Parkinson’s disease (PD) is the second most common neurodegenerative disorder after Alzheimer’s-type dementia. It is known that these types of diseases cause a significant decline in the quality of life of the people who suffer from them and in their next of kin. Understanding the physical and psychosocial effects of neurodegenerative diseases contributes to clinical decisionmaking. It is for the above mentioned that the present study aims to examine the current evidence regarding the direct impact that phonoaaudiological disorders of motor origin generate on the quality of life in people with PD. A systematic review of the literature was carried out. The articles were searched in the following databases: PUBMED, SCIELO and WOS, during the months of June and July of the year 2020, constituting a sample of 12 works, with a maximum age of 10 years. The analysed publications mainly describe the aspects of quality of life that are affected in people with PD, who suffer dysphagia or dysarthria, all this through the application of different questionnaires which evaluate different aspects of this concept. The results of the review show the importance of considering within the intervention process the component of quality of life in people with E.P, since the scores obtained according to the instruments applied indicate a decrease of this component and even more with the progress of the disease, which translates into worse quality of life related to food and speech.
calidad de vida
Impacto de los trastornos motores del habla y deglución sobre la calidad de vida de personas con enfermedad de Parkinson: una revisión sistemática de la literatura. Impact of motor speech and swallowing disorders in quality of life of people with Parkinson’s disease: a systematic review of the literature
Entrenamiento sensoriomotor en casa en personas mayores con Enfermedad Parkinson durante el periodo de confinamiento por COVID-19: Estudio piloto. Sensorimotor training at home in elderly people with Parkinson’s Disease during the period of confinement due to COVID-19: A pilot study
The pandemic caused those therapeutic activities associated with people with Parkinson’s disease to be suspended (PD) with the aim of preventing COVID-19 infections by increasing motor and non-motor symptoms, due to social isolation and stress. Therefore, there was a rise of care based on telemedicine to continue the treatment in the context of a health emergency, promoting training at home. The objective of this experimental research was to document the effects of a sensorimotor training program (NM-FITT®) in people with PD through weekly telematic follow-up during the COVID-19 pandemic. A quasi-experimental study was carried out with pre, inter and post test evaluations that characterized the physical, functional condition and quality of life, in an intervention group (n=5) and a control group (n=5) of elderly people (69.5 ±4.5 years) with PD in Hoehn & Yahr stages 1 to 3, for 18 weeks, through an exercise manual, video calls and telephone follow-up. Favorable and significant effects were demonstrated on all the parameters studied after the application of the intervention in detriment of the health condition of the persons who did not participate in the home training program.
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Calidad de vida en pacientes con enfermedad cerebrovascular evaluados en un hospital venezolano. Quality of life in patients with stroke evaluated in a Venezuelan hospital.
Objective: Determine the health related quality of life (HRQL) in patients with cerebrovascular disease (CVD) evaluated in the Internal Medicine outpatient service from the Hospital General Hospital del Sur “Dr. Pedro Iturbe” en Maracaibo, Venezuela.
Materials and Methods: A descriptive and cross-sectional study was conducted, with a non-experimental design. The sample was represented by the first 80 patients with a new onset episode of CVD evaluated in the outpatient service from this hospital; to assess HRQL, the Quality of Life Scale for Stroke 38 was used.
Results: Of the subjects evaluated, 53.8% were women, the overall age was 60.7±9.4 years. Ischemic stroke was the most frequent, while 67.5% of the subjects evaluated showed some degree of involvement in their HRQL, specially moderate (36.3%) and mild (27.5%) degree.
Conclusion: no differences in HRQL were evidenced according to stroke type, although in general evaluation the majority reported a mild to moderate HRQL affectation, the analysis by domain shows a greater involvement in social functions, basic activities and physical problems.
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Desempeño en Funciones Ejecutivas de Adultos Mayores: Relación Con su Autonomía y Calidad de Vida. Executive Functions Performance In Old Adults: Relationship With Autonomy And Quality Of Life
Throughout the life cycle, the human being is able to consciously control his thoughts, emotions and behavior in a way that adjusts to the demands of the environment, which is lost with old age, affecting the independent and autonomous life of people, negatively impacting their quality of life. The purpose of this review is to determine the executive functions that are most impaired over the years. The narrative review method was used to collect articles that addressed the relationship between executive functions and quality of life in older adults without severe cognitive impairment. The results show that the executive functions that are most affected over the years are attention, working memory and verbal fluency, involved in the search and updating of information; cognitive flexibility, responsible for generating modifications in behavior, thinking and reasoning, fundamental in efficient cognitive functioning. In addition, a slowdown in reasoning, inhibitory deficit, transmission deficit and sensory-perceptive is reported. It is concluded that executive functions are sensitive to the aging process and progressively affect the autonomy and quality of life of older adults. It is considered relevant to generate a maintenance program for these cognitive functions, as a way to promote successful aging.
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Funcionalidad de la Marcha en la Calidad de Vida Relacionada con la Salud en Adultos con Enfermedad Cerebro Vascular: Revisión Sistemática – Metaanálisis. Functionality Of The Gait In The Quality Of Life Related To Health In Adults With Stroke: Systematic Review – Metaanalysis.
Introduction: Stroke causes deficiencies that affect movement; these include deficit in motor function, reflex integrity, sensory integrity, and gait.
Objective: determine the effect of gait functionality on health-related quality of life in adults with Stroke.
Method: databases PUBMED / MEDLINE, EMBASE, LILACS, SCIELO, Central Cochrane Registry of Controlled Trials (CENTRAL) were consulted between November 2016 and February 2017. Randomized clinical trials were selected. For the analysis, the methodological quality was evaluated using the Physiotherapy Evidence Database, PEDro score and the Risk of bias with the Review Manger 5.3 (RevMan) criterias, also RevMan was being used for analysis and data extraction according to the eligibility criteria.
Results: Lokomat as a rehabilitation strategy for gait functionality has a positive effect on improving the quality of life in people with stroke. The analysis of the included studies demonstrated a low level of statistical heterogeneity based on I2 and Chi2, for the global scale of quality of life. The results obtained for quality of life related to health, when the proposed intervention is carried out with the use of Lokomat and measured with the SF-36 scale, an increase of 1.83 points.
Conclusions: The rehabilitation of gait functionality through different protocols and intervention strategies does not present differences, due to its variability in terms of technique, application method, clinical involvement of stroke and the duration of its application. However, clinical changes that favor quality of life related to health are observed.
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The “8-foot Up and Go” Test as a Physical Performance Measurement in Parkinson’s Disease: A Pilot Study.
Blackground: Parkinson disease (PD), is a movement disorder, so physical assessment should be a key component in the diagnosis of individuals suffering from this disease. There is a neeed to assess the utility of some motor tests in PD, specially those which include assessment of straight line walking and turning.
Objective: This pilot study aimed to asses the utility of the “8-foot up and go” test as a physical performance measurement in PD, as well as the relationship between functional mobility and quality of life in this population.
Material and Methods: Twenty-four patients with a diagnosis of idiopathic Parkinson’s disease volunteered and finished the study. They performed the “8 foot up-and-go” test and answered the 9-item Parkinson’s Disease Questionnaire.
Results: The motor test’s total score correlated significantly with different sub-scales of the 9-item Parkinson’s Disease Questionnaire, especially with the mobility sub-scale and with the total score.
Conclusions: The “8 foot up-and-go” test is useful and easy to perform by Parkinson’s disease patients and it has turned out to be a clear indicator of the way the illness affects their quality of life.
