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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Referências
Dorsey ER, Bloem BR. The Parkinson pandemic-A call to action. JAMA Neurol. 2018;75(1):9-10. https://doi.org/10.1001/jamaneurol.2017.3299
Morgan JC, Fox SH. Treating the motor symptoms of Parkinson disease. Continuum (Minneap Minn). 2016;22(4 Movement Disorders):1064-85. https://doi.org/10.1212/con.0000000000000355
Fox SH, Katzenschlager R, Lim SY, Ravina B, Seppi K, Coelho M, et al. The Movement Disorder Society Evidence-Based Medicine Review Update: Treatments for the motor symptoms of Parkinson’s disease. Mov Disord. 2011;26 Suppl 3:S2-41. https://doi.org/10.1002/mds.23829
Armstrong MJ, Okun MS. Diagnosis and treatment of Parkinson disease: a review. JAMA. 2020;323(6):548-60. https://doi.org/10.1001/jama.2019.22360
van Nimwegen M, Speelman AD, Hofman-van Rossum EJ, Overeem S, Deeg DJ, Borm GF, et al. Physical inactivity in Parkinson’s disease. J Neurol. 2011;258(12):2214-21. https://doi.org/10.1007/s00415-011-6097-7
Feng YS, Yang SD, Tan ZX, Wang MM, Xing Y, Dong F, et al. The benefits and mechanisms of exercise training for Parkinson’s disease. Life Sci. 2020;245:117345. https://doi.org/10.1016/j.lfs.2020.117345
Sacheli MA, Neva JL, Lakhani B, Murray DK, Vafai N, Shahinfard E, et al. Exercise increases caudate dopamine release and ventral striatal activation in Parkinson’s disease. Mov Disord. 2019;34(12):1891-900. https://doi.org/10.1002/mds.27865
Samii A, Ryan-Dykes P, Tsukuda RA, Zink C, Franks R, Nichol WP. Telemedicine for delivery of health care in Parkinson’s disease. J Telemed Telecare. 2006;12(1):16-8. https://doi.org/10.1258/135763306775321371
Ellis T, Boudreau JK, DeAngelis TR, Brown LE, Cavanaugh JT, Earhart GM, et al. Barriers to exercise in people with Parkinson disease. Phys Ther. 2013;93(5):628-36. https://doi.org/10.2522/ptj.20120279.
King LA, Wilhelm J, Chen Y, Blehm R, Nutt J, Chen Z, et al. Effects of group, individual, and home exercise in persons with Parkinson disease: a randomized clinical trial. J Neurol Phys Ther. 2015;39(4):204-12. https://doi.org/10.1097/npt.0000000000000101
Dereli EE, Yaliman A. Comparison of the effects of a physiotherapist-supervised exercise programme and a self-supervised exercise programme on quality of life in patients with Parkinson’s disease. Clin Rehabil. 2010;24(4):352-62. https://doi.org/10.1177/0269215509358933
Gondim ITsGdO, Asano NMJ, Coriolano MdGaWdS. Individualized guidance and telephone monitoring in a self- supervised home-based physiotherapeutic program in Parkinson. Fisioter Mov 2017;30(3):559-68. https://doi.org/10.1177/0269215509358933
van der Kolk NM, de Vries NM, Kessels RPC, Joosten H, Zwinderman AH, Post B, et al. Effectiveness of home-based and remotely supervised aerobic exercise in Parkinson’s disease: a double-blind, randomised controlled trial. Lancet Neurol. 2019;18(11):998-1008. https://doi.org/10.1016/s1474-4422(19)30285-6
Schenkman M, Hall DA, Barón AE, Schwartz RS, Mettler P, Kohrt WM. Exercise for people in early- or mid-stage Parkinson disease: a 16-month randomized controlled trial. Phys Ther. 2012;92(11):1395-410. https://doi.org/10.2522/ptj.20110472
Shanahan J, Morris ME, Bhriain ON, Volpe D, Lynch T, Clifford AM. Dancing for Parkinson disease: A randomized trial of irish set dancing compared with usual care. Arch Phys Med Rehabil. 2017;98(9):1744-51. https://doi.org/10.1016/j.apmr.2017.02.017
Seidler KJ, Duncan RP, McNeely ME, Hackney ME, Earhart GM. Feasibility and preliminary efficacy of a telerehabilitation approach to group adapted tango instruction for people with Parkinson disease. J Telemed Telecare. 2016;23(8):740-6. https://doi.org/10.1177/1357633x16668092
Chen YY, Guan BS, Li ZK, Yang QH, Xu TJ, Li HB, et al. Application of telehealth intervention in Parkinson’s disease: a systematic review and meta-analysis. J Telemed Telecare. 2018;26(1-2):3-13. https://doi.org/10.1177/1357633x18792805
Flynn A, Allen NE, Dennis S, Canning CG, Preston E. Home-based prescribed exercise improves balance-related activities in people with Parkinson’s disease and has benefits similar to centre-based exercise: a systematic review. J Physiother. 2019;65(4):189-99. https://doi.org/10.1016/j.jphys.2019.08.003
Appleby E, Gill ST, Hayes LK, Walker TL, Walsh M, Kumar S. Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review. PLoS One. 2019;14(11):e0225150. https://doi.org/10.1371/journal.pone.0225150
Perrochon A, Borel B, Istrate D, Compagnat M, Daviet JC. Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis. Ann Phys Rehabil Med. 2019;62(5):366-78. https://doi.org/10.1016/j.rehab.2019.04.004
Marcheschi E, Von Koch L, Pessah-Rasmussen H, Elf M. Home setting after stroke, facilitators and barriers: a systematic literature review. Health & social care in the community. 2018;26(4):e451-e9. https://doi.org/10.1111/hsc.12518
Siemonsma P, Döpp C, Alpay L, Tak E, Meeteren N, Chorus A. Determinants influencing the implementation of home-based stroke rehabilitation: a systematic review. Disability and rehabilitation. 2014;36(24):2019-30. https://doi.org/10.3109/09638288.2014.885091
Barbour PJ, Arroyo J, High S, Fichera LB, Staska-Pier MM, McMahon MK. Telehealth for patients with Parkinson’s disease: delivering efficient and sustainable long-term care. Hosp Pract (1995). 2016;44(2):92-7. https://doi.org/10.1080/21548331.2016.1166922
Beck CA, Beran DB, Biglan KM, Boyd CM, Dorsey ER, Schmidt PN, et al. National randomized controlled trial of virtual house calls for Parkinson disease. Neurology. 2017;89(11):1152-61. https://doi.org/10.1212/wnl.0000000000004357
Dorsey ER, Okun MS, Bloem BR. Care, Convenience, Comfort, Confidentiality, and Contagion: The 5 C’s that will shape the future of telemedicine. Journal of Parkinson’s disease. 2020;10(3):893-7. https://doi.org/10.3233/jpd-202109
Sarfo FS, Adamu S, Awuah D, Ovbiagele B. Tele-neurology in sub-saharan africa: A systematic review of the literature. J Neurol Sci. 2017;380:196-9. https://doi.org/10.1016/j.jns.2017.07.037
Lai B, Bond K, Kim Y, Barstow B, Jovanov E, Bickel CS. Exploring the uptake and implementation of tele-monitored home-exercise programmes in adults with Parkinson’s disease: A mixed-methods pilot study. J Telemed Telecare. 2018;26(1-2):53-63. https://doi.org/10.1177/1357633x18794315
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