Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease

Abstract Introduction: Gait impairments are one of the earliest signs reported by patients with Parkinson’s disease (PD) and cause an increased number of falls and decreased quality of life among these patients. Objective: To compare the effectiveness of three physical therapy interventions usin...

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Main Authors: Maria Eduarda Brandão Bueno, Ana Carolina dos Reis Andrello, Marcelle Brandão Terra, Hevely Beatriz Celestino dos Santos, Júlia Marson Marquioli, Suhaila Mahmoud Smaili Santos
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400691&lng=en&tlng=en
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author Maria Eduarda Brandão Bueno
Ana Carolina dos Reis Andrello
Marcelle Brandão Terra
Hevely Beatriz Celestino dos Santos
Júlia Marson Marquioli
Suhaila Mahmoud Smaili Santos
author_facet Maria Eduarda Brandão Bueno
Ana Carolina dos Reis Andrello
Marcelle Brandão Terra
Hevely Beatriz Celestino dos Santos
Júlia Marson Marquioli
Suhaila Mahmoud Smaili Santos
author_sort Maria Eduarda Brandão Bueno
collection DOAJ
description Abstract Introduction: Gait impairments are one of the earliest signs reported by patients with Parkinson’s disease (PD) and cause an increased number of falls and decreased quality of life among these patients. Objective: To compare the effectiveness of three physical therapy interventions using Rhythmic Cues (RC), Swiss Ball (SB) and Dual Task (DT), with an emphasis on gait treatment (step and stride length, duration and velocity), in individuals with PD. Methods: Quasi-randomized clinical trial addressing a sample composed of 45 individuals assigned to three groups. The individuals were assessed before and after the intervention protocol using the following: Modified Hoehn and Yahr Scale (HY), Unified Parkinson’s Disease Rating Scale (UPDRS), Footprint analysis, Video Gait analysis, and Timed Up and Go Test (TUG). The groups were homogeneous concerning age, HY and UPDRS. Statistical analysis was performed using SPSS, version 20.0. Results: Statistically significant differences were found in all the variables analyzed in the RC and SB groups when compared in the pre- and post-intervention. With the exception of the TUG variable, the DT group presented statistically significant differences in all the remaining variables. Conclusion: The three interventions were effective for the outcomes under study, but the SB group presented the greatest magnitude of change (effect size), while the RC group presented the greatest improvement in the temporal gait variables (duration and velocity) and TUG.
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spelling doaj.art-e95ec408e40a4a7999dcf2b1305e27c62022-12-21T20:35:07ZengEditora ChampagnatFisioterapia em Movimento1980-591830469170110.1590/1980-5918.030.004.ao04S0103-51502017000400691Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s diseaseMaria Eduarda Brandão BuenoAna Carolina dos Reis AndrelloMarcelle Brandão TerraHevely Beatriz Celestino dos SantosJúlia Marson MarquioliSuhaila Mahmoud Smaili SantosAbstract Introduction: Gait impairments are one of the earliest signs reported by patients with Parkinson’s disease (PD) and cause an increased number of falls and decreased quality of life among these patients. Objective: To compare the effectiveness of three physical therapy interventions using Rhythmic Cues (RC), Swiss Ball (SB) and Dual Task (DT), with an emphasis on gait treatment (step and stride length, duration and velocity), in individuals with PD. Methods: Quasi-randomized clinical trial addressing a sample composed of 45 individuals assigned to three groups. The individuals were assessed before and after the intervention protocol using the following: Modified Hoehn and Yahr Scale (HY), Unified Parkinson’s Disease Rating Scale (UPDRS), Footprint analysis, Video Gait analysis, and Timed Up and Go Test (TUG). The groups were homogeneous concerning age, HY and UPDRS. Statistical analysis was performed using SPSS, version 20.0. Results: Statistically significant differences were found in all the variables analyzed in the RC and SB groups when compared in the pre- and post-intervention. With the exception of the TUG variable, the DT group presented statistically significant differences in all the remaining variables. Conclusion: The three interventions were effective for the outcomes under study, but the SB group presented the greatest magnitude of change (effect size), while the RC group presented the greatest improvement in the temporal gait variables (duration and velocity) and TUG.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400691&lng=en&tlng=enDoença de ParkinsonModalidades de FisioterapiaMarcha
spellingShingle Maria Eduarda Brandão Bueno
Ana Carolina dos Reis Andrello
Marcelle Brandão Terra
Hevely Beatriz Celestino dos Santos
Júlia Marson Marquioli
Suhaila Mahmoud Smaili Santos
Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease
Fisioterapia em Movimento
Doença de Parkinson
Modalidades de Fisioterapia
Marcha
title Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease
title_full Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease
title_fullStr Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease
title_full_unstemmed Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease
title_short Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease
title_sort comparison of three physical therapy interventions with an emphasis on the gait of individuals with parkinson s disease
topic Doença de Parkinson
Modalidades de Fisioterapia
Marcha
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400691&lng=en&tlng=en
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