Parkinson's disease, Postural balance, Exercise therapy.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Aged 60 or older, both sexes, diagnosed with idiopathic Parkinson's Disease (IPD) by a neurologist specializing in Movement Disorders and in stages 1 to 3 on the Hoehn and Yahr scale.
Exclusion criteria
Exclusion criteria: Participants who presented cognitive deficits evaluated by means of the Mini Mental State Examination (MMSE) or adverse clinical conditions that could impede participation in the proposed protocol were excluded, as well as severe visual impairment, women in the post-menopausal phase, those using Deep Brain Stimulation (DBS), patients participating in some type of stretching activity, muscle strengthening or regular balance training, any motor sequelae that compromised balance and/or difficulty in locomotion, as well as patients restricted to a wheelchair (wheelchair). Osteometabolic diseases or the use of medications that interfere with bone metabolism, such as corticosteroids and bisphosphonates, were also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcome 1: strength and muscle power of flexors and extensors of the lower limbs were evaluated by isokinetic dynamometry (CYBEX®). Statistical analysis will show if there was, on average, a statistical difference between pre and post intervention by proposing a protocol of physical exercises to strengthen the quadriceps. | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcome 2. Bone quality was evaluated by bone densitometry in the femoral neck and lumbar spine segments. The statistical analysis will verify whether the segments evaluated before and after the intervention suffered changes that, associated with the condition of muscle strength, interfere with the postural pattern.;Outcome 3. Timed up and go, an instrument that assessed physical mobility and tendency to fall. The statistical analysis will verify if a good motor control can influence the reduction of the risk of falling after the intervention. ;Outcome 4: Tinetti Index, an instrument composed of the Gait and Balance scales, which further addressed the issue of static and dynamic balance. Statistical analysis will verify if good motor control can influence balance control and better postural pattern after the intervention. | — |
Countries
Brazil