Use este identificador para citar ou linkar para este item: https://repositorio.ufms.br/handle/123456789/4909
Tipo: Artigo de Periódico
Título: A terapia por vibração do corpo inteiro promove melhora do equilíbrio na doença de Parkinson?
Título(s) alternativo(s): Does whole body vibration improve balance in Parkinson’s disease?
Autor(es): Amaral, Fernanda França
Massucato, Ana Carolina Obici
Araújo, Priscilla de Figueiredo
Taciro, Charles
Souza, Albert Schiaveto de
Christofoletti, Gustavo
Resumo: Distúrbios do equilíbrio consistem em um grande problema na doença de Parkinson (DP). A terapia por vibração do corpo inteiro mostra-se benéfica em pessoas saudáveis, mas apresenta eficácia incerta na DP. O objetivo desse estudo foi verificar os efeitos agudos da terapia por vibração do corpo inteiro sobre o equilíbrio de pacientes com DP e analisar o tamanho do efeito da intervenção para predizer o número ideal de participantes. Doze participantes com DP foram randomicamente divididos entre grupos intervenção e placebo. O grupo intervenção foi submetidos à terapia vibratória, tendo o equilíbrio avaliado em período anterior, imediatamente após e transcorrido cinco minutos da sessão. O grupo placebo fez uma intervenção simulada, tendo o equilíbrio avaliado nos mesmos períodos. Ambos os grupos tiveram seus olhos vendados para manter cegamento dos participantes sobre a intervenção. As variáveis analisadas foram deslocamento, área e velocidade de deslocamento. O tamanho do efeito foi verificado em análises univariadas e multivariadas, admitindo significância em 5%. Sobre os resultados, a terapia por vibração do corpo inteiro não apresentou eficácia sobre o equilíbrio na DP em momento imediato e transcorrido cinco minutos da aplicação da terapia. A análise que apresentou maior tamanho do efeito se deu quando o equilíbrio foi mensurado de forma multivariada, predizendo a necessidade de 46 pacientes. Em conclusão, os resultados desse estudo foram imprecisos quanto à eficácia da terapia por vibração do corpo inteiro no equilíbrio de pacientes com DP. Novas pesquisas com uma amostra superior a 46 participantes devem ser realizadas.
Abstract: Balance disorders are a major problem in Parkinson’s disease (PD). The whole body vibration has benefits on the balance in healthy people, but it has imprecise effectiveness in PD. The aim of this study was to verify the effects of whole body vibration on balance in patients with PD and to predict the ideal number of participants from the effects size. Twelve participants with PD were randomly divided into intervention and placebo groups. Participants in the intervention group underwent whole body vibration and the subjects had their balance assessed prior therapy, immediately and five minutes after the session. The control group underwent a placebo intervention and the subjects had their balance assessed on the same periods. Both groups had their eyes closed during the intervention protocol. The variables assessed were body displacement, area and velocity of body displacement. The effect size of the intervention was analysed under univariate and multivariate analyses. Significance was set at 5%. With respect to the results, the whole body vibration was inefficient in improving balance immediately and five minutes after the session. The analysis that presented the strongest effect size occurred when balance was assessed under a multivariate basis, predicting the need of 46 participants. In conclusion, the results were imprecise as to the effects of whole body vibration on the balance in patients with PD. Studies with a sample size higher than 46 participants should be carried out to further address this topic.
Palavras-chave: Doença de Parkinson
Equilíbrio postural
Tamanho da amostra
Projetos pilotos
CNPq: Fisioterapia e Terapia Ocupacional
Idioma: por
País: Brasil
Editor: Sociedade Brasileira de Atividade Física & Saúde
Citação: Ascherio A, Schwarzschild MA. The epidemiology of Parkinson’s disease: risk factors and prevention. Lancet Neurol. 2016;15(12):1257-72. 2. Tysnes OB, Storstein A. Epidemiology of Parkinson’s disease. J Neural Transm. 2017;124(8):901-5. 3. Morley D, Dummett S, Kelly L, Fitzpatrick R, Jenkinson C. Predictors of activity and participation across neurodegenerative conditions: a comparison of people with motor neurone disease, multiple sclerosis and Parkinson’s disease. BMC Neurol. 2018;18(1):19. 4. Opara J, Małecki A, Małecka E, Socha T. Ann Agric Environ Med. 2017;24(3):411-5. 5. Pinto C, Salazar AP, Marchese RR, Stein C, Pagnussat AS. The effects of hydrotherapy on balance, functional mobility, motor status, and quality of life in patients with Parkinson disease: a systematic review and meta-analysis. PM R. 2019;11(3):278-91. 6. Wang B, Shen M, Wang YX, He ZW, Chi SQ, Yang ZH. Effect of virtual reality on balance and gait ability in patients with Parkinson’s disease: a systematic review and metaanalysis. Clin Rehabil. 2019;33(7):1130-8. 7. Suárez-Iglesias D, Miller KJ, Seijo-Martínez M, Ayán C. Benefits of Pilates in Parkinson’s disease: a systematic review and meta-analysis. Medicina (Kaunas). 