Camptocormia e Síndrome de Pisa na Doença de Parkinson:
caracterização clínico-funcional
DOI:
https://doi.org/10.34024/rnc.2015.v23.7984Palavras-chave:
Doença de Parkinson, Postura, Equilíbrio Postural, MarchaResumo
Objetivo. Comparar os aspectos clínicos e funcionais dos pacientes com Doença de Parkinson (DP) com e sem camptocormia e Síndrome de Pisa. Método. Trata-se de estudo transversal constituído de 16 pacientes com DP, Hoehn & Yahr entre 1 e 4, os quais foram divididos em grupo com alterações posturais (GAP) e grupo controle (GC). Foram avaliadas as variáveis epidemiológicas e clínicas por meio de Questionário, parte III da Unified Parkinson’s Disease Rating Scale (UPDRS-III), Escala de Schwab & England e Dynamic Gait Index (DGI). Resultados. O tempo de diagnóstico da DP foi menor no GC em comparação ao GAP (GAP 13,75±3 anos; GC: 5,67±2 anos; p=0,0001). GAP obteve maior pontuação no item postura (p=0,029) e bradicinesia (p=0,050) da UPDRS e no item “Marcha em Superfície Plana” do DGI (p=0,028), além de maior incidência de queda. Não houve diferença na pontuação da Escala de Schwab & England entre os grupos. Ambos os grupos apresentaram pontuação média no DGI inferior a 19 (GAP= 15,00±6; GC= 19,33±2) indicando maior risco de queda. Conclusão. GAP apresenta maior prejuízo motor e histórico de queda, porém são funcionalmente independentes ou semi-independentes. Todos os pacientes com DP mostraram instabilidade postural dinâmica e maior risco de quedas.
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Publicado: 2015-12-31