Multidisciplinarity in reducing levodopa in person with advanced Parkinson’s disease
DOI:
https://doi.org/10.5935/0104-7795.20160037Keywords:
Parkinson Disease, Complementary Therapies, LevodopaAbstract
Objective: To identify and compare people with Parkinson Disease (PD) doing multidisciplinary activities with those who do not realize. Method: Participants were evaluated for the Hoehn and Yahr (HY) (1-4), age, daily dose of levodopa, what activities they participate in and quality of life (PDQ-39), UPDRS activities of daily living and motor (UPDRS). They compared participants and non-practicing multidisciplinary activities stratifying the levels of HY between those with balance deficit (levels 3 and 4 HY), and those who do not have balance problems (levels 1 and 2 HY). Results: Attended by 49 participants of both genders (21 women, 28 men), these 17 do not participate in other therapies and 32 perform at least one multidisciplinary activity. There were no differences between groups participants and non-participating multidisciplinary activities. However, when stratifying the levels of HY, we realized that there was a statistical difference at the highest level of HY, the daily dose prescribed levodopa, between participants and non-participating multidisciplinary activities (P=0.017). Conclusions: The finding points that for this group of people with PD, with greater severity of PD, those who practice multidisciplinary activities need a statistically lower dose of levodopa
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Haase DCBV, Machado DC, Oliveira JGD. Atuação da fisioterapia no paciente com doença de Parkinson. Fisioter Mov. 2008;21(1):79-85.
Teive HAG, Munhoz RP. Postural instability in Parkinson's disease - 120 years after Charcot's death. Arq. Neuropsiquiatr. 2014;72(8):633-5. DOI: http://dx.doi.org/10.1590/0004-282X20140085
Christofoletti G, Freitas RT, Cândido ER, Cardoso CS. Eficácia de tratamento fisioterapêutico no equilíbrio estático e dinâmico de pacientes com doença de Parkinson. Fisioter Pesq.2010;17(3):259-63.
Palácio SG, Barroca JB, Toldo KF, Ramalho JBL, Vanzela AL, Facci LM. Estudo comparativo entre a hidroterapia e a cinesioterapia na doença de Parkinson. Rev Saúde Pesq. 2011;4(2):651-5.
Villegas ILP, Israel VL. Effect of the ai-chi method on functional activity, quality of life, and posture in patients with Parkinson disease. Top Geriatr Rehabil. 2014;30(4):282-9. DOI: http://dx.doi.org/10.1097/TGR.0000000000000039
Coriolano MGWS, Balbino JMS, Silva BRV, Cabral EDC, Asano AG, Lins OG, Asano NMJ. Pain characterization in patients with Parkinson's disease. Rev Dor. 2014;15(2):78-82.
Rodrigues M, Campos LC. Estratégia para o tratamento com Levodopa na doença de Parkinson. Rev Analytica. 2006;23(1):44-51.
Protógenes M. Distúrbios do movimento induzidos por drogas. Rev Hosp Univ Pedro Ernesto. 2010;9(1):55-62.
Sant CR, Oliveira SG, Rosa EL, Sandri J, Durante M, Posser SR. Abordagem fisioterapêutica na doença de Parkinson. RBCEH. 2008;5(1):80-9.
Flores FT, Rossi AG, Schmidt PS. Avaliação do equilíbrio corporal na doença de Parkinson. Arq Int Otorrinolaringol. 2011;15(2):142-50. DOI: http://dx.doi.org/10.1590/S1809-48722011000200004
Volpe D, Giantin MG, Maestri R, Frazzitta G. Comparing the effects of hydrotherapy and landbased therapy on balance in patients with Parkinson's disease: a randomized controlled pilot study. Clin Rehabil. 2014;28(12):1210-7. DOI: http://dx.doi.org/10.1177/0269215514536060
Gonçalves LHT, Alvarez AM, Arruda MC. Pacientes portadores da doença de Parkinson: significado de suas vivências. Acta Paul Enferm. 2007;20(1): 62-8. DOI: http://dx.doi.org/10.1590/S0103-21002007000100011
Duarte YAO, Andrade CL, Lebrão ML. O Índex de Katz na avaliação da funcionalidade dos idosos. Rev Esc Enferm USP. 2007;41(2):317-25. DOI: http://dx.doi.org/10.1590/S0080-62342007000200021
van der Marck MA, Bloem BR, Borm GF, Overeem S, Munneke M, Guttman M. Effectiveness of multidisciplinary care for Parkinson's disease: a randomized, controlled trial. Mov Disord. 2013;28(5):605-11. DOI: http://dx.doi.org/10.1002/mds.25194
Vojciechowski AS, Zotz TGG, Loureiro APC, Israel VL. The International Classification of Functioning, Disability and Health as applied to Parkinson's disease: a literature review. Adv Parkinson's Dis. 2016;5(2):29-40. DOI: http://dx.doi.org/10.4236/apd.2016.52005
Luz MT. Complexidade do campo da Saúde Coletiva: multidisciplinaridade, interdisciplinaridade, e transdisciplinaridade de saberes e práticas -análise sócio-histórica de uma trajetória paradigmática. Saúde Soc. 2009;18(2):304-11.
Gomes L, Amaral JB. Os efeitos da utilização da música para os idosos: revisão sistemática. Rev Enferm Contemp. 2012;1(1):103-17.
Silva DM, Nunes COM, Oliveira PJA, Coriolano MGWS, Berenguer FA, Lins OG, et al. Efeitos da fisioterapia aquática na qualidade de vida de sujeitos com doença de Parkinson. Fisioter Pesq. 2013;20(1):17-23. DOI: http://dx.doi.org/10.1590/S1809-29502013000100004
Nijkrake MJ, Keus SH, Kalf JG, Sturkenboom IH, Munneke M, Kappelle AC, et al. Allied health care interventions and complementary therapies in Parkinson's disease. Parkinsonism Relat Disord. 2007;13 Suppl 3:S488-94. DOI: http://dx.doi.org/10.1016/S1353-8020(08)70054-3
Bloem BR, de Vries NM, Ebersbach G. Nonpharmacological treatments for patients with Parkinson's disease. Mov Disord. 2015;30(11):1504-20. DOI: http://dx.doi.org/10.1002/mds.26363
Moreira CS, Martins KFC, Neri VC, Araújo PG. Doença de Parkinson: como diagnosticar e tratar. Rev Cient Fac Med Campos. 2007;2(2):19-29.
Alfieri FM, Riberto M, Gatz LS, Ribeiro CPC, Battistella LR. Uso de testes clínicos para verificação do controle postural em idosos saudáveis submetidos a programas de exercícios físicos. Acta Fisiatr. 2010;17(4):153-8.
Silva FS, Pabis JVPC, Alencar AG, Silva KB, Navarro-Peternella FM. Evolução da doença de Parkinson e comprometimento da qualidade de vida. Rev Neurocienc. 2010;18(4):463-8.
Rubert VA, Reis DC, Esteves A.C. Doença de Parkinson e exercício físico. Rev Neurocienc. 2007;15(2):141-6.
Monticone M, Ambrosini E, Laurini A, Rocca B, Foti C. In-patient multidisciplinary rehabilitation for Parkinson's disease: A randomized controlled trial. Mov Disord. 2015;30(8):1050-8. DOI: http://dx.doi.org/10.1002/mds.26256
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