Influência do ambiente, superfície e atenção na mobilidade em indivíduos com doença de Parkinson

Abstract

The Parkinson’s disease (PD) is one of the major neurodegenative diseases in the elderly. It implies several changes, mostly motor, which reduces the mobility. Objictive: To analyze the mobility in diferente environments, surfaces and levels of caring in individuals with PD. Methods: na analytical cross- sectional study that evaluated individuals with PD, classified among the stages from mild to severe(1 to 4) on the Hohn and Yahr Scale (HeY), both genders, above 18 years old, able to walk and make the tranfers. The test team Up and Go (TUG) was used in 4 traditional or ideal conditions; on the unstable surface, with dual task and in noisy enrroment. Also, we used the gait Questionnaire Brazilian Version Freezing (FOG-G) to quantify the akinesia. Results: 36 individuals with ages from 43 to 78 years (average: 63.22) It was observed that among the 4 conditions performed on the TUG there were worse performances on the unstable surface and with the fulfilment of the dual task. To analyse the level of disease severity observerd that the worse the disease, worse was the akinesia performance’s evaluation (through the FOG-Q Brazilian) and the TUG (in all 4 conditions). Conclusion: The unstable surface and attention levels in individuals with PD influence mobility. In addition, to verify that the disease influences’ severity in the akinesia and mobility.