Efectos Del Mat Pilates En La Amplitud De Movimiento, El Equilibrio, La Flexibilidad Y La Movilidad Funcional En Personas Con Parkinson: (Effects Of Mat Pilates On Range Of Motion, Balance, Flexibility And Functional Mobility In People With Parkinson’s)

Autores/as

DOI:

https://doi.org/10.47197/retos.v54.102220

Palabras clave:

Ejercicio físico, rehabilitation, Enfermedades neurodegenerativas, Pilates

Resumen

Este estudio es un ensayo controlado aleatorio de dos grupos que analizó los efectos del Mat Pilates sobre la amplitud de movimiento, el equilibrio, la flexibilidad y la movilidad funcional en personas con Parkinson. Se aleatorizaron 23 individuos en el grupo de Mat Pilates y en grupo de control, y se recopilaron datos antes y después de la intervención, evaluando la amplitud del hombro (Absolute Axis 360); el equilibrio (Mini-BESTest); la flexibilidad (Prueba de sentarse y alcanzar); y la movilidad funcional (TUG). Los resultados mostraron diferencias significativas dentro del grupo de Mat Pilates en el equilibrio (p<0.001), la movilidad funcional (p=0.011), la amplitud de movimiento del hombre derecho en abducción (p=0.006), aunque no hubo diferencias significativas en la flexibilidad. No se observaron diferencias entre los grupos y dentro del grupo se observó un empeoramiento en la flexión del hombro derecho (p=0.008). Un protocolo de Mat Pilates puede ser un tratamiento complementario para mejorar el equilibrio, la movilidad funcional y la amplitud de movimiento del hombro en abducción en personas con enfermedad de Parkinson.

Palabras clave: Ejercicio físico; Rehabilitación; Enfermedades neurodegenerativas; Pilates.

Abstract. This study is a two-arm randomized controlled trial that analyzed the effects of Mat Pilates on range of motion, balance, flexibility and functional mobility in people with Parkinson’s. 23 individuals were randomized in Mat Pilates group and control group, pre and post-intervention data collection were made evaluating shoulder amplitude (Absolute Axis 360); balance (Mini-BESTest); flexibility (Sit and reach test); and functional mobility (TUG). The results showed significant intragroup differences in Mat Pilates group on balance (p<0.001), functional mobility (p=0.011), range of motion of the right shoulder in abduction (p=0.002) and left shoulder in abduction (p=0.006), although, in flexibility there were no significant differences. There were no intergroup differences and the intragroup presented worsening results in right shoulder flexion (p=0.008). A Mat Pilates protocol can be a complementary treatment to improve balance, functional mobility and shoulder range of motion in abduction in people with Parkinson’s disease.

Keywords: Physical exercise; Rehabilitation; Neurodegenerative diseases; Pilates.

Biografía del autor/a

Ane Luyze Izidoro Walkowski, Santa Catarina State University

Ane Luyze Izidoro Walkowski: Estudiante de Educación Física en el programa de graduación de la Universidad del Estado de Santa Catarina, Florianópolis, SC, Brasil. 

Jéssica Amaro Moratelli Moratelli, Universidad del Estado de Santa Catarina

Jéssica Amaro Moratelli: Doctora en el programa de posgrado de la Universidad del Estado de Santa Catarina, Florianópolis, SC, Brasil. 

Audrey Alcantara Garcia Meliani, Universidad del Estado de Santa Catarina

Audrey Alcantara Garcia Meliani: Licenciada en Educación Física en la Universidad del Estado de Santa Catarina, Florianópolis, SC, Brasil

Alicia Garcia Lima, Universidad del Estado de Santa Catarina

Alicia Garcia Lima: Estudiante de Educación Física en el programa de posgrado de la Universidad del Estado de Santa Catarina, Florianópolis, SC, Brasil

Adriana Coutinho de Azevedo Guimarães Guimarães, Universidad del Estado de Santa Catarina

Adriana Coutinho de Azevedo Guimarães: Doctora, Departamento de Educación Física, Universidad del Estado de Santa Catarina, Florianópolis, SC, Brasil. Iniciativa Brasileña de Rehabilitación de la Enfermedad de Parkinson - BpaRkI, Universidad del Estado de Santa Catarina, Florianópolis, SC, Brasil.

