Influences of Neuromuscular Facilitation in the hamstrings and quadriceps muscles of Parkinsonian elderly.
Carvalho, Emilton Lima de; Cruz, Karoline Lisandra Teixeira; Queiroz, Ilkenison Pinheiro; Silva, Flávio; Maciel, Thiago dos Santos; Arêas, Fernando Zanela da Silva
Abstract
Introduction: Parkinson’s disease (PD) is a type of neurodegenerative disease that affects between 4.1 and 4.6 million people in the 10 most populous nations of the world, worldwide approximately 7 million people are affected by PD, both affected with age or more than 50 years, this problem affects the independent subjects of sex and its most important pathological finding is the injury of the black substance, which is located in the basal ganglia Objective: to evaluate and quantify the effects of PNF technique on individuals Parkinsonian residents in Coari-AM city, being evaluated areas of strength and flexibility of the hamstrings and quadriceps muscles. Methods: five elderly diagnosed with PD and mean age 82.5 ± 10.33 were performed, anamnesis, screening and evaluation of the strength and flexibility of the quadriceps and hamstring muscles bilaterally. The treatment protocol consisted of 10 sessions, often at least 3 times a week and estimated treatment time 50 minutes. Results: It was observed that all the muscles tested positive at the beginning of treatment, for flexibility and power of them, however, after the application of any treatment, the quadriceps muscles did not show statistically significant improvement since the hamstring muscles presented significant improvements in both strength and flexibility, when analyzed belatedly. The results were adopted with significance values p <0.05. Conclusion: The PNF technique was positive for the immediate gains of flexibility and strength, however, after 10 sessions program, the results showed little variation, there were no significant differences in the strength of the quadriceps after the treatment program.
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References
1. Duncan RP, Cavanaugh JT, Earhart GM, Ellis TD, Ford MP, Foreman KB, Leddy AL, Paul SS, Canning CG, Thackeray A, Dibble LE. External validation of simple clinical tool used to predict falls in people with Parkinson disease. Parkinsonism and Related Disorders. 2015; http://dx.doi.org/10.1016/j.parkreldis.2015.05.008.
2. Uhrbrand A, Stenager E, Pedersen MS, Dalgas U. Parkinson’s disease and intensive exercise therapy – a systematic review and meta-analysis of randomized controlled trials. Journal of the Neurological Sciences. 2015; 353: 9-19.
3. Vallabhajosula S, Haq IU, Hwynn N, Oyama G,Okum M, Tillman MD, Hass CJ. Low-frequency versus High-frequency Subthalamic Nucleus Brain stimulation on postural control and gait in Parkinson’s disease: A quantitative study. Brain Stimulation. 2015; 8: 64-75.
4. Dibble LE, Addison O, Papa E: The effects of exercise on balance in persons with Parkinson’s disease: A systematic review across the disability spectrum. JNPT. 2009; 33: 14-26.
5. Exner N, Lutz AK, Haass C, Winklhofer KF. Mitochondrial dysfunction in parkinson’s disease: Molecular mechanisms and pathophysiological consequences. The EMBO Journal. 2012; 31: 3038-3062.
6. Sharp K, Hewitt J. Dance as an intervention for the people with Parkinson’s disease: A systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews. 2014; 47: 445-456.
7. Wertheimer J, Gottuso AY, Nuno M, Walton C, Duboille A, Tuchman M, Ramig L. The impact of STN deep brain stimulation on speech in individuals with Parkinson’s disease: The patient’s perspective. Parkinsonism and Related Disorders. 2014; 20: 1065-1070
8. Guyton AC, Hall JE: Tratado de fisiologia médica. Rio de Janeiro: Elsevier. 2011.
9. Dreu MJ, van der Wilk ASD, Poppe E, Kwakkerl G, van Wegen EEH. Rehabilitation, exercise therapy and music in patients with Parkinson’s disease: a meta-analysis of the effects of music-based movement therapy on walking ability, balance and quality of life. Parkinsonism and Related Disorders. 2012; 1851: 5114-5119.
