Aplicación de un programa de ejercicio físico coordinativo a través del sistema MOTOmed® en personas mayores diagnosticadas de Enfermedad de Parkinson moderado-severo. Estudio de casos (Application of a physical exercise coordinating program by MOTOmed®

Autores/as

  • Irimia Mollinedo Cardalda Universidad de Vigo
  • Karina Pitombeira Pereira Pedro Universidad de Vigo
  • Adriana López Rodríguez Universidad de Vigo
  • José María Cancela Carral Universidade de Vigo

DOI:

https://doi.org/10.47197/retos.v0i39.78385

Palabras clave:

Enfermedades neurodegenerativas, actividad física, ancianos, fuerza, equilibrio., (Neurodegenerative Disorders; Physical Activity; Older adults; Strength: Balance)

Resumen

Introducción: La Enfermedad de Parkinson provoca trastornos motrices que conllevan a la independencia funcional del paciente. El ejercicio físico es una alternativa de tratamiento que que genera efectos positivos en la condición física de los pacientes .Objetivo: Determinar los efectos de un programa de ejercicio físico coordinativo desarrollado a través del sistema MOTOmed Viva 2 Parkinson sobre la fuerza de miembros inferiores y equilibrio, en personas diagnosticadas de Enfermedad de Parkinson de grado moderado a severo. Método: Se realizó un estudio de casos en cuatro sujetos diagnosticados de Enfermedad de Parkinson. Se les aplicó un programa de ejercicio físico coordinativo de dos sesiones semanales de 21 minutos durante siete semanas. Se evaluó la fuerza de miembros inferiores (30 Seconds Chair Stand Test) y el equilibrio (Timed Up and Go test, 8 Foot Up and Go test). Resultados: El equilibrio dinámico presentó mejoras para tres de los cuatro pacientes. La fuerza de miembros inferiores mostró un comportamiento dispar, observándose mejoras en un paciente, empeoramiento en otro, dos mantuvieron los niveles de fuerza. Conclusión: El programa de ejercicio físico coordinado (MOTOmed Viva 2 Parkinson) se presenta como una herramienta útil de tratamiento para la población diagnosticada de Enfermedad de Parkinson de grado moderado a severo. 

Abstract. Background: Parkinson´s disease causes motor disorders that lead to patients’ functional dependence. Physical exercise is an alternative treatment that generates positive effects on patients’ physical condition. Objective: To determine the effects of a physical exercise program developed through MOTOmed Viva 2 Parkinson system on lower limb strength and balance in people diagnosed with moderate to severe degree of Parkinson´s disease. Method: A case study was conducted on four subjects diagnosed whit Parkinson´s disease. They were treated with a 21-minute session of coordination exercises twice a week for seven weeks. Strength of lower limbs (30 Seconds Chair Stand Test) and balance (Timed Up and Go Test, 8 Foot Up and Go Test) were evaluated. Results: Dynamic balance showed improvements for three of the four patients. Strength of lower limbs showed mixed behavior, with observed improvements in one patient, worsening in another, and maintained levels in the remaining two. Conclusion: The coordinated physical exercise program (MOTOmed Viva 2 Parkinson) is presented as a useful treatment tool for people with moderate to severe Parkinson´s disease.

Biografía del autor/a

Irimia Mollinedo Cardalda , Universidad de Vigo

Grupo de Investigación HealthyFit. Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur). Sergas-UVIGO, España

Karina Pitombeira Pereira Pedro , Universidad de Vigo

Grupo de Investigación HealthyFit. Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur). Sergas-UVIGO, España

Adriana López Rodríguez , Universidad de Vigo

Grupo de Investigación HealthyFit. Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur). Sergas-UVIGO, España

José María Cancela Carral , Universidade de Vigo

Grupo de Investigación HealthyFit. Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur). Sergas-UVIGO, España

Citas

Alberts, J. L., Linder, S. M., Penko, A. L., Lowe, M. J., & Phillips, M. (2011). It is not about the bike, it is about the pedaling: forced exercise and Parkinson's disease. Exercise and Sport Sciences Reviews, 39(4), 177-186.

