Tratamento da dor lombar em indivíduos com doença de Parkinson utilizando o método Pilates: um estudo prova de conceito

• Ano de defesa: 2020
• Autor(a) principal: Aline Michele Batista de Figueiredo Feital
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; Brasil; ICB - INSTITUTO DE CIÊNCIAS BIOLOGICAS; Programa de Pós-Graduação em Neurociências; UFMG
• Palavras-chave em Português: Doença de Parkinson; Dor; Dor Lombar; Pilates; Incapacidade; Qualidade de Vida; Neurociências; Dor lombar; Técnicas de exercício e de movimento; Qualidade de vida
• Link de acesso: http://hdl.handle.net/1843/34665

Parkinson's disease (PD), the second most common neurodegenerative disease, is notoriously known for its cardinal signs - bradykinesia, tremor, rigidity and postural instability. However, non-motor symptoms are recognized as an important part of PD as autonomic, neuropsychiatric, sleep, and sensory disorders. Pain is prevalent in PD, particularly musculoskeletal pain, and it usually affects low back. Low back pain (LBP) is reported by approximately 60% of patients, and it causes a negative impact on the functionality and quality of life of these individuals. Up to now, few studies have evaluated LBP in PD and there are no studies about treatment. Thus, the present study is a proof of concept, in which 15 individuals with PD with chronic LBP were submitted to an intervention program using the Pilates Method, for 12 weeks, twice a week, with 60-minute sessions. It was possible to determine a 100% presence rate and a 97.7% adherence rate, with no adverse events throughout the intervention. Additionally, pain intensity (Visual Analog Scale, VAS and McGill Pain Questionnaire, MPQ), LBP-related disability (Roland-Morris Questionnaire, RMQ), the severity of PD signs and symptoms (Unified Parkinson’s Disease Rating Scale, UPDRS) depression (Beck Depression Inventory, BDI), fatigue (Fatigue Severity Scale, FSS) and perception of quality of life (Quality of Life Questionnaire for Parkinson's Disease, PDQ-39) were evaluated. There was a decrease in pain intensity scores (VAS and Miscellaneous domain and total score on the MPQ), functional disability (RMQ), the severity of PD signs and symptoms (sections I, III and total scores on the UPDRS) and depression (BDI). There was no change in fatigue and quality of life. The results of this study show that the Pilates is a safe, feasible, and well-tolerated method for individuals with PD with chronic LBP. Besides, the results suggest that Pilates Methods can decrease the intensity of pain, the LBP-related disability, the severity of the signs and symptoms of PD, as well as depression. Considering the high prevalence of LBP in individuals with PD and the negative effect on the functionality of these individuals, it is suggested to implement specific therapeutic exercises aimed at treating this symptom. Studies with a larger sample size and a control group are needed to confirm our findings.