10. Santos TB, Peracini T, Franco PM, Nogueira RL, Souza LAPS. Facilitação Neuromuscular Proprioceptiva na doença de Parkinson: relato de eficácia terapêutica. Fisioter Mov. 2012; 25: 281-289.
11. Carvalho EL, Queiroz IP, Queiroz IP, Batista IMS, Maciel TS, Arêas FZS. Os efeitos da Facilitação Neuromuscular Proprioceptiva sobre a Medida de Independência Funcional em pacientes Parkinsonianos. MTB&RehabJournal. 2015; 13:012. Doi:10.17784/mtprehabJournal.2015.13.299.
12. Chaves TC, Nagamine HM, Belli JFC, Hannai MCT, Bevilaqua-Grossi D, de Oliveira AS. Reliability of fleximetry and goniometry for assessing neck range of motion among children. Rev Bras Fisioter. São Carlos. v. 12, n. 4, p. 283-9, jul./ago. 2008; ISSN 1413-3555.
13. Santos FM, Rodrigues RGS, Trindade-Filho EM. Exercício físico versus programa de exercício pela eletroestimulação com aparelhos de uso doméstico. Rev Saúde Pública. 2008; 42(1):117-22.
14. D’Alessandro Rl, Silveira EAP, Dos Anjos MTS, Silva AA, Fonseca ST. Análise da associação entre a dinamometria isocinética da articulação do joelho e o salto horizontal unipodal, hop test, em atletas de voleibol. Rev Bras Med Esporte _ Vol. 11, Nº 5 – Set/Out, 2005.
15. Pinheiro HA. Efeito da Facilitação neuromuscular proprioceptiva no equilíbrio de indivíduo com degeneração recessiva. Fisioter Bras. 2012; 13(2):137-41.
16. Meningroni PC, Nakada CS, Hata L, Fuzaro AC, Marques-Júnior W, Araújo JE. Contralateral force irradiation for the activation of tibialis anterior muscle in carriers of Charcot-Maire-Tooth disease: Effect of PNF intervention program. Rev Bras Fisioter. 2009; 13(5):438-43.
17. Carvalho KR, Cabral RMC, Gomes DACS, Tavares AB. O método Kabat no tratamento fisioterapêutico da doença de Alzheimer. Rev Kairós. 2008; 11(2): 181-195.
18. Alencar RF, Cordeiro TGF, Anjos PGS, Cavalcanti PL. Facilitação Neuromuscular Proprioceptiva em tatame na reaquisição de funções na lesão medular. Rev Neurocienc. 2011; 19(3):512-518.
19. Lacerda NN, Gomes EB, Pinheiro HA. Efeitos da facilitação neuromuscular proprioceptiva na estabilidade postural e risco de quedas em pacientes com sequela de acidente vascular encefálico: estudo piloto. Fisioter Pesq. 2013; 20(1):37-42.
20. Lima LO, Rodrigues-de-Paula F. Muscular power training: a new perspective in physical therapy approach of Parkinson’s disiease. Rev Bras Fisioter. 2012; 16(2):173-4.
21. Bonjorni LA, Jamami M, DI Lorenzo VAP, Pessoa BV. Influence of the Parkinson’ disease on physical capacity, lung function and lean body mass index. Fisioter. Mov. Curitiba, 2012;25(4):727-736.
22. Mortari DM, Mânica AP, Pimentel GL. Efeitos da crioterapia e facilitação neuromuscular proprioceptiva sobre a força muscular nas musculaturas flexora e extensora de joelho. Fisioterapia e Pesquisa. 2009;16(4):329-34.
23. Nogueira CJ, Galdino LAS, Vale RGS, Dantas EHM. Efeito agudo do alongamento submáximo e do método de Facilitação Neuromuscular Proprioceptiva sobre a força explosiva. HU Revista. 2009;35(1):43-48.
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