Affiliation:
1. Universidade Federal do Paraná, Brazil
Abstract
Abstract Introduction Parkinson’s (PD) is a neurodegenerative disease characterized by the loss of dopaminergic neurons in the substantia nigra. It has motor and non-motor symptoms which is directly related to these people’s decreased autonomy and quality of life. Aquatic physical therapy (APT) is a non-drug treatment option that is a resource to complement functional rehabilitation and/or prevention. Objective To analyze the effects of an APT program on cardiovascular and fatigue conditions in individuals with PD. Methods The cardiorespiratory conditions were assessed with vital signs – heart rate (HR) and blood pressure (BP), measured before and after each intervention. The double product (DP) and the Fatigue Severity Scale (FSS), measured pre- and post-intervention, were also used as variables. The intervention had eight 40- minute biweekly sessions over 4 weeks, with immersion in a heated swimming pool at 33 ºC on average. The statistical analysis was made with the paired t-test (to analyze the FSS) and the repeated measures ANOVA test (for DP, BP and HR); significance was set at p < 0.05. Results Fatigue perception with FSS improved significantly (p = 0.037), from 4.7 ± 1.6 (pre-intervention) to 4.3 ± 1.6 (post-intervention). There were no statistically significant differences in DP, BP and HR (p = 1). Conclusion HR and BP remained at appropriate values for older people, and DP remained within a safe submaximal training range. Furthermore, the proposed APT program statistically decreased fatigue in this specific group of people with PD.
Subject
Rehabilitation,Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation,Complementary and Manual Therapy
Reference40 articles.
1. Parkinson’s disease and parkinsonism;Hayes MT;Am J Med,2019
2. Symptoms of depression in patients with mild cognitive impairment in Parkinson’s disease;Malak ALSB;Dement Neuropsychol,2017
3. Parkinson disease;Poewe W;Nat Rev Dis Primers,2017
4. Sympathetic skin response and heart rate variability in predicting autonomic disorders in patients with Parkinson disease;Ke JQ;Medicine (Baltimore),2017
5. Parkinson disease and orthostatic hypotension in the elderly: recognition and management of risk factors for falls;LeWitt PA;Aging Dis,2020