2019; 55(8):476. 8. Barboza NM, Terra MB, Bueno MEB, Christofoletti G, Smaili SM. Physiotherapy versus physiotherapy plus cognitive training on cognition and quality of life in Parkinson disease: randomized clinical trial. Am J Phys Med Rehabil. 2019;98(6):460-8. 9. Stania M, Juras G, Słomka K, Chmielewska D, Król P. The application of whole-body vibration in physiotherapy - A narrative review. Physiol Int. 2016;103(2):133-45. 10. Sharififar S, Coronado RA, Romero S, Azari H, Thigpen M. 7 Amaral et al. Rev Bras Ativ Fís Saúde. 2020;25:e0141 Terapia por vibração na doença de Parkinson Como citar este artigo: Amaral FF, Massucato ACO, Araújo PF, Taciro C, Souza AS, Christofoletti G. Efeitos da plataforma vibratória na doença de Parkinson. Rev Bras Ativ Fís Saúde. 2020;25:e0141. DOI: 10.12820/rbafs.25e0141 The effects of whole body vibration on mobility and balance in Parkinson disease: a systematic review. Iran J Med Sci. 2014;39(4):318-26. 11. Dincher A, Schwarz M, Wydra G. Analysis of the effects of whole-body vibration in Parkinson disease: systematic review and meta-analysis. PM R. 2019;11(6):640-53. 12. Titova N, Padmakumar C, Lewis SJG, Chaudhuri KR. Parkinson’s: a syndrome rather than a disease? J Neural Transm. 2017;124(8):907-14. 13. Gelb DJ, Oliver E, Gilman S. Diagnostic criteria for Parkinson disease. Arch Neurol. 1999;56(1):33-9. 14. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17(5):427-42. 15. Movement Disorder Society Task Force on Rating Scales for Parkinson’s Disease. The Unified Parkinson’s Disease Rating Scale (UPDRS): status and recommendations. Mov Disord. 2003;18(7):738-50. 16. Pfeffer RI, Kurosaki TT, Harrah CH, Chance JM, Filos S. Measurement of functional activities in older adults in the community. J Gerontol. 1982;37(3):323-9. 17. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. 18. Dubois B, Slachevsky A, Litvan I, Pillon B. The FAB: a Frontal Assessment Battery at bedside. Neurology. 2000;55(11):1621-6. 19. Goulart F, Pereira LX. Main scales for Parkinson’s disease assessment: use in physical therapy. Fisioter Pesq. 2015;11(1):49-56. 20. Dutra MC, Ribeiro RS, Pinheiro SB, Melo GF, Caralho GA. Accuracy and reliability of the Pfeffer Questionnaire for the Brazilian elderly population. Dement Neuropsychol. 2015;9(2):176-83. 21. Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. Suggestions for utilization of the mini-mental state examination in Brazil. Arq Neuropsiquiatr. 2003;61(3B):777-81. 22. Giehl K, Tahmasian M, Eickhoff SB, van Eimeren T. Imaging executive functions in Parkinson’s disease: An activation likelihood estimation meta-analysis. Parkinsonism Relat Disord. 2019;63:137-42. 23. Dirnberger G, Jahanshahi M. Executive dysfunction in Parkinson’s disease: a review. J Neuropsychol. 2013;7(2):193- 224. 24. Beato RG, Nitrini R, Formigoni AP, Caramelli P. Brazilian version of the Frontal Assessment Battery. Dement Neuropsychol. 2007;1(1):59-65. 25. Wang Z, Jia X, Chen H, Feng T, Wang H. Abnormal spontaneous brain activity in early Parkinson’s disease with mild cognitive impairment: a resting-state fMRI study. Front Physiol. 2018;9:1093. 26. de Oliveira RT, Felippe LA, Bucken Gobbi LT, Barbieri FA, Christofoletti G. Benefits of exercise on the executive functions in people with Parkinson disease: a controlled clinical Trial. Am J Phys Med Rehabil. 2017;96(5):301-6. 27. Smith C, Malek N, Grosset K, Cullen B, Gentleman S, Grosset DG. Neuropathology of dementia in patients with Parkinson’s disease: a systematic review of autopsy studies. J Neurol Neurosurg Psychiatry. 2019;90(11):1234-43. 28. Alashram AR, Padua E, Annino G. Effects of Whole-body vibration on motor impairments in patients with neurological disorders: a systematic review. Am J Phys Med Rehabil. 2019;98(12):1084-98. 29. Lam FM, Chan PF, Liao LR, Woo J, Hui E, Lai CW, et al. Effects of whole-body vibration on balance and mobility in institutionalized older adults: a randomized controlled trial. Clin Rehabil. 2018;32(4):462-72. 30. Sitjà Rabert M, Rigau Comas D, Fort Vanmeerhaeghe A, Santoyo Medina C, Roqué i Figuls M, Romero-Rodríguez D, et al. Whole-body vibration training for patients with neurodegenerative disease. Cochrane Database Syst Rev. 2012;(2):CD009097. 31. Christofoletti G, McNeely ME, Campbell MC, Duncan RP, Earhart GM. Hum Mov Sci. 2016;49:308-14. 32. Monsarrat P, Vergnes JN. The intriguing evolution of effect sizes in biomedical research over time: smaller but more often statistically significant. Gigascience. 2018;7(1):1-10. 33. Chavalarias D, Wallach JD, Li AH, Ioannidis JP. Evolution of Reporting P Values in the Biomedical Literature, 1990- 2015. JAMA. 2016;315(11):1141-8.
Tipo de acesso: Acesso Aberto
Attribution 3.0 Brazil
metadata.dc.rights.uri: http://creativecommons.org/licenses/by/3.0/br/
Identificador DOI: https://doi.org/10.12820/rbafs.25e0141
URI: https://repositorio.ufms.br/handle/123456789/4909
Data do documento: 9-Nov-2020
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