PRODUÇÃO ACADÊMICA Repositório Acadêmico da Graduação (RAG) TCC Medicina
Use este identificador para citar ou linkar para este item: https://repositorio.pucgoias.edu.br/jspui/handle/123456789/365
Registro completo de metadados
Campo DCValorIdioma
dc.creatorCastro, Pedro Henrique Cavalcanti Garcia de-
dc.creatorSouza, Stefano Machado Garcia de-
dc.date.accessioned2020-12-10T14:32:16Z-
dc.date.available2020-12-10T14:32:16Z-
dc.date.issued2019-10-15-
dc.identifier.urihttps://repositorio.pucgoias.edu.br/jspui/handle/123456789/365-
dc.description.abstractParkinson's disease (PD) is a chronic and progressive neurodegenerative disease characterized by motor and non-motor symptoms that compromise functionality and ability to perform daily activities. Given the long and progressive course of PD, the lack of disease-modifying therapies, and the incomplete benefits of prescription drugs, the search for non-pharmacological measures has increased, justifying their adherence to alternative therapies such as acupuncture, music therapy and Yoga The aim of this study was to address the main effects of acupuncture, music therapy and yoga, in the auxiliary treatment of patients with PD, highlighting its benefits to improve patients' quality of life. It is a systematic review of the literature. The research included randomized controlled clinical trials on the use of therapies: acupuncture, yoga and music therapy in the Cochrane Central Register of Controlled Trials, Medline / Pubmed and Virtual Health Library (VHL) electronic databases, published between 2015 and 2019. The following multiple combination DeCSs are used: Parkinson; Parkinson's disease; Music therapy; Yoga; Acupuncture, in English, Spanish and Portuguese. The authors independently found 85 potentially relevant articles for analysis by searching the studies in the three electronic databases used. The relevance of the studies was determined from methodological criteria provided by Cochrane Central. After the analysis of the works, 66 articles were excluded, based on the eligibility criteria. We included 19 articles on randomized controlled trials. Most randomized clinical trials independently demonstrated that yoga, music therapy and acupuncture improved cognition, balance, functional mobility, acquisition of motor skills, performance in daily activities and consequently the quality of life of patients. PD patients. Significant evidence of the benefits of yoga, acupuncture and music therapy in the treatment of PD patients compared to control groups was found in most of the parameters evaluated. However, there is a lack of high accuracy randomized clinical trials evaluating the efficacy of these therapies in patients with PD, in order to contribute to the consolidation of complementary therapies in neurodegenerative diseases, often limited to drug interventions.pt_BR
dc.languageporpt_BR
dc.publisherPontifícia Universidade Católica de Goiáspt_BR
dc.relationRecursos dos próprios autores.pt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectDoença de Parkinsonpt_BR
dc.subjectTerapias Complementarespt_BR
dc.subjectMusicoterapiapt_BR
dc.subjectYogapt_BR
dc.subjectAcupunturapt_BR
dc.titleTerapias Não Farmacológicas no Tratamento Complementar de Pacientes Portadores da Doença de Parkinsonpt_BR
dc.title.alternativeNon-Pharmacological Therapies in the Additional Treatment of Parkinson’s Disease Patientspt_BR
dc.typeTrabalho de Conclusão de Cursopt_BR
dc.contributor.advisor1Rocha Sobrinho, Hermínio Maurício da-
dc.contributor.advisor1IDhttps://orcid.org/0000-0002-7521-3700pt_BR
dc.contributor.advisor1Latteshttp://lattes.cnpq.br/5573574130526137pt_BR
