Qualidade de vida e desvantagem vocal em sujeitos com doença de Parkinson

• Autor(a) principal: Neves, Yole Cristina de Souza
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/11875
• topic: Doença de Parkinson; Qualidade de vida; Qualidade da voz; Voz; Idoso; Parkinson disease; Quality of life; Voice quality; Voice; Aged; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Introduction: Parkinson's disease (PD) is a chronic and degenerative central nervous system that primarily affects individuals over 60 years. Studies have evaluated the PD and revealed negative impact on quality of life (QL). Purpouse: To investigate the association between QL and self-reported voice handicap in subjects with PD by means of two separate protocols. Method: The sample consisted of 32 subjects 18 men and 14 women with a diagnosis of PD between the stages 2, which included (9 subjects), 2,5 (eight subjects) and 3 (15 subjects) of Hoehn & Yahr (HY), and with a positive response to antiparkinsonian medication and the antiparkinsonian medication associated with antidepressant medication. Two questionnaires related QL were administered: the first one is the specific questionnaire called the QL in PD (PDQ-39); and the second is specific to QL related to voice, the voice handicap index (VHI). Results: The mean age of the subjects was 68,48 years, the time of disease 6,4 years. Nineteen subjects were the exclusive use of antiparkinsonian medication and 13 were using antiparkinsonian medication associated with the antidepressant. According to the responses from the questionnaire PDQ-39 we could verify that the mobility domain scores ranged from 23% until 100%, the variation in the ADL domain was from 25% until 100%, the field from emotional well-being ranged from 4% until 100%, the stigma was from 0 until 100%, the field social support ranged from 8% until 100%, in cognition the scores varied from 6% until 100%, the communication field ranged from 25% until 100%; in the area of bodily discomfort, the variation was from 13% until 100% and the total score ranged from 17% until 100%. Regarding the response obtained by questionnaire VHI we could verify that the organic domain scores ranged from 63% until 93% in the operational area ranging from 20% until 100%, in the emotional domain ranged from 10% until 100% and the total score ranged from 29% until 100%. With regard to drugs and the scale of HY was observed that subjects who have exclusive use of antiparkinsonian medication and were in HY stage 3 had higher scores on the PDQ-39 while the subjects who used antiparkinsonian medication, associated with antidepressant, and were in stage 3 HY showed higher scores in the VHI. Conclusion: Based on the results was observed the relationship between QL and voice in individuals with PD by means of two separate questionnaires