Handgrip and functional mobility in elderly with different levels of physical activity

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Exercise programs improve mobility and balance in people with Parkinson's disease

Compromised balance and loss of mobility are among the major consequences of Parkinson's disease (PD). The literature documents numerous effective interventions for improving balance and mobility. The purpose of this study was to verify the effectiveness of two exercise programs on balance and mobility in people with idiopathic PD. Thirty-four participants, with idiopathic PD that ranged from Stage I to Stage III on the Hoehn & Yahr (H&Y) scale, were assigned to two groups. Group 1 (n = 21; 67±9 years old) was engaged in an intensive exercise program (aerobic capacity, flexibility, strength, motor coordination and balance) for 6 months: 72 sessions, 3 times a week, 60 minutes per session; while Group 2 (n = 13; 69±8 years old) participated in an adaptive program (flexibility, strength, motor coordination and balance) for 6 months: 24 sessions, once a week, 60 minutes per session. Balance and basic functional mobility were assessed in pre- and post-tests by means of the Berg Balance Scale and the Timed Up and Go Test. Before and after the interventions, groups were similar in clinical conditions (H&Y, UPDRS, and Mini-Mental). A MANOVA 2 (programs) by 2 (moments) revealed that both groups were affected by the exercise intervention. Univariate analyses showed that participants improved their mobility and balance from pre- to post-test. There were no differences between groups in either mobility or balance results. Both the intensive and adaptive exercise programs improved balance and mobility in patients with PD. © 2009 Elsevier Ltd. All rights reserved.

Risco de queda em idosos da comunidade: avaliação com o teste Timed up and go

Risco de queda em idosos pode ser avaliado por meio de um teste simples de mobilidade. OBJETIVO: Avaliar o equilíbrio de idosos usando o teste Timed up and go. MÉTODO: Os indivíduos tiveram o tempo medido desde o momento em que se levantaram de uma cadeira, caminharam 3 metros para a frente e retornaram à cadeira. Os idosos também responderam questões sobre desequilíbrio, tontura e queda. RESULTADOS: Cerca de 69% dos sujeitos realizaram o teste em até 19 segundos. Houve correlação significativa entre desequilíbrio, tempo dispendido e queda, assim como entre tontura e queda. CONCLUSÃO: A maior parte dos idosos mostrou baixos valores no teste, o que sugere boa mobilidade funcional. Entretanto, um número expressivo de indivíduos com valores mais elevados estão, provavelmente, mais propensos a quedas e à dependência menor ou maior nas atividades da vida diária.

Mobilidade funcional em indivíduos com paralisia cerebral espástica

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Efeitos da atividade física nas atividades da vida diária em indivíduos com doença de Parkinson

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Exercício, funcionalidade e distúrbios do sono em pacientes com doença de Parkinson

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência do fortalecimento muscular no equilíbrio e qualidade de vida em indivíduos com doença de Parkinson

This study aimed to evaluate the effect of muscle strengthening in the balance, mobility and quality of life (QoL) in individuals with Parkinson's disease (PD), and to check the correlation between muscle strengthening and QoL. Nine subjects belonging to both sexes, diagnosed with PD, participated in this study. Initially, they went through an evaluation of their balance and functional mobility through the Berg Balance Scale (BBS), the ­Timed Up and Go (TUG) test, and a QoL test through the Parkinson's Disease Questionnaire (PDQ-39). The subjects also performed a test for determining the maximum load (one-repetition maximum) for the muscle groups trained. After the normality and homogeneity of the data were verified, the Student's t-test and Spearman correlation test were carried out. A significance level of p<0.05 was considered. We verified an improvement in balance (p=0.008) and QoL (p=0.013), and a negative correlation between balance and QoL (evaluation: r=-0.65 and p=0.05, revaluation: r=-0.82 and p=0.005). It was concluded that muscle strengthening was efficient in the improvement of balance and QoL in individuals with PD.

Comparação da mobilidade, força muscular e medo de cair em idosas caidoras e não caidoras

OBJETIVOS: Verificar o medo de cair em idosas caidoras e não caidoras ativas fisicamente e comparar mobilidade e força de preensão palmar; verificar se existe relação entre mobilidade, força muscular e medo de quedas. MÉTODOS: Foram avaliadas 40 idosas ativas, idade ≥ 60 anos, divididas em caidoras (n = 20) e não caidoras (n = 20). Utilizou-se Mini-Exame do Estado Mental (MEEM) para rastreio cognitivo; Falls Efficacy Scale-International-Brasil (FES-I-BRASIL) para avaliar o medo de cair; a força muscular foi mensurada pela medida da força de preensão palmar por meio de dinamômetro hidráulico; Timed Up and Go (TUG) para avaliar mobilidade funcional. RESULTADOS: Não foi encontrada diferença significante entre os grupos no que diz respeito à mobilidade e força muscular. A maioria das participantes (92,5%) demonstrou preocupação com quedas. Das idosas que levaram mais que 12 segundos para desempenhar o TUG, 53,84% eram do grupo caidor. Não foi encontrada correlação entre mobilidade e força muscular. CONCLUSÃO: Não foi observada diferença significativa entre força muscular, mobilidade e medo de quedas entre os grupos. Não foi encontrada correlação significativa entre mobilidade, força muscular e medo de quedas. O estudo permitiu observar que o medo de cair está presente na maioria da população idosa, com ou sem história de quedas.

