2003.
CHAWLAA, Guneet. et al. Individuals with Parkinson’s Disease Retain Spatiotemporal Gait Control With Music and Metronome Cues. MedRxiv, v. 1, n. 1 p.4 - 17, New York, 2019.
DAUVERGNE, Celia; BÉGEL, Valentin; GÉNY, Christian; PUYJARINET, Frédéric; LAFFONT, Isabelle; BELLA, Simone dalla. Home-based training of rhythmic skills with a serious game in Parkinson's disease: usability and acceptability. : Usability and acceptability. Annals Of Physical And Rehabilitation Medicine, [s.l.], v. 61, n. 6, p. 380-385, nov. 2018. Elsevier BV. http://dx.doi.org/10.1016/j.rehab.2018.08.002.
DOTOV, D.g.; BAYARD, S.; COCK, V. Cochen de; GENY, C.; DRISS, V.; GARRIGUE, G.; BARDY, B.; BELLA, S. dalla. Biologically-variable rhythmic auditory cues are superior to isochronous cues in fostering natural gait variability in Parkinson’s disease. Gait & Posture, [s.l.], v. 51, p. 64-69, jan. 2017. Elsevier BV. http://dx.doi.org/10.1016/j.gaitpost.2016.09.020.
EEDEN, S. K. van Den. Incidence of Parkinson's Disease: variation by age, gender, and race/ethnicity. : Variation by Age, Gender, and Race/Ethnicity. American Journal Of Epidemiology, [s.l.], v. 157, n. 11, p. 1015-1022, 1 jun. 2003. Oxford University Press (OUP). http://dx.doi.org/10.1093/aje/kwg068.
HOEHN, M. M.; YAHR, M. D.. Parkinsonism: onset, progression, and mortality. : onset, progression, and mortality. Neurology, [s.l.], v. 17, n. 5, p. 427-427, 1 maio 1967. Ovid Technologies (Wolters Kluwer Health). http://dx.doi.org/10.1212/wnl.17.5.427.
HURTIG, H. I.. Recent Developments in Parkinson's Disease. Neurology, [s.l.], v. 37, n. 5, p. 893-893, 1 maio 1987. Ovid Technologies (Wolters Kluwer Health). http://dx.doi.org/10.1212/wnl.37.5.893.
ICCO, Roberto de; TASSORELLI, Cristina; BERRA, Eliana; BOLLA, Monica; PACCHETTI, Claudio; SANDRINI, Giorgio. Acute and Chronic Effect of Acoustic and Visual Cues on Gait Training in Parkinson’s Disease: a randomized, controlled study. : A Randomized, Controlled Study. Parkinson's Disease, [s.l.], v. 2015, p. 1-9, 2015. Hindawi Limited. http://dx.doi.org/10.1155/2015/978590.
JANKOVIC, Joseph. Gait Disorders. Neurologic Clinics, [s.l.], v. 33, n. 1, p. 249-268, fev. 2015. Elsevier BV. http://dx.doi.org/10.1016/j.ncl.2014.09.007.
KLEINER, Ana Francisca Rozin; PAGNUSSAT, Aline S.; PRISCO, Giulia di; VAGNINI, Alessandro; STOCCHI, Fabrizio; PANDIS, Maria Francesca de; GALLI, Manuela. Analyzing gait variability and dual-task interference in patients with Parkinson’s disease and freezing by means of the word-color Stroop test. Aging Clinical And Experimental Research, [s.l.], v. 30, n. 9, p. 1137-1142, 2 dez. 2017. Springer Science and Business Media LLC. http://dx.doi.org/10.1007/s40520-017-0862-0.
LAUFER, Y.. Effect of Age on Characteristics of Forward and Backward Gait at Preferred and Accelerated Walking Speed. The Journals Of Gerontology Series A: Biological Sciences and Medical Sciences, [s.l.], v. 60, n. 5, p. 627-632, 1 maio 2005. Oxford University Press (OUP). http://dx.doi.org/10.1093/gerona/60.5.627.
LORD, S.; GALNA, B.; VERGHESE, J.; COLEMAN, S.; BURN, D.; ROCHESTER, L.. Independent Domains of Gait in Older Adults and Associated Motor and Nonmotor Attributes: validation of a factor analysis approach. : Validation of a Factor Analysis Approach. The Journals Of Gerontology Series A: Biological Sciences and Medical Sciences, [s.l.], v. 68, n. 7, p. 820-827, 18 dez. 2012. Oxford University Press (OUP). http://dx.doi.org/10.1093/gerona/gls255.
LORD, Sue; GALNA, Brook; YARNALL, Alison J.; COLEMAN, Shirley; BURN, David; ROCHESTER, Lynn. Predicting first fall in newly diagnosed Parkinson's disease: insights from a fall-naïve cohort. : Insights from a fall-naïve cohort. Movement Disorders, [s.l.], v. 31, n. 12, p. 1829-1836, 13 set. 2016. Wiley. http://dx.doi.org/10.1002/mds.26742.
MORE: Mecanismo online para referências, versão 2.0. Florianópolis: UFSC Rexlab, 2013. Disponível em: http://www.more.ufsc.br/. Acesso em: 16/04/2020.
NELSON, Hazel E.. A Modified Card Sorting Test Sensitive to Frontal Lobe Defects. Cortex, [s.l.], v. 12, n. 4, p. 313-324, dez. 1976. Elsevier BV. http://dx.doi.org/10.1016/s0010-9452(76)80035-4.
