Respiratory muscle training and vibrational therapy in patients with Parkinson’s disease
DOI:
https://doi.org/10.34024/rnc.2015.v23.7990Keywords:
Parkinson Disease, Respiratory Muscles, Muscle Strength, VibrationAbstract
Objective. To evaluate the effect of respiratory muscle training with threshold® associated with the vibrational therapy of the whole body of the respiratory muscles in patients with Parkinson’s disease (PD). Method. It is clinical, prospective, quasi-experimental, with sample of seven patients with clinical diagnosis of PD, both sexes and without other associated neurological disease. The evaluation of respiratory muscle strength was performed by manometer before and after the intervention in 24 sessions, recruitment of respiratory muscles was assessed by electromyography. For the respiratory muscle endurance training a 40% load greater measure of MIP and MEP in threshold®, three times a week was used. The vibrating platform was implemented a protocol weekly progression frequency, series, uptime and visual stimulation. Results. The mean age of participants was 63.28±10.8 years. Compared before and after the intervention was observed difference in the MIP (-50.5±16.2 to -70.8±28.5; p=0.05) and MEP (74.2±13.7 to 103.4±20.0; p=0.01) in patients evaluated, electromyographic changes were observed. Conclusions. We observed improved respiratory performance after respiratory muscle training add vibration platform in individuals assessed with a clinical diagnosis of P
Metrics
References
Parkinson’s disease Resarch Agenda: National Institute of Neurological Disorders and Stroke (NINDS) (Endereço na Internet). EUA: National Institute of Neurological Disorders (ultima atualização 6/2012; citado em 11/2014). Dsiponível em: http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_ disease.htm
Mehanna R, Jankovic J. Respiratory problems in neurologic movement disorders. Parkinsonism Relat Disord 2010;16:628-38. http://dx.doi.org/10.1016/j.parkreldis.2010.07.004
Cardoso SR, Pereira JS. Análise funcional da complacência torácica na doença de Parkinson. Fisioter Bras 2001;2:41-6.
O´Sullivan SB. Doença de Parkinson. In: O´Sullivan SB, Schmitz TJ. Fisioterapia: Avaliação e Tratamento. 4 ed. São Paulo: Manole, 2004; cap 23, pp 747-77.
Tascaa C, Schusterb RC, Alvarengac LFC. Força muscular respiratória e mobilidade torácica em portadores de doença de Parkinson. Rev Atenção Saúde 2013;11:2275. http://dx.doi.org/10.13037/rbcs.vol12n42.2275
Jordan MJ, Norris SR, Smith DJ, Herzog W. Vibration Training: a overview of the area, training consequences, and future considerations. J Strength Cond Res 2005;19:459-66. http://dx.doi.org/10.1519/13293.1
Hagbarth KE, Eklund G. Tonic vibration reflexes (TVR) in spasticity. Brain Res 1966;2:201-3. http://dx.doi.org/10.1016/0006-8993(66)90029-1
Bogaerts A, Verschueren S, Delecluse C, Claessens AL, Boonen S. Effects of whole body vibation training on postural control in older individuals: A 1 year randomized controlled Trial. Gait Posture 2007;26:309-16. http://dx.doi.org/10.1016/j.gaitpost.2006.09.078
Kawanabe K, Kawashima A, Sashimoto I, Takeda T, Sato Y, Iwamoto J. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. Keio J Med 2007;56:28-33. http://dx.doi.org/10.2302/kjm.56.28
Hass CT, Turbanski S, Kessler K, Schmidtbleicher D. The effects of random whole-body-vibration on motor symptoms in Parkinson’s disease. NeuroRehabilitation 2006;21:29-36.
Haas CT, Turbanski S, Kaiser I, Schmidtbleicher D. Biomechanische und physiologische Effekte mechanischer Schwingungsreize beim Menschen. Dt Zeitsch Sportmed 2004;55:34-43.
Oliveira R, Soares SMTP, Kosour C. Bases do Treinamento Muscular Respiratório. In: Sarmento GJV. O ABC da Fisioterapia Respiratória. São Paulo: Manole, 2009; cap 13, pp 213-28.
