Avaliação dos membros superiores na doença de Parkinson: implicações para a Reabilitação Física

Avaliação dos membros superiores na doença de Parkinson: implicações para a Reabilitação Física

Assessment of upper limbs in Parkinson’s disease: implications for Physical Rehabilitation

Thais Vianna Correa

; Thiago da Silva Rocha Paz

; Ana Elisa Lemos Silva

; Gisele de Paula Vieira

; Marco Antonio Araujo Leite

; Silvana Allodi

; Marco Orsini

; Clynton Lourenço Correa

1Programa de Mestrado e Doutorado em Educação Física, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

2 Programa de Mestrado e Doutorado em Neurociências e Neurologia, Universidade Federal Fluminense, Niterói, Brasil.

3 Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

4 Laboratório de Mapeamento Cerebral e EEG, IPUB, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

5 Centro Universitário Severino Sombra, Vassouras, Rio de Janeiro, Brasil

6 Programa de Mestrado em Ciências da Reabilitação - UNISUAM

Endereço para correspondência: Clynton Lourenço Corrêa, MSc, PhD, Universidade Federal do Rio de Janeiro, Instituto de Biofísica Carlos Chagas Filho, CCS, Laboratório de Neurobiologia Comparativa e do Desenvolvimento, Av. Carlos Chagas Filho, 373 Bloco G, Sala G2-001, CEP21941-902. Email: clyntoncorrea@

gmail.com

RESUMO

A doença de Parkinson é uma desordem neurológica com impacto negativo na motricidade e qualidade de vida dos pacientes. O com- SURPHWLPHQWR PRWRU LQFOXL GLȴFXOGDGHV SDUD D PDUFKD HTXLO¯EULR e atividades de vida diária. Contudo, pouca atenção é dada aos as- pectos de avaliação e reabilitação física dos membros superiores na doença de Parkinson. Sendo assim, o presente artigo apresenta ins- WUXPHQWRVGHDYDOLD©¥RQRFRQWH[WRGD&ODVVLȴFD©¥RΖQWHUQDFLRQDOGH Funcionalidade, Incapacidade e Saúde que são relatados na literatura HTXHSRGHPVHUYLUFRPRGHVIHFKRVFO¯QLFRVSDUDYHULȴFDUDHYROX©¥R dos pacientes com DP na reabilitação física.

Palavras-chave: Doença de Parkinson; Membros superiores; Classi-

ȴFD©¥RΖQWHUQDFLRQDOGH)XQFLRQDOLGDGHΖQFDSDFLGDGHH6D¼GH([D- me físico.

ABSTRACT

Parkinson’s disease is a neurological disorder with a negative impact on motor function and quality of life of patients. The motor impair- PHQW LQFOXGHV GLɝFXOWLHV LQ ZDONLQJ EDODQFH DQG GDLO\ DFWLYLWLHV However, little attention is paid to aspects of evaluation and physical rehabilitation for upper limbs in Parkinson’s disease. Therefore, this paper presents assessment tools in the context of the International

&ODVVLȴFDWLRQRI)XQFWLRQLQJ'LVDELOLW\DQG+HDOWKWKDWDUHUHSRUWHG in the literature and which can serve as clinical outcomes to verify the evolution of Parkinson’s disease patients in physical rehabilitation.

Key words3DUNLQVRQȇVGLVHDVH8SSHUOLPEVΖQWHUQDWLRQDO&ODVVLȴ-

cation of Functioning, Disability and Health; Physical examination.

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Tabela 1. Instrumentos utilizados para avaliação dos membros supe- riores na doença de Parkinson

Instrumento Medida Domínio da CIF

Uso na

DP Autor

Nine Hole Peg Test

Destreza

Manual Atividade Sim Earhart et al., 2011

Purdue Pegboard test

Destreza

Manual Atividade Sim Desrosiers et al., 1995

Block Box Test

Destreza

Manual Atividade Sim Desrosiers et

al.,1994

Goniometria Arco de movimento

Estrutura e Função do

corpo

Sim Schenkman et al., 2001

Dinamometria Força Manual

Estrutura e Função do

corpo

Sim Bohannon et al., 2006

Acelerômetro Tremor

Estrutura e Função do

corpo

Sim Potvin et al., 1975

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