Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | http://tede2.pucrs.br/tede2/handle/tede/9968 |
Resumo: | Parkinson’s Disease (PD) is an idiopathic, chronic-degenerative, and progressive condition of the Central Nervous System (CNS) that causes motor and non-motor signs and symptoms in the affected individual. Such changes cause damage to posture and balance, interfering with the somatosensory, neuromusculoskeletal, vestibular, and vision systems, among others. One of the non-pharmacological interventions that have been studied for the adjuvant treatment of PD is the Nordic Walk (NW), which is a walk supported by sticks. Among its benefits, the improvement of individuals' motor skills and functional mobility, as well as the reduction in the rate of falls. Furthermore, participation in NW groups seems to help in the management of mood disorders and depressive symptoms. Therefore, this research studied the perception of people with PD regarding the regular practice of NW and the kinetic-functional impact of the presence of bats on the mobility of such individuals in their daily lives. In addition, it assessed the impact of the NW practice in reducing the participants' concern with the occurrence of falls from their height. This is a cross-sectional, observational study, with qualitative and quantitative cuts. The qualitative cut consisted of a focus group and data treatment by discourse analysis. In the quantitative cut, evaluations were carried out in the ON phase of the medication (when Levodopa has its action and reduces motor symptoms). On the first day of assessment, the International Fall Efficacy Scale (FES-I), Parkinson Disease Questionnaire-39 (PDQ-39) and Unified Parkinson's Disease Rating Scale (UPDRS III – motor exam), and the Hoehn & Yahr Scale (H&Y) were applied. On the second day, the 6-minute walk test (6MWT), the Timed Up and Go (TUG), the 1-minute Sit-Up Test (TSL1M), and the Montreal Cognitive Assessment (MoCA) were applied. The exercise protocol based on NW was composed of 60 sessions performed twice a week, lasting one hour each. From the participants' statements, five main categories emerged: NW benefits for people with Parkinson's Disease; incorporation of the bats used in the NW in everyday life; the NW group coexistence as an aid device in the treatment; feelings of people with Parkinson’s Disease about their condition; and, finally, the present and the future: expectations and delivery. In the quantitative cut, the NW training protocol was not enough to reduce the concern with the occurrence of falls in participants with PD. In general, he observed that NW generated content compatible with a positive coping in the face of coping with the disease, something that goes beyond the kinetic-functional and biomechanical issues described in the literature. It is concluded that NW is beneficial to its practitioners, both to improve the perception of functionality and to assist in the posture of coping with the disease. |
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Mestriner, Régis Gemerascahttp://lattes.cnpq.br/1475439425044370Baptista, Rafael Reimannhttp://lattes.cnpq.br/3050041150325700http://lattes.cnpq.br/6387309517711033Casarotto, Veronica Jocasta2021-11-18T19:49:32Z2021-08-27http://tede2.pucrs.br/tede2/handle/tede/9968Parkinson’s Disease (PD) is an idiopathic, chronic-degenerative, and progressive condition of the Central Nervous System (CNS) that causes motor and non-motor signs and symptoms in the affected individual. Such changes cause damage to posture and balance, interfering with the somatosensory, neuromusculoskeletal, vestibular, and vision systems, among others. One of the non-pharmacological interventions that have been studied for the adjuvant treatment of PD is the Nordic Walk (NW), which is a walk supported by sticks. Among its benefits, the improvement of individuals' motor skills and functional mobility, as well as the reduction in the rate of falls. Furthermore, participation in NW groups seems to help in the management of mood disorders and depressive symptoms. Therefore, this research studied the perception of people with PD regarding the regular practice of NW and the kinetic-functional impact of the presence of bats on the mobility of such individuals in their daily lives. In addition, it assessed the impact of the NW practice in reducing the participants' concern with the occurrence of falls from their height. This is a cross-sectional, observational study, with qualitative and quantitative cuts. The qualitative cut consisted of a focus group and data treatment by discourse analysis. In the quantitative cut, evaluations were carried out in the ON phase of the medication (when Levodopa has its action and reduces motor symptoms). On the first day of assessment, the International Fall Efficacy Scale (FES-I), Parkinson Disease Questionnaire-39 (PDQ-39) and Unified Parkinson's Disease Rating Scale (UPDRS III – motor exam), and the Hoehn & Yahr Scale (H&Y) were applied. On the second day, the 6-minute walk test (6MWT), the Timed Up and Go (TUG), the 1-minute Sit-Up Test (TSL1M), and the Montreal Cognitive Assessment (MoCA) were applied. The exercise protocol based on NW was composed of 60 sessions performed twice a week, lasting one hour each. From the participants' statements, five main categories emerged: NW benefits for people with