Aplicação de protocolo piloto utilizando imagética motora em idosas institucionalizadas com doença de Parkinson

Abstract

Parkinson's disease (DP) causes the death of dopaminergic neurons of the substantia nigra of the brain generating motor changes such as bradykinesia, muscular rigidity, rest tremor, changes in posture and gait. Postural instability affects mobility and balance, increasing the risk of falls. Motor Imagery (MI) is a well-used physiotherapy resource after stroke, but in patients with PD it is still poorly referenced. Objective to verify the effect of pilot protocol using MI on the balance and mobility of patients with PD. This is a multiple case study with institutionalized elderly women submitted to the MI protocol, and the balance was evaluated by the Berg Functional Balance Scale (EEFB) and mobility by the Timed up and Go (TUG) test. Two elderly women with PD and two healthy women, institutionalized for more than one year, aged between 63 and 78 years were included. The average score of the Mini Mental State Examination (MMSE) was 25.75. The elderly with PD were classified in stage 1.5 and stage 2 of the Hoehn and Yahr scale. The disease diagnosis time was 2.7 years. Significance was observed in the final results in each individual, both for the EEFB and the TUG. MI is a treatment for balance and reduction in the risk of falls in elderly women with PD and healthy, especially the results obtained with the former.