Práctica mental tras la fisioterapia mantiene la movilidad funcional de pacientes con enfermedad de Parkinson
DOI:
https://doi.org/10.1590/1809-2950/17192425012018Palabras clave:
Enfermedad de Parkinson, Técnicas Fisioterápicas, Imaginación, LocomociónResumen
El propósito de esta investigación es evaluar la práctica mental tras la fisioterapia motora en el mantenimiento de los resultados en la movilidad funcional de pacientes con enfermedad de Parkinson (DP). Este ensayo controlado aleatorizado, simple ciego, incluyó a 14 pacientes con DP entre los estadios 1 y 3 en la escala de Hoehn y Yahr, con edades entre 45 y 72 años. Después de la evaluación inicial empleando el Timed Up & Go (TUG), el Dynamic Gait Index (DGI) y el Falls Efficacy Scale - International Brazil (FES-I Brasil), los pacientes recibieron 15 sesiones de fisioterapia motora. A continuación, se los evaluaron y los dividieron aleatoriamente en el Grupo Control (GC) y el Grupo Práctica Mental (GPM). Tras esta división, el GPM recibió 10 sesiones de práctica mental asociada con ejercicios en casa. Al GC se lo orientó a hacer ejercicios solamente en casa. Después los grupos pasaron por una nueva evaluación. Se comprobó que el GPM siguió con la disminución del promedio de tiempo del TUG en la segunda evaluación (p=0,05). En la segunda evaluación del DGI, hubo un mantenimiento del promedio de la puntuación de la primera reevaluación en el GPM, mientras que esta puntuación se redujo en el GC. No hubo diferencias significativas en la comparación intergrupal de las puntuaciones en el FES-I Brasil. La práctica mental comprobó su eficacia en mantener los resultados de la fisioterapia en la movilidad funcional de pacientes con DP.Descargas
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