Influência do tratamento fisioterapêutico em grupo no equilíbrio, na mobilidade funcional e na qualidade de vida de pacientes com Parkinson

Introduction: Parkinson’s disease (PD) is a chronic disease of the nervous system, characterized by degeneration of neurons in the mesencephalic substantia nigra, leading to a clinical state of rest tremor, bradykinesia, muscular rigidity and postural instability. Physical therapy seeks to act by slowing the progression of the disease and when done in a group and maintain and / or improving the motor skills of the individual, can provide psychosocial benefi ts. Objective: examine the infl uence of the physical therapy group in balance, functional mobility and quality of life of individuals with PD. Method: participated in this study 04 subjects were female, mean age 67.75 (± 9.5) years, with medical diagnosis of PD, stages 1 to 3 of the Hoehn & Yahr. Before starting treatment, subjects underwent an assessment of the balance (BBS), functional mobility (TUG) and the quality of life (PDQ-39).The treatment was performed in groups, for a period of 10 weeks, lasting 60 minutes each session twice a week, totaling 20 sessions of physiotherapy. Upon completion of the treatment period the subjects were again assessed for balance, functional mobility and quality of life. The data were analyzed using the Student t-test, with signifi cance level of 5% (p ≤ 0.05). Results: statistical analysis showed signifi cant differences in three variables: equilibrium (p = 0.010), functional mobility (p = 0.029) and quality of life (p = 0.004), after physiotherapy intervention. Conclusion: physiotherapy treatment was group provides better balance, functional mobility and quality of life of patients with PD.

Parâmetros Neuropáticos no Diabetes Mellitus

Pós-graduação em Fisioterapia - FCT

Treinamento com vibração do corpo todo resulta em ganho de força muscular e mobilidade funcional em indivíduos com doença de Parkinson

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Balance and ankle muscle strength predict spatiotemporal gait parameters in individuals with diabetic peripheral neuropathy

The aims of this study were to evaluate aspects of balance, ankle muscle strength and spatiotemporal gait parameters in individuals with diabetic peripheral neuropathy (DPN) and verify whether deficits in spatiotemporal gait parameters were associated with ankle muscle strength and balance performance. Thirty individuals with DPN and 30 control individuals have participated. Spatiotemporal gait parameters were evaluated by measuring the time to walk a set distance during self-selected and maximal walking speeds. Functional mobility and balance performance were assessed using the Functional Reach and the Time Up and Go tests. Ankle isometric muscle strength was assessed with a handheld digital dynamometer. Analyses of variance were employed to verify possible differences between groups and conditions. Multiple linear regression analysis was employed to uncover possible predictors of gait deficits. Gait spatiotemporal, functional mobility, balance performance and ankle muscle strength were affected in individuals with DPN. The Time Up and Go test performance and ankle muscle isometric strength were associated to spatiotemporal gait changes, especially during maximal walking speed condition. Functional mobility and balance performance are damaged in DPN and balance performance and ankle muscle strength can be used to predict spatiotemporal gait parameters in individuals with DPN.

Reflex postural control of patients with cerebral palsy for odontological assistance

Cerebral palsy (CP) describes a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain.A child with cerebral palsy may have impairments in motor control, which contributes to loss of functional abilities in posture and mobility. The severity of the impairment on the neuromuscular system determines the variations of functional mobility in children with cerebral palsy. The control of the patient, during the dental treatment, is of fundamental importance because these patients present some pathological reflexes which interfere in the odontological assistance

Efeitos da mobilização miofascial plantar no equilíbrio corporal, mobilidade funcional e ativação muscular em idosas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Quantitative comparison of mobility and gross motor function in Brazilian children with cerebral palsy

Background: Cerebral palsy (CP) presents changes in posture and movement as a core characteristic, which requires therapeutic monitoring during the habilitation or rehabilitation of children. Besides clinical treatment, it is fundamental that professionals use systems of evaluation to quantify the difficulties presented to the individual and assist in the organization of a therapeutic program. The aim of this study was to quantitatively verify the performance of children with spastic di-paresia type CP.Methods: The Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Classification System (GMFM) tests were used and classification made through the GMFCS in the assessment of 7 patients with CP, 4 females and 3 males, average age of 9 years old.Results: According to GMFCS scales, 17% (n=1) were level II and 83% (n=6) were level III. The PEDI test and 88 GMFM items were used in the area of mobility. We observed that there was high correlation between mobility and gross motor function with Pearson's correlation coefficient =0.929) showing the likely impact of these areas in the functional skills and the quality of life of these patients.Conclusion: We suggest the impact of the limitation of the areas in functional skills and quality of life of these patients.