Parkinson's Disease; incorporation of the bats used in the NW in everyday life; the NW group coexistence as an aid device in the treatment; feelings of people with Parkinson’s Disease about their condition; and, finally, the present and the future: expectations and delivery. In the quantitative cut, the NW training protocol was not enough to reduce the concern with the occurrence of falls in participants with PD. In general, he observed that NW generated content compatible with a positive coping in the face of coping with the disease, something that goes beyond the kinetic-functional and biomechanical issues described in the literature. It is concluded that NW is beneficial to its practitioners, both to improve the perception of functionality and to assist in the posture of coping with the disease.A Doença de Parkinson (DP) é uma condição idiopática, crônico-degenerativa e progressiva do Sistema Nervoso Central (SNC) que acarreta sinais e sintomas motores e não motores no indivíduo acometido. Tais modificações causam prejuízo na postura e no equilíbrio, interferindo nos sistemas somatossensorial, neuromusculoesquelético, vestibular, na visão, dentre outros. Uma das intervenções não farmacológicas que vem sendo estudada para o tratamento adjuvante da DP é a Caminhada Nórdica (CN), que é uma caminhada apoiada em bastões. Entre seus benfícios estão a melhora das habilidades motoras e da mobilidade funcional dos indivíduos, bem como a redução na taxa de quedas. Além disso, a participação em grupos de CN parece auxiliar no manejo de transtornos de humor e sintomas depressivos. Esta pesquisa, portanto, estudou a percepção de pessoas com a DP quanto à prática regular da CN e ao impacto cinético-funcional da presença de bastões sobre a mobilidade de tais indivíduos no dia a dia. Além disso, avaliou o impacto da prática da CN na redução da preocupação dos participantes com a ocorrência de quedas da própria altura. Trata-se de um estudo transversal, observacional, com recortes qualitativo e quantitativo. O recorte qualitativo foi composto por grupo focal, e os dados foram tratados pela análise do discurso. No recorte quantitativo, foram realizadas as avaliações na fase ON (quando a Levodopa tem sua ação e reduz os sintomas motores) da medicação. No primeiro dia de avaliação, foram aplicados a Escala Internacional de Eficácia de Quedas (FES-I), o Parkinson Disease Questionnaire-39 (PDQ-39), a Escala Unificada de Avaliação da Doença de Parkinson (UPDRS III – exame motor) e a Escala Hoehn and Yahr (H&Y). No segundo dia, foram aplicados o Teste de Caminhada de 6 Minutos (TC6), o Timed Up and Go (TUG), o Teste de Sentar-Levantar 1 minuto (TSL1M) e o Montreal Cognitive Assessment (MoCA). O protocolo de exercício baseado em CN foi composto por 60 sessões realizadas duas vezes por semana, com uma hora de duração cada. A partir das falas dos participantes, emergiram cinco categorias principais: benefícios da CN para pessoas com Doença de Parkinson; incorporação dos bastões utilizados na CN no cotidiano; convívio do grupo de CN como dispositivo de auxílio no tratamento; sentimentos das pessoas com Doença de Parkinson sobre a sua condição; e, por último, o presente e o futuro: expectativas e entrega. No recorte quantitativo, o protocolo de treinamento com CN não foi suficiente para gerar uma redução na preocupação com a ocorrência de quedas nos participantes com DP. De um modo geral, observou que a CN gerou conteúdo compatível com um coping positivo em face ao enfrentamento da doença, algo que está para além das questões cinético-funcionais e biomecânicas descritas na literatura. Conclui-se, assim, que a CN é benéfica aos seus praticantes, tanto para a melhora da percepção de funcionalidade quanto para auxiliar na postura de enfrentamento da doença.Submitted by PPG Gerontologia Biomédica (geronbio@pucrs.br) on 2021-11-17T12:53:04Z No. of bitstreams: 1 CASAROTTO_VERONICA_JOCASTA_TES.pdf: 3104639 bytes, checksum: db5b37827b79931d4ffc7343c6e93cdf (MD5)Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2021-11-18T19:44:05Z (GMT) No. of bitstreams: 1 CASAROTTO_VERONICA_JOCASTA_TES.pdf: 3104639 bytes, checksum: db5b37827b79931d4ffc7343c6e93cdf (MD5)Made available in DSpace on 2021-11-18T19:49:32Z (GMT). No. of bitstreams: 1 CASAROTTO_VERONICA_JOCASTA_TES.pdf: 3104639 bytes, checksum: db5b37827b79931d4ffc7343c6e93cdf (MD5) Previous issue date: 2021-08-27Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/182603/TES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.jpgporPontifícia Universidade Católica do Rio Grande do SulPrograma de Pós-Graduação em Gerontologia BiomédicaPUCRSBrasilEscola de MedicinaDoença de ParkinsonCaminhada NórdicaAspectos Cinéticos-FuncionaisCIENCIAS DA SAUDE::MEDICINACaminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionaisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisTrabalho será publicado como artigo ou livro60 