Analysis of functional profile and mobility in Parkinson's disease: a cross sectional study.

Background: Idiopathic Parkinson's disease (PD) is a progressive neurodegenerative disease that has a prevalence of 18-328 per 100,000 in habitants in developing countries, with an estimated 3.3% of the Brazilian elderly population affected by PD throughout life. The classic symptoms include a resti...

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Publicado en:Manual Therapy, Posturology & Rehabilitation Journal Vol. 16; pp. 1 - 7
Autores principales: de Lima Gomes, Wildja, Melo de Souza Miranda, Larissa, da Silva, Neildja Maria, Souza Davi, Gisele Kariny, Silva Costa, Robison Carlos, Regalado, Isabelly Cristina, de Oliveira Cacho, Roberta, Azevedo Cacho, Enio Walker, Freire Vieira Lima, Núbia Maria
Formato: research tables/charts Journal Article
Publicado: Revista Terapia Manual 2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Revista Terapia Manual
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        10.17784/mtprehabjournal.2018.16.557
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        atl: Analysis of functional profile and mobility in Parkinson's disease: a cross sectional study.
      aug:
        au:
          de Lima Gomes, Wildja
          Melo de Souza Miranda, Larissa
          da Silva, Neildja Maria
          Souza Davi, Gisele Kariny
          Silva Costa, Robison Carlos
          Regalado, Isabelly Cristina
          de Oliveira Cacho, Roberta
          Azevedo Cacho, Enio Walker
          Freire Vieira Lima, Núbia Maria
        affil: Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz (RN), Brazil
      sug:
        subj:
          Functional Status
          Parkinson Disease Brazil
          Human
          Cross Sectional Studies
          Brazil
          Clinical Assessment Tools
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Data Analysis Software
          Female
          Male
          Physical Mobility
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Background: Idiopathic Parkinson's disease (PD) is a progressive neurodegenerative disease that has a prevalence of 18-328 per 100,000 in habitants in developing countries, with an estimated 3.3% of the Brazilian elderly population affected by PD throughout life. The classic symptoms include a resting tremor, muscular rigidity, bradykinesia and postural instability, which are all motor symptoms. The mobility of the subjects is compromised early, thus impairing their balance and limiting their ability to perform simple tasks. The restricted movement prevents dissociation between the head and trunk during walking, and freezing occurs as advanced disease reduces the progression of movements during walking. Objective: To analyze mobility and functionality profiles in subjects with Parkinson's disease and compare them with healthy subjects. Method: A sample was consisted of 10 subjects with PD and 10 healthy elderly subjects. Assessment tools were used to quantify the severity of PD the scale Hoehn and Yah (HY), for mobility were used the Dynamic Parkinson's Gait Scale (DYPAGS) and Modified Parkinson Activity Scale (PAS modified), for functionality were used the Unified Parkinson's Disease Rating Scale (UPDRS) and dual task (DT) performance. Results: The subjects with PD showed worse performance in mobility and DT as determined by the modified PAS (p=0.0001) and DYPAGS (p=0.0001). Correlations were found between the UPDRS, the Gait Freezing Questionnaire (FOG), the PAS modified score, left-hand grip strength and the HY values (p<0.05). There were no differences in prehensile muscle strength between PD and healthy subjects. Conclusions: Subjects with PD showed decreased mobility and functionality for activities related to ADLs, gait and DT compared to healthy elderly subjects. Disease severity, muscle strength and freezing were correlated with the mobility and DT performance in subjects with PD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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