dc.contributor.referee1Schwam Júnior, José Guilherme-
dc.contributor.referee1Latteshttp://lattes.cnpq.br/9351940860875148pt_BR
dc.contributor.referee2Quinan, Thalita Dayrell Leite-
dc.contributor.referee2Latteshttp://lattes.cnpq.br/1178033306359845pt_BR
dc.description.resumoA Doença de Parkinson (DP) é uma doença neurodegenerativa crônica e progressiva, caracterizada por sintomas motores e não motores que comprometem a funcionalidade e a capacidade para atividades cotidianas. Dado o curso longo e progressivo da DP, a falta de terapias modificadoras da doença e benefícios incompletos dos medicamentos prescritos, a busca por medidas não farmacológicas tem aumentado, justificando-se a sua adesão dos pacientes às terapias alternativas tais como a Acupuntura, Musicoterapia e Yoga. O objetivo deste estudo foi abordar os principais efeitos da acupuntura, musicoterapia e yoga, no tratamento auxiliar de pacientes portadores da DP, ressaltando seus benefícios para melhorar a qualidade de vida dos pacientes. Trata-se de uma revisão sistemática da literatura. A pesquisa incluiu ensaios clínicos controlados randomizados sobre o uso das terapias: acupuntura, yoga e musicoterapia, nas bases de dados eletrônicas Cochrane Central Register of Controlled Trials, Medline/Pubmed e Biblioteca Virtual em Saúde (BVS), publicados entre 2015 e 2019. Foram utilizados os seguintes DeCS com múltiplas combinações: Parkinson; doença de Parkinson; Musicoterapia; Yoga; Acupuntura, nos idiomas inglês, espanhol e português. Os autores, de forma independente, encontraram 85 artigos potencialmente relevantes, para análise, a partir da busca dos estudos nas três bases de dados eletrônicas utilizadas. A relevância dos estudos foi determinada a partir de critérios metodológicos fornecidos pela Cochrane Central. Após a análise dos trabalhos, foram excluídos 66 artigos, com base nos critérios de elegibilidade. Foram incluídos 19 artigos sobre estudos clínicos controlados e randomizados. A maior parte dos ensaios clínicos randomizados demonstrou que, de forma independente, a Yoga, Musicoterapia e a Acupuntura melhoraram a cognição, o equilíbrio, a mobilidade funcional, aquisição de habilidades motoras, o desempenho nas atividades cotidianas e consequentemente a qualidade de vida dos pacientes portadores da DP. Foram constatadas evidências significativas dos benefícios da yoga, acupuntura e musicoterapia no tratamento dos pacientes com DP em relação aos grupos controle, na maioria dos parâmetros avaliados. Entretanto, há uma carência de ensaios clínicos randomizados de alta acurácia que avaliem a eficácia dessas terapias no paciente portador de DP, de maneira a contribuir para a consolidação das terapias complementares nas doenças neurodegenerativas, muitas vezes limitadas a intervenções medicamentosas.pt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEscola de Ciências Médicas, Farmacêuticas e Biomédicaspt_BR
dc.publisher.initialsPUC Goiáspt_BR
dc.subject.cnpqCNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::NEUROLOGIApt_BR
dc.relation.referencesAL-RADAIDEH, A.;RABABAH, E. The Role of Magnetic Resonance Imaging in the Diagnosis of Parkinson’s Disease: A review. Journal of Clinical Imaging, 2016 doi: 10.1016/j.clinimag.2016.05.006 AROXA, F. et al. Acupuncture as Adjuvant Therapy for Sleep Disorders in Parkinson's Disease. Journal of Acupuncture and Meridian Studies. v.10, n. 1, p. 33-38, 2017 ASHOORI, A.; EAGLEMAN, D. M.; JANKOVIC, J. Effects of Auditory Rhythm and Music on Gait Disturbances in Parkinson’s Disease. Front. Neurol. v. 6, n. 234, 2015. doi: 