Citas

Ammitzbøll, G., Lanng, C., Kroman, N., Zerahn, B., Hyldegaard, O., Kaae Andersen, K., … Dalton, S. O. (2017). Progressive strength training to prevent lymphoedema in the first year after breast cancer – the LYCA feasibility study. Acta Oncologica, 56(2), 360-366. https://doi.org/10.1080/0284186x.2016.1268266

Artigas, N. R., Franco, C., Leão, P., & Rieder, C. R. M. (2016). Postural instability and falls are more frequent in Parkinson’s disease patients with worse trunk mobility. Arquivos de Neuro-Psiquiatria, 74(7), 519–523. https://doi.org/10.1590/0004-282x20160074

Balestrino, R., & Schapira, A. H. V. (2019). Parkinson disease. European Journal of Neurology, 27(1), 27–42. https://doi.org/10.1111/ene.14108

Bambirra, C., Magalhães, L. C. & Paula, F. R. (2015). Confiabilidade e validade do BESTest e do MiniBESTest em hemiparéticos crônicos. Revista Neurociências, 23(1), 30–40. https://doi.org/10.34024/rnc.2015.v23.8044

Barbalho, M., Monteiro, E. P., Costa, R. R., & Raiol, R. (2019). Effects of low-volume resistance training on muscle strength and functionality of people with Parkinson's disease. International Journal of Exercise Science, 12(3), 567-580. PMID: 31156747

Barbieri, F. A., Rinaldi, N. M., Santos, P. C. R., Lirani-Silva, E., Vitório, R., Teixeira-Arroyo, C., … Gobbi, L. T. B. (2012). Functional capacity of Brazilian patients with Parkinson’s disease (PD): Relationship between clinical characteristics and disease severity. Archives of Gerontology and Geriatrics, 54(2), e83–e88.

https://doi.org/10.1016/j.archger.2011.07.008

Bazyar, H., Marandi, S. M., & Chitsaz, A. (2022). Assessing the effect of 12 weeks of Pilates and aquatic exercise on muscle strength and range of motion in patients with mild to moderate Parkinson’s disease. Asian Journal of Sports Medicine, 13(3). https://doi.org/10.5812/asjsm-123190

Cabreira, V., & Massano, J. (2019). Doença de Parkinson: Revisão clínica e atualização. Acta Médica Portuguesa, 32(10), 661. https://doi.org/10.20344/amp.11978

Cancela, J. M., Cardalda, I. M., Ayán, C., & de Oliveira, I. M. (2018). Feasibility and efficacy of mat Pilates on people with mild-to-moderate Parkinson’s disease: A preliminary study. Rejuvenation Research, 21(2), 109–116. https://doi.org/10.1089/rej.2017.1969

Cano-de-la-Cuerda, R., Vela-Desojo, L., Moreno-Verdú, M., Ferreira-Sánchez, M. del R., Macías-Macías, Y., & Miangolarra-Page, J. C. (2020). Trunk range of motion is related to axial rigidity, functional mobility and quality of life in Parkinson’s disease: An exploratory study. Sensors, 20(9), 2482. https://doi.org/10.3390/s20092482

Cardalda, I. M., Machado, I., Vila, H., & Ayán, C. (2023). Is high intensity Pilates exercise treatment beneficial for people with Parkinson´S disease? Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación, 48, 937–944. https://doi.org/10.47197/retos.v48.96771

Chan, A.-W., Tetzlaff, J. M., Altman, D. G., Laupacis, A., Gøtzsche, P. C., Krleža-Jerić, K., … Moher, D. (2013). SPIRIT 2013 statement: Defining standard protocol items for clinical trials. Annals of Internal Medicine, 158(3), 200. https://doi.org/10.7326/0003-4819-158-3-201302050-00583

Çoban, F., Belgen Kaygısız, B., & Selcuk, F. (2021). Effect of clinical Pilates training on balance and postural control in patients with Parkinson’s disease: A randomized controlled trial. Journal of Comparative Effectiveness Research, 10(18), 1373–1383. https://doi.org/10.2217/cer-2021-0091

Correa, M. de S., & Miranda, M. R. B. (2021). Método Pilates no tratamento de pacientes com doença de Parkinson. Revista de Iniciação Científica e Extensão, 4(1), 578–585. https://doi.org/10.5335/rbceh.v14i2.7006

Da Silva, F. C., Iop, R. da R., de Oliveira, L. C., Boll, A. M., de Alvarenga, J. G. S., Gutierres Filho, P. J. B., … da Silva, R. (2018). Effects of physical exercise programs on cognitive function in Parkinson’s disease patients: A systematic review of randomized controlled trials of the last 10 years. PLOS ONE, 13(2), e0193113. https://doi.org/10.1371/journal.pone.0193113

De Carvalho, K. S., Coelho, D. B., de Souza, C. R., Silva-Batista, C., Shida, T. K. F., Teixeira, L. A., & de Lima-Pardini, A. C. (2021). Preserved flexibility of dynamic postural control in individuals with Parkinson’s disease. Gait & Posture, 86, 240–244. https://doi.org/10.1016/j.gaitpost.2021.03.027