NOMBELA, Cristina. Into the groove: Can rhythm influence Parkinson’s disease? Neuroscience & Biobehavioral Reviews, London, v. 37, n. 10, p. 2564-2570, dez. 2013.
OLMO, Miguel Fernández del; RODRÍGUEZ, Pablo Arias; MAZAIRA, Francisco Javier Cudeiro. Facilitación de la actividad motora por estímulos sensoriales en la enfermedad de Parkinson. Revista de Neurología, [s.l.], v. 39, n. 09, p. 841-847, 2004. Viguera Editores SLU. http://dx.doi.org/10.33588/rn.3909.2004475.
RODGER, Matthew W. M.; CRAIG, Cathy M.. Beyond the Metronome: auditory events and music may afford more than just interval durations as gait cues in parkinson's disease. : Auditory Events and Music May Afford More than Just Interval Durations as Gait Cues in Parkinson's Disease. Frontiers In Neuroscience, [s.l.], v. 10, p. 1-272, 14 jun. 2016. Frontiers Media SA. http://dx.doi.org/10.3389/fnins.2016.00272.
ROERDINK, Melvyn; BANK, Paulina J.m.; PEPER, C. (lieke) E.; BEEK, Peter J.. Walking to the beat of different drums: practical implications for the use of acoustic rhythms in gait rehabilitation. : Practical implications for the use of acoustic rhythms in gait rehabilitation. Gait & Posture, [s.l.], v. 33, n. 4, p. 690-694, abr. 2011. Elsevier BV. http://dx.doi.org/10.1016/j.gaitpost.2011.03.001.
ROYALL, D. R; A CORDES, J.; POLK, M.. CLOX: an executive clock drawing task. : an executive clock drawing task. Journal Of Neurology, Neurosurgery & Psychiatry, [s.l.], v. 64, n. 5, p. 588-594, 1 maio 1998. BMJ. http://dx.doi.org/10.1136/jnnp.64.5.588.
SAITO, Masaaki; MARUYAMA, Mieko; IKEUCHI, Ken; KONDO, Hiroshi; ISHIKAWA, Atsushi; YUASA, Tatsuhiko; TSUJI, Shoji. Autosomal recessive juvenile parkinsonism. Brain And Development, [s.l.], v. 22, p. 115-117, set. 2000. Elsevier BV. http://dx.doi.org/10.1016/s0387-7604(00)00137-6.
SILVA, Ellen Lirani. Efeito de um programa sistematizado de atividades rítmicas e dança nas funções cognitivas, aspectos neuropsiquiátricos e andar de pacientes com doença de Parkinson: um estudo controlado e randomizado. 2018. 93 f. Tese (Doutorado) - Curso de Educação Física, Universidade Estadual Paulista,, Rio Claro, 2018.
THAUT, Michael H; RICE, Ruth R; JANZEN, Thenille Braun; HURT-THAUT, Corene P; MCINTOSH, Gerald C. Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study. : a randomized controlled study. Clinical Rehabilitation, [s.l.], v. 33, n. 1, p. 34-43, 23 jul. 2018. SAGE Publications. http://dx.doi.org/10.1177/0269215518788615.
VITÓRIO, Rodrigo. Effects of obstacle height on obstacle crossing in mild Parkinson's disease. Gait & Posture, Rio Claro, v. 31, n. 1, p. 143-146, 2010.
VITÓRIO, Rodrigo. Comportamento locomotor, quadro clínico, incidência de quedas e nível de atividade física em pacientes com doença de Parkinson. Um estudo longitudinal de dois anos. Tese de doutorado. Universidade Estadual Paulista, 99 páginas, 2015.
VITÓRIO, Rodrigo. The combination of clinical scales and walking measures to predict falls in Parkinson's disease: Does the length of the prospective follow-up period matter? Movement Disorders, Rio Claro, v.32, p.857-859, 2017.
VITÓRIO, Rodrigo. et al. Reduced gait variability and enhanced brain activity in older adults with auditory cues: A functional neat-infrared spectroscopy study. Neurorehabilitation and neural repair, Rio Claro, v. 32, p. 976-987, 2018.
WARLOP, T; DETREMBLEUR, C; BOLLENS, B; STOQUART, G; CREVECOEUR, F; A JEANJEAN,; LEJEUNE, T. Temporal organization of stride duration variability as a marker of gait instability in Parkinson's disease. Journal Of Rehabilitation Medicine, [s.l.], v. 48, n. 10, p. 865-871, 2016. Acta Dermato-Venereologica. http://dx.doi.org/10.2340/16501977-2158.
WEISS, Aner; HERMAN, Talia; GILADI, Nir; HAUSDORFF, Jeffrey M.. Objective Assessment of Fall Risk in Parkinson's Disease Using a Body-Fixed Sensor Worn for 3 Days. Plos One, [s.l.], v. 9, n. 5, p. 96-675, 6 maio 2014. Public Library of Science (PLoS). http://dx.doi.org/10.1371/journal.pone.0096675.
WOOLLACOTT, Marjorie. CONTROLE MOTOR: TEORIA E APLICAÇÕES PRÁTICAS. São Paulo: Manole, 2003.
YANG, Yea-ru; LEE, Ya-yun; CHENG, Shih-jung; LIN, Pei-yi; WANG, Ray-yau. Relationships between gait and dynamic balance in early Parkinson's disease. Gait & Posture, [s.l.], v. 27, n. 4, p. 611-615, maio 2008. Elsevier BV. http://dx.doi.org/10.1016/j.gaitpost.2007.08.003.