Aristizábal, J. C., Restrepo, M. T., & Estrada, A. (2007). Evaluación de la composición corporal de adultos sanos por antropometría e impedancia bioeléctrica. Biomédica, 27(2), 216-224.

Cancela- Carral, J. M., Pallin, E., Orbegozo, A., & Ayán-Pérez, C. (2017). Effects of Three Different Chair-Based Exercise Programs on People Older Than 80 Years. Rejuvenation research, 20(5), 411-419.

Cancela, J. M., Ayán, C., Gutiérrez-Santiago, A., Prieto, I., & Varela, S. (2012). The Senior Fitness Test as a functional measure in Parkinson’s disease: A pilot study. Parkinsonism & related disorders, 18(2), 170-173.

Cancela-Carral, J. M., Mollinedo- Cardalda, I., 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.

Crizzle, A. M., & Newhouse, I. J. (2006). Is physical exercise beneficial for persons with Parkinson's disease?. Clinical Journal of Sport Medicine, 16(5), 422-425.

Gao, C.H., Xu, L.Y., Huang, J., & Xiao, F. (2013). Effect of MOTOmed intelligent training system on balance and lower limb motor function in stroke patients. Chinese Journal of Rehabilitation Theory and Practice, 19, 725-728.

Goetz, C. G., Poewe, W., Rascol, O., Sampaio, C., Stebbins, G. T., Counsell, C., ... & Seidl, L. (2004). Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: status and recommendations the Movement Disorder Society Task Force on rating scales for Parkinson’s disease. Movement disorders, 19(9), 1020-1028.

González, M. M., Santos, P. C., Galdames, I. C. S., & Peña, R. D. (2016). Farmacogenética en la enfermedad de Parkinson: Influencia de polimorfismos genéticos sobre los efectos de la terapia dopaminérgica. Archivos de medicina, 12(3), 9.

Hoehn, M. M., & Yahr, M. D. (1967). Parkinsonism onset, progression, and mortality. Neurology, 17(5), 427-427.

Jellinger, K. A. (2015). How close are we to revealing the etiology of Parkinson's disease?. Expert review of neurotherapeutics, 15(10), 1105-1107.

Kamps, A. & Schule, K. (2005). Zyklisches Bewegungstraining der unteren Extremitaten in der Schlaganfallrehabilitation. Neurologie und rehabilitation, 11(5), 259.

Latt, M. D., Lord, S. R., Morris, J. G., & Fung, V. S. (2009). Clinical and physiological assessments for elucidating falls risk in Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 24(9), 1280-1289.

Martinez-Martin, P., Rodriguez-Blazquez, C., Alvarez-Sanchez, M., Arakaki, T., Bergareche-Yarza, A., Chade, A., ... & Goetz,C.(2013). Expanded and independent validation of the Movement Disorder Society–Unified Parkinson’s disease rating scale (MDS-UPDRS). Journal of neurology, 260(1), 228-236.

Matinolli, M., Korpelainen, J. T., Korpelainen, R., Sotaniemi, K. A., Matinolli, V. M., & Myllyla, V. V. (2009). Mobility and balance in Parkinson's disease: a populationbased study. European Journal of Neurology, 16(1), 105-111.

Miner, D. G., Aron, A., & DiSalvo, E. (2020). Therapeutic effects of forced exercise cycling in individuals with Parkinson's disease. Journal of the Neurological Sciences, 116677.

Mollinedo-Cardalda, I., Cancela-Carral, J. M., & Vila-Suárez, M. H. (2018). Effect of a Mat Pilates Program with TheraBand on Dynamic Balance in Patients with Parkinson's Disease: Feasibility Study and Randomized Controlled Trial. Rejuvenation research, 21(5), 423-430.