Do Carmo, V. S., Boas, L. D. A. V., Do Vale, A. L. A., & Pinheiro, I. D. M. (2018). Aptidão física de idosos com doença de Parkinson submetidos à intervenção pelo método Pilates. Revista Brasileira de Ciências do Envelhecimento Humano, 14(2). https://doi.org/10.5335/rbceh.v14i2.7006

Ellis, T., Boudreau, J. K., DeAngelis, T. R., Brown, L. E., Cavanaugh, J. T., Earhart, G. M., … Dibble, L. E. (2013). Barriers to exercise in people with Parkinson disease. Physical Therapy, 93(5), 628–636. https://doi.org/10.2522/ptj.20120279

Feng, Y.-S., Yang, S.-D., Tan, Z.-X., Wang, M.-M., Xing, Y., Dong, F., & Zhang, F. (2020). The benefits and mechanisms of exercise training for Parkinson’s disease. Life Sciences, 245, 117345. https://doi.org/10.1016/j.lfs.2020.117345

Ferreira, R. M. Alves, W. M. G. C. Lima, T. A. de Alves, T. G. G. Filho, P. A. M. A. Pimentel, C. P., . . . Cortinhas-Alves, E. A. (2018). The effect of resistance training on the anxiety symptoms and quality of life in elderly people with Parkinson’s disease: A randomized controlled trial. Arquivos de Neuro-Psiquiatria, 76(8), 499–506. https://doi.org/10.1590/0004-282x20180071

García Amor, G. E. (2020). Diseño de material gráfico para pacientes con enfermedad de Parkinson: Aprendiendo a identificar las fluctuaciones on-off. Retrieved from https://uvadoc.uva.es/handle/10324/41595

Geremia, J. M., Iskiewicz, M. M., Marschner, R. A., Lehnen, T. E., & Lehnen, A. M. (2015). Effect of a physical training program using the Pilates method on flexibility in elderly subjects. AGE, 37(6). https://doi.org/10.1007/s11357-015-9856-z

Hoehn, M., & Yahr, M. (1967). Parkinsonism: Onset, progression and mortality. Neurology, 17, 427-442.

Jankovic, J. (2008). Parkinson’s disease: Clinical features and diagnosis. Journal of Neurology, Neurosurgery & Psychiatry, 79(4), 368–376. https://doi.org/10.1136/jnnp.2007.131045

Keays, K. S., Harris, S. R., Lucyshyn, J. M., & MacIntyre, D. L. (2008). Effects of Pilates exercises on shoulder range of motion, pain, mood, and upper-extremity function in women living with breast cancer: A pilot study. Physical Therapy, 88(4), 494–510. https://doi.org/10.2522/ptj.20070099

Latey, P. (2001). The Pilates method: History and philosophy. Journal of Bodywork and Movement Therapies, 5(4), 275–282. https://doi.org/10.1054/jbmt.2001.0237

Leal, L. C. P. Abrahin, O. Rodrigues, R. P. Silva, M. C. R. da Araújo, A. P. M. Sousa, . . . C. P. Cortinhas-Alves, E. A. (2023). Low‐volume resistance training improves the functional capacity of older individuals with Parkinson’s disease. Geriatrics & Gerontology International, 19(7). https://doi.org/10.1111/ggi.13682

Liu, H., Sun, C., Zhang, T., Zhang, F., Zou, H., Song, Y., & Xiao, Z. (2021). El efecto médico del ejercicio fisico en la enfermedad de Parkinson. Revista Brasileira de Medicina Do Esporte, 27, 747–749. https://doi.org/10.1590/1517-8692202127072021_0353

Mak, M. K., Wong-Yu, I. S., Shen, X., & Chung, C. L. (2017). Long-term effects of exercise and physical therapy in people with Parkinson disease. Nature Reviews Neurology, 13(11), 689–703. https://doi.org/10.1038/nrneurol.2017.128

Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease. (2003). The Unified Parkinson’s Disease Rating Scale (UPDRS): Status and recommendations. Movement Disorders, 18(7), 738–750. https://doi.org/10.1002/mds.10473

Murray, D. K., Sacheli, M. A., Eng, J. J., & Stoessl, A. J. (2014). The effects of exercise on cognition in Parkinson’s disease: a systematic review. Translational Neurodegeneration, 3(1). https://doi.org/10.1186/2047-9158-3-5

Paul, S. S., Canning, C. G., Song, J., Fung, V. S., & Sherrington, C. (2013). Leg muscle power is enhanced by training in people with Parkinson’s disease: A randomized controlled trial. Clinical Rehabilitation, 28(3), 275–288. https://doi.org/10.1177/0269215513507462

(2016). Physical activity strategy for the WHO European Region 2016-2025.