10.3389/fneur.2015.00234. BEGA, Danny; STEIN, Jill. Yoga Versus Resistance Training in Mild to Moderate Severity Parkinson’s Disease: A 12-Week Pilot Study. Journal of Yoga & Physical Therapy, v. 6, n. 1, p. 1-7, 2016. BRASIL. MINISTÉRIO DA SAÚDE. Política Nacional de Práticas Integrativas e Complementares (PNPIC), 3ª edição, Brasília-DF, 2018. BUKOWSKA, A. et al. Neurologic Music Therapy Training for Mobility and Stability Rehabilitation with Parkinson’s Disease – A Pilot Study. Frontiers in Human Neuroscience. V. 9, n.1, p. 1-12, 2016. CALABRÒ, R. S. et al. Walking to your right music: a randomized controlled trial on the novel use of treadmill plus music in Parkinson’s disease. Journal of NeuroEngineering and Rehabilitation. V. 16, n. 1, p. 68-9, 2019. CHANT, B. C. et al. Contact Tools in Japanese Acupuncture: An Ethnography of Acupuncture Practitioners in Japan. 2017 CHO, S. et al. Efficacy of Combined Treatment with Acupuncture and Bee Venom Acupuncture as an Adjunctive Treatment for Parkinson's Disease. The Journal of Alternative and Complementary Medicine. V. 24, n.1, p. 25-32, 2017. FOX, S.H; KATZENSCHLAGER, R.; LIM,S.Y; et. al. International Parkinson and Movement Disorder Society Evidence-Based Medicine Review : Update on Treatments for the Motor Symptoms of Parkinson’s Disease. Movement Disorder Society Evidence-Based Medicine Committee. Mov Disord. v. 33, n.8, p.1248-1266, 2018. doi: 10.1002/mds.27372. GARCÍA-CASARES, N., et al. Music Therapy in Parkinson’s Disease. Journal of the American Medical Directors Association. V.19, n. 12, p. 1054-1062, 2018. HELMS, J. M. An overview of medical acupuncture. Altern Ther Health Med. V. 4, n. 3, p. 35-45, 1998. JANKOVIC, J. Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry. V. 79 n. 4, p. 368-76, 2008. doi: 10.1136/jnnp.2007.131045 JIN, H.; JEON, B.; JU, S. Professional ethics in complementary and alternative medicines in management of Parkinson’s disease. Journal of Parkinson’s Disease. 6(2016) 675-683, 2016. DOI 10.3233/JPD-160890. KLUGER, B. et al. Minimal clinically important difference of the Modified Fatigue Impact Scale in Parkinson's disease. Parkinsonism and Related Disorders. Vol. 43:101-104. 2016 KONG, K. et al. Acupuncture in the treatment of fatigue in Parkinson's disease: A pilot, randomized, controlled, study. Brain and Behavior. Vol. 8(1):1-6. 2018 KOSHIMORI, Y.; Thaut, M. H. Future perspectives on neural mechanisms underlying rhythm and music based neurorehabilitation in Parkinson’s disease. Ageing Research Reviews (2018). https://doi.org/10.1016/j.arr.2018.07.001 KWOK, J. et al. Effects of Mindfulness Yoga vs Stretching and Resistance Training Exercises on Anxiety and Depression for People with Parkinson Disease: A Randomized Clinical Trial. JAMA Neurology. Vol. 76(7):755-763. 2019 LEEM, J. Acupuncture for motor symptom improvement in Parkinson's disease and the potential identification of responders to acupuncture treatment. Integrative Medicine Research. Vol 5(4):332-335. 2016 LEI, H. et al. A Pilot Clinical Trial to Objectively Assess the Efficacy of Electroacupuncture on Gait in Patients with Parkinson's Disease Using Body Worn Sensors. PloS one. Vol. 11(5). 2016 LEONARDI, S. et al. The role of music therapy in rehabilitation: improving aphasia and beyond. International Journal of Neuroscience. Vol 128(1):90-99. 2017 LI, Z. et al. Acupuncture modulates the cerebello-thalamo-cortical circuit and cognitive brain regions in patients of Parkinson's Disease with tremor. Frontiers in Aging Neuroscience. Vol. 10:1-11. 2018 LIU, C. Effect of Tung’s Acupuncture on Walk and Balance Function in Patients with Parkinson’s Disease. Shanghai Journal of Acupuncture and Moxibustion. 