Morris, M.E., Iansek, R., Matyas T.A., & Summers, J.J. (1994). The pathogenesis of gait hypokinesia in Parkinson´s disease. Brain 117(5), 1169-1181.

Ouchi, Y., Kanno, T., Okada, H., Yoshikawa, E., Futatsubashi, M., Nobezawa, S., ... & Tanaka, K.(2001). Changes in dopamine availability in the nigrostriatal and mesocortical dopaminergic systems by gait in Parkinson's disease. Brain, 124(4), 784-792.

Peacock, C. A., Sanders, G. J., Wilson, K. A., Fickes-Ryan, E. J., Corbett, D. B., von -Carlowitz, K. P. A., & Ridgel, A. L. (2014). Introducing a multifaceted exercise intervention particular to older adults diagnosed with Parkinson’s disease: a preliminary study. Aging clinical and experimental research, 26(4), 403-409.

Ridgel, A. L., Fickes-Ryan, E. J., & Wilson, K. A. (2013). Effects of active-assisted cycling on motor function and balance in Parkinson's disease. Journal of the Neurological Sciences, 333, 91.

Ridgel, A. L., Muller, M. D., Kim, C. H., Fickes, E. J., & Mera, T. O. (2011). Acute effects of passive leg cycling on upper extremity tremor and bradykinesia in Parkinson's disease. The Physician and sportsmedicine, 39(3), 83-93.

Ridgel, A. L., Peacock, C. A., Fickes, E. J., & Kim, C. H. (2012). Active-assisted cycling improves tremor and bradykinesia in Parkinson's disease. Archives of physical medicine and rehabilitation, 93(11), 2049-2054.

Ridgel, A. L., Phillips, R. S., Walter, B. L., Discenzo, F. M., & Loparo, K. A. (2015). Dynamic high-cadence cycling improves motor symptoms in Parkinson’s disease. Frontiers. In neurology, 6, 194.

Ridgel, A. L., Vitek, J. L., & Alberts, J. L. (2009). Forced, not voluntary, exercise improves motor function in Parkinson's disease patients. Neurorehabilitation and neural repair, 23(6), 600-608.

Rikli, R. E., & Jones, C. J. (2001). Senior fitness test. Champaign (IL): Human Kinetics.

Rodrigues de Paula, F., Teixeira‐Salmela, L. F., Coelho de Morais Faria, C. D., Rocha de Brito, P., & Cardoso, F. (2006). Impact of an exercise program on physical, emotional, and social aspects of quality of life of individuals with Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 21(8), 1073-1077.

Shastry, B. S. (2001). Parkinson disease: etiology, pathogenesis and future of gene therapy. Neuroscience research, 41(1), 5-12.

Silva, N. B. F., Bernucci, P. A., Flores, C. A., & Cárdenas, K. C. (2019). Efectos del entrenamiento sensoriomotor en balance, deambulación y calidad de vida en personas con enfermedad de Parkinson. Salud de los Trabajadores, 27(1), 65-75.

Suchowersky, O., Gronseth, G., Perlmutter, J., Reich, S., Zesiewicz, T.,& Weiner, W.J. (2006). Practice Parameter: neuroprotective strategies and alternative therapies for Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 66(7), 976-982.

Van der Kolk, N. M., & King, L. A. (2013). Effects of exercise on mobility in people with Parkinson's disease. Movement Disorders, 28(11), 1587-1596.

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Publicado

2021-01-01

Cómo citar

Mollinedo Cardalda, I., Pereira Pedro, K. P., López Rodríguez, A., & Cancela Carral, J. M. (2021). Aplicación de un programa de ejercicio físico coordinativo a través del sistema MOTOmed® en personas mayores diagnosticadas de Enfermedad de Parkinson moderado-severo. Estudio de casos (Application of a physical exercise coordinating program by MOTOmed®. Retos, 39, 13–17. https://doi.org/10.47197/retos.v0i39.78385

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Sección

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

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