Podsiadlo, D., & Richardson, S. (1991). The Timed “up & go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x

Postuma, R. B., Berg, D., Stern, M., Poewe, W., Olanow, C. W., Oertel, W., … Deuschl, G. (2015). MDS clinical diagnostic criteria for Parkinson’s disease. Movement Disorders, 30(12), 1591–1601. https://doi.org/10.1002/mds.26424

Pucci, G. C. M. F., Neves, E. B., Santana, F. S., Neves, D. de A., & Saavedra, F. J. F. (2021). Comparative analysis of Pilates and resistance training in physical fitness of elderly. RETOS. Nuevas Tendencias en Educación Física, Deporte y Recreación, (41), 628-637. https://doi.org/10.47197/retos.v41i0.84162

Rahmati, Z., Behzadipour, S., Schouten, A. C., Taghizadeh, G., & Firoozbakhsh, K. (2020). Postural control learning dynamics in Parkinson’s disease: Early improvement with plateau in stability, and continuous progression in flexibility and mobility. BioMedical Engineering OnLine, 19, 29. https://doi.org/10.1186/s12938-020-00776-1

Roeder, L., Costello, J. T., Smith, S. S., Stewart, I. B., & Kerr, G. K. (2015). Effects of resistance training on measures of muscular strength in people with Parkinson’s disease: A systematic review and meta-analysis. PLOS ONE, 10(7), e0132135. https://doi.org/10.1371/journal.pone.0132135

Saba, R. A., Maia, D. P., Cardoso, F. E. C., Borges, V., F. Andrade, L. A., Ferraz, H. B., … Spitz, M. (2022). Guidelines for Parkinson’s disease treatment: Consensus from the Movement Disorders Scientific Department of the Brazilian Academy of Neurology - Motor Symptoms. Arquivos de Neuro-Psiquiatria. https://doi.org/10.1590/0004-282X-ANP-2021-0219

Sarmento, A. R. L. (2009). Apresentação e aplicabilidade da versão brasileira da MoCA (Montreal Cognitive Assessment) para rastreio de comprometimento cognitivo leve [dissertação]. Escola Paulista de Medet alicina da Universidade Federal de São Paulo. Programa de Pós-graduação.

Scalzo, P. L., Flores, C. R., Marques, J. R., Robini, S. C. de O., & Teixeira, A. L. (2012). Impact of changes in balance and walking capacity on the quality of life in patients with Parkinson’s disease. Arquivos de Neuro-Psiquiatria, 70(2), 119–124. https://doi.org/10.1590/s0004-282x2012000200009

Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMJ, 340(mar23 1), c332. https://doi.org/10.1136/bmj.c332

Silva, F. da, Alvarez, A. M., Nunes, S. F. L., Silva, M. E. M., & Santos, S. M. A. D. (2022). Avaliação do risco de quedas entre pessoas com doença de Parkinson. Escola Anna Nery, 26. https://doi.org/10.1590/2177-9465-ean-2021-0131

Speck, A. E. Schamne, M. G. Aguiar Jr, A. S. Cunha, R. A. & Prediger, R. D. (2019). Treadmill exercise attenuates L-DOPA-induced dyskinesia and increases striatal levels of glial cell-derived neurotrophic factor (GDNF) in hemiparkinsonian mice. Molecular Neurobiology, 56(4), 2944–2951. https://doi.org/10.1007/s12035-018-1278-3

Suárez-Iglesias, D., Miller, K. J., Seijo-Martínez, M., & Ayán, C. (2019). Benefits of Pilates in Parkinson’s disease: A systematic review and meta-analysis. Medicina, 55(8), 476. https://doi.org/10.3390/medicina55080476

Wells, K. F., & Dillon, E. K. (1952). The sit and reach—a test of back and leg flexibility. Research Quarterly. American Association for Health, Physical Education and Recreation, 23(1), 115–118. https://doi.org/10.1080/10671188.1952.10761965

World Health Organization. (2022, June 14). Parkinson disease: A public health approach. Technical Brief. Retrieved from https://www.who.int/publications/i/item/9789240050983

Xu, X., Fu, Z., & Le, W. (2019). Exercise and Parkinson’s disease. International Review of Neurobiology, 147, 45–74. https://doi.org/10.1016/bs.irn.2019.06.003

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2024-05-01

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Walkowski, A. L. I. W., Moratelli, J. A. M., Meliani, A. A. G. M., Garcia Lima, A. G. L., & Guimarães, A. C. de A. G. (2024). Efectos Del Mat Pilates En La Amplitud De Movimiento, El Equilibrio, La Flexibilidad Y La Movilidad Funcional En Personas Con Parkinson: (Effects Of Mat Pilates On Range Of Motion, Balance, Flexibility And Functional Mobility In People With Parkinson’s). Retos, 54, 255–263. https://doi.org/10.47197/retos.v54.102220

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Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas