Exercícios domiciliares com mínima assistência na função motora da Doença de Parkinson
Uma revisão sistemática com meta-análise
DOI:
https://doi.org/10.15448/1980-6108.2022.1.42035Palavras-chave:
doença de Parkinson, terapia por exercício, qualidade de vida, reabilitação neurológica, modalidades de fisioterapiaResumo
Objetivos: este estudo teve como objetivo apresentar as últimas evidências disponíveis sobre os efeitos de exercícios domiciliares com mínima supervisão na função motora e na qualidade de vida de indivíduos com doença de Parkinson.
Métodos: nesta revisão sistemática foram pesquisados ensaios clínicos randomizados investigando os efeitos de exercícios domiciliares em indivíduos com doença de Parkinson nas bases de dados MEDLINE (PubMed), LILACS, PEDro, EMBASE, Cochrane e Google Scholar.
Resultados: quatro estudos foram incluídos na meta-análise. O exercício domiciliar com supervisão mínima foi quase tão benéfico quanto as terapias convencionais na redução do comprometimento motor por meio da análise da Unified Parkinson’s Disease Rating Scale-III (UPDRS-III) (diferença média = -1.70 [95%IC = -4.39 a 0.99]; I2 = 88%; p < 0,01) e melhoria da qualidade de vida por meio do Parkinson’s Disease Questionnaire (PDQ-39) (diferença média = 0.39 [95%IC = -3.41 a 4.19]; I2 = 93%; p < 0,01).
Conclusões: a fisioterapia domiciliar com supervisão mínima é quase tão eficaz quanto as terapias convencionais para melhorar a função motora e a qualidade de vida da doença de Parkinson.
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