Intervenções no treinamento de esteira na melhoria da marcha e do equilíbrio em pacientes com a Doença de Parkinson: uma revisão da literatura
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Data
2023-11
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
Silva, Celismar Alves da
Oliveira , José Augusto de
Orientador
Uhlmann, Natalia Rodrigues
Coorientador
Resumo
A doença de Parkinson, caracterizada por sintomas graves como tremor, bradicinesia e instabilidade postural, é uma enfermidade neurodegenerativa progressiva que, com o tempo, leva à incapacidade. Objetivo: este trabalho busca investigar e analisar os efeitos de
intervenções no treinamento de esteira na melhoria da marcha e do equilíbrio em pacientes com a doença de Parkinson, visando contribuir para a compreensão das abordagens terapêuticas mais eficazes para a promoção da qualidade de vida desses indivíduos. Métodos: uma busca sistemática de publicações foi realizada em outubro de 2023 nas seguintes bases de dados: PubMed, Scielo, Cochrane, Medline, Ebsco e Periódicos Capes. A estratégia de busca incluiu diferentes combinações com os seguintes termos: Parkinson, esteira, treinamento, caminhada, marcha, reabilitação e equilíbrio. Resultados/Discussão: Em síntese, embora todos os estudos demonstrem a eficácia de suas respectivas abordagens, os resultados globais sugerem que o treinamento em esteira (TEC) se destaca como uma intervenção particularmente eficaz na melhoria dos sintomas motores em pacientes com doença de Parkinson. Conclusão: Em síntese, a análise dos estudos apresenta uma visão abrangente das intervenções terapêuticas para melhorar os sintomas motores em pacientes com doença de Parkinson (DP). As abordagens, incluindo treinamento em esteira (TEC), fisioterapia convencional (FC), exercício em esteira de alta intensidade (EAI) e treinamento em esteira com suporte de peso corporal (TSC), demonstraram consistente eficácia na promoção de melhorias marcantes na marcha e nos sintomas motores associados à DP. Esta conclusão reforça não apenas a eficácia global do treinamento em esteira, mas também sublinha a necessidade contínua de pesquisa e prática clínica adaptável para otimizar a abordagem terapêutica na DP.
Parkinson's disease, characterized by severe symptoms such as tremor, bradykinesia and postural instability, is a progressive neurodegenerative disease that, over time, leads to disability. Objective: this literature review seeks to investigate and analyze the effects of treadmill training interventions on improving gait and balance in patients with Parkinson's disease, contributing to the comprehension of the most effective therapeutic approaches to promoting the quality of life of these individuals. Methods: a systematic search for publications was carried out in October 2023 in the following databases: PubMed, Scielo, Cochrane, Medline, Ebsco and Periódicos Capes. The search strategy included different combinations with the following terms: Parkinson, maturation, training, walking, gait, rehabilitation, balance. Results/Discussion: In summary, although all studies demonstrate the effectiveness of their respective approaches, the overall results suggest that treadmill training (TT) stands out as a particularly effective intervention in improving motor symptoms in patients with Parkinson's disease. Conclusion: In summary, the analysis of the studies presents a comprehensive overview of therapeutic interventions to improve motor symptoms in patients with Parkinson's disease (PD). The approaches, including treadmill training (TT), conventional physical therapy (PT), high-intensity treadmill exercise (HIT), and bodyweight supported treadmill training (BWSTT), have shown consistent effectiveness in promoting marked improvements in gait and in motor symptoms associated with PD. This conclusion reinforces not only the overall effectiveness of treadmill training, but also underscores the continued need for research and adaptive clinical practice to optimize the therapeutic approach in PD
Parkinson's disease, characterized by severe symptoms such as tremor, bradykinesia and postural instability, is a progressive neurodegenerative disease that, over time, leads to disability. Objective: this literature review seeks to investigate and analyze the effects of treadmill training interventions on improving gait and balance in patients with Parkinson's disease, contributing to the comprehension of the most effective therapeutic approaches to promoting the quality of life of these individuals. Methods: a systematic search for publications was carried out in October 2023 in the following databases: PubMed, Scielo, Cochrane, Medline, Ebsco and Periódicos Capes. The search strategy included different combinations with the following terms: Parkinson, maturation, training, walking, gait, rehabilitation, balance. Results/Discussion: In summary, although all studies demonstrate the effectiveness of their respective approaches, the overall results suggest that treadmill training (TT) stands out as a particularly effective intervention in improving motor symptoms in patients with Parkinson's disease. Conclusion: In summary, the analysis of the studies presents a comprehensive overview of therapeutic interventions to improve motor symptoms in patients with Parkinson's disease (PD). The approaches, including treadmill training (TT), conventional physical therapy (PT), high-intensity treadmill exercise (HIT), and bodyweight supported treadmill training (BWSTT), have shown consistent effectiveness in promoting marked improvements in gait and in motor symptoms associated with PD. This conclusion reinforces not only the overall effectiveness of treadmill training, but also underscores the continued need for research and adaptive clinical practice to optimize the therapeutic approach in PD
Palavras-chave
Parkinson, treinamento em esteira, Marcha, Equilíbrio