Flynn MG, Barter CE, Nosworthy JC, Pretto JJ, Rochford PD, Pierce RJ. Threshold® pressure training, breathing pattern, and exercise performance in chronic airflow obstruction. Chest 1989;95:535-40. http://dx.doi.org/10.1378/chest.95.3.535
Mello MPB, Botelho ACG. Correlação das escalas de avaliação utilizadas na doença de Parkinson com aplicabilidade na fisioterapia. Fisioter Mov 2010;23:121-7. http://dx.doi.org/10.1590/S0103-1502010000100012
SENIAM Project. Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles (Endereço na Internet). The Netherlands: Seniam Project Management Group (acessado em 2015).Disponível em: http://www.seniam.org
Mester J, Kleinöder H, Yue Z. Vibration training: benefits and risks. J Biomech 2006;39:1056-65. http://dx.doi.org/10.1016/j.jbiomech.2005.02.015
Cohen J. The concepts of power analysis. In: Cohen J (ed.). Statistical power analysis for the behavioral sciences. Hillsdale: Academic Press Inc; 1988, pp 1-17.
Bonjormi LA, Jamami M, Di Lorenzo VAP, Pessoa BV. Influence of the Parkinson’s disease on physical capacity, lung function and lean body mass index. Fisioter Mov 2012;25:727-36. http://dx.doi.org/10.1590/S0103-51502012000400005
Ferreira FV, Cielo CA, Trevisan ME. Aspectos respiratorios, posturais e vocais da Doença de Parkinson: considerações teóricas. Rev CEFAC 2011;13:534-40.20.Alves LA, Coelho CA, Brunetto FA. Fisioterapia respiratória na doença de Parkinson idiopática: relato de caso. Rev Fisioter Pesq 2005;12:46-9.
Saleem AF, Sapienza CM, Okun MS. Respiratory muscle strength training: treatment and response duration in a patient with early idiophatic Parkinson´s disease. Neuro Rehabil 2005;20:323-33.
Pitts T, Bolser D, Rosenbek J, Troche M, Okun MS, Sapienza C. Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease. Chest 2009;135:1301-8. http://dx.doi.org/10.1378/ chest.08-1389
Sapienza C, Troche M, Pitts T, Davenport P. Respiratory strength training: concept and intervention outcomes. Semin Speech Lang 2011;32:21-30. http://dx.doi.org/10.1055/s-0031-1271972
Inzelberg R, Peleg N, Nisipeanu P, Magadle R, Carasso RL, Weiner P. Inspiratory muscle training and the perception of dyspnea in Parkinson’s disease. Can J Neurol Sci 2005;32:213-7. http://dx.doi.org/10.1017/S0317167100003991
Aagaard P, Andersen JL, Dyhre-Poulsen P, Leffers AM, Wagner A, Magnusson SP, et al. A mechanism for increased contractile strength of human pennate muscle in response to strength training: changes in muscle architecture. J Physiol 2001:534:613-23. http://dx.doi.org/10.1111/j.1469-7793.2001.t01-1-00613.x
Aagaard P, Simonsen EB, Andersen JL, Magnusson P, Dyhre-Poulsen P. Neural adaptation to resistance training: Changes in evoked V-wave and H- -reflex responses. J Appl Physiol 2002;92:2309-18. http://dx.doi.org/10.1152/japplphysiol.01185.2001
Carroll TJ, Riek S, Carson RG. The sites of neural adaptation induced by resistance training in humans. J Physiol 2002;544:641-52. http://dx.doi.org/10.1113/jphysiol.2002.024463
Cordo P, Gandevia SC, Hales JP, Burke D, Laird G. Force and displacement- controlled tendon vibration in humans. Electroencephalogr Clin Neurophysiol 1993;89:45-53. http://dx.doi.org/10.1016/0168-5597(93)90084-3
Cardinale M, Lim J. Electromyography Activity of Vastus Lateralis Muscle During Whole-Body Vibrations of Different Frequencies. J Strength Cond Res 2003;17:621-4.
Mandou KH. Leg muscle activity level and rate of perceived exertion with different whole-body vibration frequencies in multiple sclerosis patients: An exploratory approach. Hong Kong Physiother J 2011;29:12-9. http://dx.doi.org/10.1016/j.hkpj.2011.02.00
