Os efeitos da fisioterapia aquática na funcionalidade, equilíbrio e qualidade de vida de pacientes com doença de Parkinson - revisão sistemática da literatura
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Arquivos
Data
2023-06
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Pereira, Kelly Mazuco Alencastro
Orientador
Borba, Luana Silva de
Coorientador
Resumo
A doença de Parkinson (DP) é um distúrbio complexo e progressivo
caracterizado por vários sintomas motores e não motores. As características motoras incluem tremor de repouso, rigidez, bradicinesia, instabilidade postural e um padrão de marcha alterado, incluindo congelamento da marcha. À medida que a doença progride, esses sintomas resultam em dificuldades progressivas na vida diária, maior dependência e isolamento social, com impacto significativo na qualidade de vida dos pacientes e seus familiares. A fisioterapia aquática visa melhorar as múltiplas deficiências relacionadas à DP, incluindo problemas relacionados à capacidade física, inatividade física, marcha, postura, transferências, equilíbrio e quedas. Objetivo: O presente estudo propôs revisar a literatura acerca dos efeitos da fisioterapia aquática na funcionalidade, equilíbrio, e qualidade de vida de pacientes com doença de Parkinson. Métodos: A busca foi realizada nas bases de dados eletrônicas Medline/BVS, Medline/Pubmed e PEDro, por estudos publicados nos últimos 10 anos, nos idiomas inglês, português e espanhol. Foram selecionados estudos que abordassem os efeitos da fisioterapia aquática na funcionalidade, equilíbrio e qualidade de vida de pacientes adultos com diagnóstico de doença de Parkinson. A avaliação da qualidade metodológica dos estudos foi realizada através da Escala PEDro. Resultados: Foram encontrados 35 estudos, destes, 16 eram duplicados, 7 eram incompatíveis com o tema, 5 eram outros tipos de estudos abordados na presente revisão e 1 estudo não estava disponível na íntegra, restando apenas 7 estudos, que foram inclusos na presente revisão. Conclusão: A
prática da fisioterapia aquática, tem efeitos benéficos e parece ser uma abordagem que, aliada à reabilitação em solo, contribui positivamente para a melhora de sintomas
comuns da população com DP.
Parkinson's disease (PD) is a complex and progressive disorder characterized by various motor and non-motor symptoms. Motor features include resting tremor, rigidity, bradykinesia, postural instability, and an altered gait pattern, including gait freezing. As the disease progresses, these symptoms result in progressive difficulties in daily life, greater dependence and social isolation, with a significant impact on the quality of life of patients and their families. Aquatic physiotherapy aims to improve the multiple impairments related to PD, including problems related to physical capacity, physical inactivity, gait, posture, transfers, balance and falls. Objective: The present study proposed to review the literature about the effects of aquatic physiotherapy on functionality, balance, and quality of life of patients with Parkinson's disease. Methods: The search was carried out in the electronic databases Medline/BVS, Medline/Pubmed and PEDro, for studies published in the last 10 years, in English, Portuguese and Spanish. Studies that addressed the effects of aquatic physiotherapy on functionality, balance and quality of life of adult patients diagnosed with Parkinson's disease were selected. The assessment of the methodological quality of the studies was performed using the PEDro Scale. Results: 36 studies were found, of which 16 were duplicates, 7 were incompatible with the theme, 5 were other types of studies addressed in this review and 1 study was not available in full, leaving only 7 studies, which were included in this review. Conclusion: The practice of aquatic physiotherapy has beneficial effects and seems to be an approach that, combined with rehabilitation on land, contributes positively to the improvement of common symptoms of the population with PD.
Parkinson's disease (PD) is a complex and progressive disorder characterized by various motor and non-motor symptoms. Motor features include resting tremor, rigidity, bradykinesia, postural instability, and an altered gait pattern, including gait freezing. As the disease progresses, these symptoms result in progressive difficulties in daily life, greater dependence and social isolation, with a significant impact on the quality of life of patients and their families. Aquatic physiotherapy aims to improve the multiple impairments related to PD, including problems related to physical capacity, physical inactivity, gait, posture, transfers, balance and falls. Objective: The present study proposed to review the literature about the effects of aquatic physiotherapy on functionality, balance, and quality of life of patients with Parkinson's disease. Methods: The search was carried out in the electronic databases Medline/BVS, Medline/Pubmed and PEDro, for studies published in the last 10 years, in English, Portuguese and Spanish. Studies that addressed the effects of aquatic physiotherapy on functionality, balance and quality of life of adult patients diagnosed with Parkinson's disease were selected. The assessment of the methodological quality of the studies was performed using the PEDro Scale. Results: 36 studies were found, of which 16 were duplicates, 7 were incompatible with the theme, 5 were other types of studies addressed in this review and 1 study was not available in full, leaving only 7 studies, which were included in this review. Conclusion: The practice of aquatic physiotherapy has beneficial effects and seems to be an approach that, combined with rehabilitation on land, contributes positively to the improvement of common symptoms of the population with PD.
Palavras-chave
Terapia aquática, Hidroterapia, Parkinson, Funcionalidade, Função, Qualidade de vida