Efeito do treinamento multicomponente e mat pilates sobre variáveis cinemáticas da marcha de indivíduos com Doença de Parkinson em situação de bloqueio da visão dos pés: um ensaio clínico randomizado-controlado unicego

Abstract

Introduction: Physical exercise is currently considered one of the best non-pharmacological resources for the treatment of clinical manifestations of Parkinson's disease, including changes in gait, and can be used as a strategy to bring benefits in dual-task situations, such as under conditions of gait with blocked view of the feet. In this sense, Multicomponent Training (TM) and Mat Pilates (MP) are modalities which due to their specific characteristics, are able to assist in the intervention of individuals with PD. Objective: To compare the effects of TM and MP on gait performance with blocked vision of the feet, using kinematic temporal gait variables of individuals with PD. Methods: The present study is characterized as a single-blind, randomized, controlled clinical trial, parallel with two arms, in which 22 individuals with idiopathic PD participated, classified in stages I and II of the Hoehn Yahr Scale (H&Y), which were randomized and allocated into two groups: TM (n = 12) and MP (n = 10). Three sessions per week lasting 60 minutes each were held for 12 weeks, with 2 weeks of familiarization of the exercises. In the present study, the variables cadence, swing time, double support time, stride time and speed were evaluated. Results: The Generalized Estimation Equation (GHG) model was used and a significant effect of the interaction between time x group was observed in the cadence variable (p = 0.00) and an effect of time with a statistically significant difference for the cadence (p = 0.02) and speed (p<0.0005) in the TM group. Conclusion: The results of the present study show that TM seems to be a more efficient intervention choice than MP regarding the improvement in gait speed in situations of blocked vision of the feet, with a consequent impact on balance and risk of falls.