meses18/11/20268969645070886364160500600500600-224747486637135387-9693694523087866273590462550136975366info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILTES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.jpgTES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.jpgimage/jpeg4078http://tede2.pucrs.br/tede2/bitstream/tede/9968/3/TES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.jpg49b84af729c9601a2430d947444c056cMD53TEXTTES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.txtTES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.txttext/plain2401http://tede2.pucrs.br/tede2/bitstream/tede/9968/4/TES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdf.txt53b976dfccb6489c24b7d8e5647007bdMD54ORIGINALTES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdfTES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdfapplication/pdf534650http://tede2.pucrs.br/tede2/bitstream/tede/9968/2/TES_VERONICA_JOCASTA_CASAROTTO_CONFIDENCIAL.pdff0c8878737a26e029a06235393a74548MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/9968/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/99682021-11-19 12:00:16.862oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2021-11-19T14:00:16Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
title |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
spellingShingle |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais Casarotto, Veronica Jocasta Doença de Parkinson Caminhada Nórdica Aspectos Cinéticos-Funcionais CIENCIAS DA SAUDE::MEDICINA |
title_short |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
title_full |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
title_fullStr |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
title_full_unstemmed |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
title_sort |
Caminhada nórdica na doença de parkinson : percepções do sujeito praticante e aspectos cinético-funcionais |
author |
Casarotto, Veronica Jocasta |
author_facet |
Casarotto, Veronica Jocasta |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mestriner, Régis Gemerasca |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1475439425044370 |
dc.contributor.advisor-co1.fl_str_mv |
Baptista, Rafael Reimann |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/3050041150325700 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6387309517711033 |
dc.contributor.author.fl_str_mv |
Casarotto, Veronica Jocasta |
contributor_str_mv |
Mestriner, Régis Gemerasca Baptista, Rafael Reimann |
dc.subject.por.fl_str_mv |
Doença de Parkinson Caminhada Nórdica Aspectos Cinéticos-Funcionais |
topic |
Doença de Parkinson Caminhada Nórdica Aspectos Cinéticos-Funcionais CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Parkinson’s Disease (PD) is an idiopathic, chronic-degenerative, and progressive condition of the Central Nervous System (CNS) that causes motor and non-motor signs and symptoms in the affected individual. Such changes cause damage to posture and balance, interfering with the somatosensory, neuromusculoskeletal, vestibular, and vision systems, among others. One of the non-pharmacological interventions that have been studied for the adjuvant treatment of PD is the Nordic Walk (NW), which is a walk supported by sticks. Among its benefits, the improvement of individuals' motor skills and functional mobility, as well as the reduction in the rate of falls. Furthermore, participation in NW groups seems to help in the management of mood disorders and depressive symptoms. Therefore, this research studied the perception of people with PD regarding the regular practice of NW and the kinetic-functional impact of the presence of bats on the mobility of such individuals in their daily lives. In addition, it assessed the impact of the NW practice in reducing the participants' concern with the occurrence of falls from their height. This is a cross-sectional, observational study, with qualitative and quantitative cuts. The qualitative cut consisted of a focus group and data treatment by discourse analysis. In the quantitative cut, evaluations were carried out in the ON phase of the medication (when Levodopa has its action and reduces motor symptoms). On the first day of assessment, the International Fall Efficacy Scale (FES-I), Parkinson Disease Questionnaire-39 (PDQ-39) and Unified Parkinson's Disease Rating Scale (UPDRS III – motor exam), and the Hoehn & Yahr Scale (H&Y) were applied. On the second day, the 6-minute walk test (6MWT), the Timed Up and Go (TUG), the 1-minute Sit-Up Test (TSL1M), and the Montreal Cognitive Assessment (MoCA) were applied. The exercise protocol based on NW was composed of 60 sessions performed twice a week, lasting one hour each. From the participants' statements, five main categories emerged: NW benefits for people with Parkinson's Disease; incorporation of the bats used in the NW in everyday life; the NW group coexistence as an aid device in the treatment; feelings of people with Parkinson’s Disease about their condition; and, finally, the present and the future: expectations and delivery. In the quantitative cut, the NW training protocol was not enough to reduce the concern with the occurrence of falls in participants with PD. In general, he observed that NW generated content compatible with a positive coping in the face of coping with the disease, something that goes beyond the kinetic-functional and biomechanical issues described in the literature. It is concluded that NW is beneficial to its practitioners, both to improve the perception of functionality and to assist in the posture of coping with the disease. |
publishDate |
2021 |
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2021-11-18T19:49:32Z |
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2021-08-27 |
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