ASSESSMENT THE FUNCIONAL PROFILE IN PATIENTS WITH PARKINSON`S DISEASE OF PHYSICAL THERAPY CLINIC UNIGRAN - DOURADOS/MS.

CYNTIA LETÍCIA BATISTETTI, AUILERSON MORAES LIMA, DANIELE BESEN CASSIOLATO, VIVIANE CONSTANTINO DA SILVA, ANGELA CRISTINA LIMA

Resumo


Introduction: The Parkinson's disease is widely known for its classic signs of bradykinesia, tremor at rest,
rigidity and postural instability. However, the global trend for the diagnostic and therapeutic proposals
have increasingly sought the non-motive symptoms. Objectives: This study aimed to know the functional
profile and postural stability in patients with Parkinson's disease of Dourados city, based on the evaluation
of multiple body systems. Material and Methods: The study included all patients who were referred from
Parkinson's Clinic of the University Hospital of UFGD who joined the proposal of group treatment and
were attending the hospital. The evaluation procedures have taken through the anamnesis and collection
of personal data, unified scale evaluation of Parkinson's disease (UPDRS), Balance Evaluation Systems Test
(MINI-bestest), Timed and Go test (TUG) and Timed and Go test sensitized (TUGi). Results: The sample
was composed of 22 participants (14 men and 8 women) with minimum age of 49 and maximum of 87
years, all in use of levodopa and / or synergists. It is noticed that there are participants with mild,
moderate and severe impairment, at different levels of functional dependence. Among the four areas of
UPDRS, the two most committed in ascending order was activity of daily living and motor domain,
however, mental state and complications of drug therapy, given the right proportions, also call attention.
The postural stability profile showed worse performance in anticipatory postural adjustments and in the
reactive responses than in the dynamic motion component and sensory orientation. Finally, we note that
mobility evaluated by TUG and TUGi suffer negative interferences when we include a cognitive dual task.
Discussion and Conclusion: Knowing the specific demands of the population attended in places for the
delivery of health services optimizes the attendance and allows specific strategies for guidance,
management and treatment to be offered. In the case of the participants of this study, activities that
require postural adjustments as postural transfers and that seek quick bulk fixes to distal movements
should be prioritized over the dynamic motion activities. In front of some punctuations related to drug
complications and mental state, the multi-operation acting is essential, in addition to periodic reviews.


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