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.
Downloads
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
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Maria Eduarda Parcianello Cabeleira, Luigi Antonio da Campo, Philipe Souza Corrêa, Fernanda Cechetti

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.