35(10):1187-1189. 2016 MEMARIAN, A.; SANATKARAN, A.; BAHADI, S. M. The effect of laughter yoga exercises on anxiety and sleep quality in patients suffering from Parkinson’s disease. Biomedical Research and Therapy. Vol. 4(7):1463 MOUMDJIAN, L.,; SARKAMO, T.; LEONE, C. Effectiveness of music-based interventions on motricity or cognitive functioning in neurological populations: a systematic review. European journal of physical and rehabilitation medicine. Vol. 53(3):466-482. 2017 MÜNTE, T. F.; ALTENMÜLLER, E.; JÄNCKE, L. The musician’s brain as a model of neuroplasticity. NATURE REVIEWS – NEUROSCIENCE, Vol. 3:473-478. 2002 National Institute for Health and Care Excellence, Parkinson’s disease in adults, 2017. nice.org.uk/guidance/ng71 NI, M.; SIGNORILE, J. F.; MOONEY, K. Controlled pilot study of the effects of power yoga in Parkinson’s disease. Complementary Therapies in Medicine, v. 25, p.126-131, 2016. NI, M.; SIGNORILE, Joseph F.; MOONEY, K., et. al. Comparative effect of power training and high-speed yoga on motor function in older patients with Parkinson disease. Archives of Physical Medicine and Rehabilitation, v. 97, n. 3:345-354.e15 2016. SHARMA, N.K.; ROBBINS, K.; WAGNER, K.; COLGROVE, Y.M. A randomized controlled pilot study of the therapeutic effects of yoga in people with Parkinson’s disease. International Journal of Yoga, v. 8, n. 1, p.74-79, 2015. SHIN,J.Y.; POHLIG, R.T., HABERMANN, B. Use of complementary health approaches in individuals with Parkinson’s disease, J. Gerontol. Nurs. v. 43 (2017), p. 46-54, 2017. T. FIELD, Yoga clinical research review. Complementary Therapies in Clinical Practice, v. 17,1:1-8, 2011 TAMTAJI, O.R. et al. The effects of acupuncture and electroacupuncture on Parkinson's disease: Current status and future perspectives for molecular mechanisms. J Cell Biochem. 2019 Apr 2. doi: 10.1002/jcb.28654. THAUT, M. H. et al. Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study. Clinical Rehabilitation. Vol. 33(1):34-43. 2019 TOOSIZADEH, N. et al. Does integrative medicine enhance balance in aging adults? Proof of concept for the benefit of electroacupuncture therapy in Parkinson's disease. Gerontology. 61(1):3-14. 2015 TYSNES, O. B., STORSTEIN, A. Epidemiology of Parkinson’s desease. Journal of Neural Transmission. 124(8):901-905, 2017 VAN PUYMBROECK, M.; WALTER, A.A.; HAWKINS, B.L., et. al. Functional Improvements in Parkinson’s Disease Following a Randomized Trial of Yoga. Evidence-based Complementary and Alternative Medicine, 2018:4523743. doi: 10.1155/2018/4523743. eCollection, 2018. VAN PUYMPROECK, M. et al. Functional Improvements in Parkinson's Disease Following a Randomized Trial of Yoga. Evidence-based Complementary and Alternative Medicine. Vol. 2018, Article ID 8516351 WALTER, AA, et al. Changes in Nonmotor Symptoms Following an 8-Week Yoga Intervention for People with Parkinson's Disease.Int J Yoga Therap. 2019 Mar 22. doi: 10.17761/2019-00025. XIANG, Y.; HE, J. Y.; LI, R. Appropriateness of sham or placebo acupuncture for randomized controlled trials of acupuncture for nonspecific low back pain: a systematic review and meta-analysis. Journal of Pain Research. Vol. 11:83-94. 2018pt_BR
Aparece nas coleções:TCC Medicina

Arquivos associados a este item:
Arquivo Descrição TamanhoFormato 
TCC versão final Terapias nao farmacologicas no tratamento da doença de Parkinson 2019.pdf281,86 kBAdobe PDFVisualizar/Abrir


Os itens no repositório estão protegidos por copyright, com todos os direitos reservados, salvo quando é indicado o contrário.

Ferramentas do administrador