Analysis of functional peformance in patients with Parkinson’s disease
DOI:
https://doi.org/10.5935/0104-7795.20040001Keywords:
Functional Performance, Quality of Life, Physical Therapy, Fisioterapia, Parkinson DiseaseAbstract
Parkinson’s disease (PD) is a degenerative and progressive disease of central nervous system, characterized by movement disorders. Objective: to asses the functional performance and quality of life of parkinsonians in initial and middle stage. Methods: Twenty patients (60,8 ± 9,7 years) in Hoehn and Yahr stage between 1 and 3 were evaluated and compared with 20 healthy adults and elderly (63,5 ± 6,3 years). The Human Activity Profile (HAP), the gait speed, and the ability to ascend and descend stairs were used as outcome measures to evaluate the functional performance; the Nottingham Health Profile was used to evaluate the quality of life. Results: The findings demonstrated significant differences in HAP scores (p=0,000) and gait speed (p=0,05) indicating poorer physical conditioning and slowness of movements in patients in patients with PD. Conclusions: These findings demonstrated that changes of functional performance are present since early stages of PD and not only in advanced stages.
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References
Agid Y. Parkinson's disease pathophysiology. Lancet. 1991;337(8753):1321-4.
Marsden CD. Parkinson's disease. J Neurol Neurosurg Psychiatry. 1994;57:672-681.
Morris ME. Movement disorders in people with Parkinson's disease: a model for Physical Therapy intervention. Phys Ther. 2000;80:578-597.
Cutson TM, Laub KC, Schenkman M. Pharmacologycal and nonpharmacologycal interventions in the treatment of Parkinson's disease. Phys Ther. 1995;75:363-372.
Canning CG, Alison JA, Allen NE, Groller H. Parkinson's disease: an investigation of exercise capacity, respiration function, and gait. Arch Phys Med Rehabil. 1997;78:199-207.
Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology.1967;17(5):427-442.
Protas ME, Stanley RK, Janckovic J, Mac Neilb. Cardiovascular and metabolic responses to upper na lower-extremity exercise in man with idiopathic Parkinson's disease. Phys Ther. 1996;76:34-40.
Carter JH, Nutt JG, Woodwaard WR. The effect of exercise on levodopa absorption. Neurology. 1992;42:2042-2045.
SchenKman ML, Clark K, Xie T, Kuchibhatla M, Shinberg M, Ray L. Spinal movement and performance of a standing reach task in participants with and without Parkinson disease. Phys Ther. 2001;81(8):1400-1411.
Hunt S, McEwen J, McKennas S. Measuring health status: a new tool for clinicans and epidemiologists. J R Coll Gen Pract. 1985;35:185-188.
Olney S, Elkin N, Luwe P. Ambulation profile for clinical evaluation. Phys Ther. 1979;31:85-90.
Fix A, Daghton D. Human activity profile professional manual. Odessa: Psychological Assessment Resources Inc; 1988.
Teixeira-Salmela LF, Olney SJ, Nadeau S. Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil. 1999;80:1211-1218.
Mc Dowell I. Measuring health: a guide to rating scales and questionnaires. New York: Oxford University Press; 1987.
Teixeira-Salmela LF, Souza AC, Lima M, Lima RCM, Magalhaes LC. Adaptação transcultural do Perfil de Saúde de Nottinghan - um instrumento simples de avaliaçao de qualidade de vida. III Congresso de Fisioterapia da Universidade Federal de Juiz de Fora; 2002.
Hamdorf P, Withers R, Penhall R, Haslam MV. Physical training effects on the fitness and habitual activity patterns of elderly women. Arch Phys Med Rehabil. 1992;73:603-608.
Matsudo SM, Matsudo VKR. Prescrição e benefícios da atividade física na terceira idade. Rev Bras Ciênc Mov. 1992;6:19-30.
Teixeira-Salmela LF, Santos LD, Goulart F, Cassiano JG, Hirochi TL. Efeitos de atividades físicas e terapêuticas em adultos maduros e idosos. Fisioter Brasil. 2001;2:99-106.
Potter JM, Evans SAL, Duncan G. Gait speed and activities of daily living function in geriatric patients. Arch Phys Med Rehabil. 1995;76:997-999.
Prince F, Corriveau H, Hébert R, Winter DA. Gait in elderly. Gait Posture. 1997;5:128-135.
Imms FJ, Edholm OG. Studies of gait and mobility in the elderly. Age Ageing. 1981;10:147-156.
Andriacch TP, Ogle JA, Galante JO. Walking speed as a basic for normal and abnormal gait measurements. Biomecanics. 1997;10:261-268.
Kuroda K, Tatara K, Takatorige T, Shinsho F. Effect of physical exercise on mortality in patients with Parkinson's disease. Acta Neurol Scand. 1992;86:55-59.
Morris ME, Iansek R, Matyas TA, Summers JJ. Ability to modulate walking cadence remains intact in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1994;57:1532-1534.
Morris ME, Iansek R, Matyas TA, Summers JJ. The patogenesis of gait hypokinesia in Parkinson's disease. Brain. 1994;117:1169-1181.
Kakinuma S, Nogaki H, Pramanik B, Morimatsu M. Muscle weakness in Parkinson's disease: isokinetic study of the lower limbs. Eur Neurol. 1998;39:218-222.
Beneck R, Rothwell JPR, Dick BL, Day, Marsden CD. Disturbance of sequential movements in patients with Parkinson's disease. Brain. 1987;110:361-366.
Van Emmerick REA, Wagenaar RC, Winigrodzka A, Walters EC. Identification of axial rigidity during locomotion in Parkinson's disease. Arch Phys Med Rehabil. 1999;80:186-191.
Schenkman M, Donovan J, Tsubota J, Kluss M, Stebbins P, Butler RB. Management of individuals with Parkinson's disease: rationale and case estudies. Phys Ther. 1989;69:944-955.
Jordan N, Harvey JS, Cooper JA. A component analysis of the generation and release of isometric force in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1992;55:572-576.
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