Effects of mental practice strategies associated with physical therapy on gait and risk of falls in Parkinson disease: experimental study

Authors

  • Liliane Pereira da Silva Universidade Federal de Pernambuco - UFPE
  • Taís Arcanjo Maropo da Silva Universidade Federal de Pernambuco - UFPE
  • Kássia Maria Clemente da Silva Universidade Federal de Pernambuco - UFPE
  • Suzana Pereira dos Santos Universidade Federal de Pernambuco - UFPE
  • Douglas Monteiro da Silva Universidade Federal de Pernambuco - UFPE
  • Carla Cabral dos Santos Accioly Lins Universidade Federal de Pernambuco - UFPE
  • Maria das Graças Wanderley de Sales Coriolano Universidade Federal de Pernambuco - UFPE
  • Otávio Gomes Lins Universidade Federal de Pernambuco - UFPE

DOI:

https://doi.org/10.11606/issn.2317-0190.v28i4a180627

Keywords:

Parkinson Disease, Accidental Falls, Gait, Imagination

Abstract

Objective: To compare the effects of mental practice (MP) strategies associated with physical therapy on gait and risk of falls in people with Parkinson's disease (PD). Method: We included 35 people of both sexes with mild to moderate idiopathic PD allocated into four groups; 1- Control group (CG), 2- Image-guided mental practice group (IGMP), 3- Audio-guided mental practice group (AGMP) and 4- Unguided mental practice group (UMP). The subjects in the experimental groups underwent 15 sessions of motor physical therapy and mental practice, while the CG received only physical therapy. The sessions were held twice a week, 40 minutes for motor physical therapy and 1 minutes for the corresponding Mental Practice protocol. To evaluate the spatiotemporal parameters of the gait, the 10-meter Walking Test was used and the risk of falls using the Timed Up and Go (TUG). Results: The IGPM group presented significant results for the time (p= 0.027) and gait speed (p= 0.025) when compared to the results of the CG. Cadence and risk of falls had no major effect for the group. The UMP and AGMP groups did not present statistically significant results for TC10m and TUG when compared with CG. Conclusion: The results of this study suggest that image-guided mental practice training associated with motor physical therapy is more effective in increasing gait speed than other MP strategies.

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Published

2021-12-31

Issue

Vol. 28 No. 4 (2021)

Section

Original Article

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How to Cite

1.
Silva LP da, Silva TAM da, Silva KMC da, Santos SP dos, Silva DM da, Lins CC dos SA, et al. Effects of mental practice strategies associated with physical therapy on gait and risk of falls in Parkinson disease: experimental study. Acta Fisiátr. [Internet]. 2021 Dec. 31 [cited 2024 Jul. 18];28(4):268-73. Available from: https://periodicos.usp.br/actafisiatrica/article/view/180627