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Objectives: Parkinson's disease (PD) is a neurodegenerative disorder that impacts the dopaminergic neurons of the substantia nigra, leading to motor and non-motor symptoms, as well as changes in activities of daily living (ADL) and quality of life (QoL). Aquatic physical exercises and dual-task physical exercises have been used to manage PD symptoms. The aim of this study was to investigate the effects of a dual-task aquatic exercise program on the ADL, motor symptoms, and QoL of individuals with PD. Methods: A randomized controlled trial with a parallel group design was employed, and participants were randomized into 2 groups: a control group and an experimental group. The intervention was a 10-week program consisting of twice-weekly 40-minute aquatic dual-task exercises. Pre-intervention evaluations of ADL, motor function, and QoL were conducted at baseline (AS1), immediately after the intervention (AS2), and 3 months post-intervention (follow-up—AS3). The Unified Parkinson's Disease Rating Scale (UPDRS) II and III sections and the Parkinson's Disease Questionnaire 39 (PDQ-39) were utilized for outcome measures. Results: A total of 25 individuals completed the study. The experimental group showed significant improvements in both the UPDRS II (ADL) and III (motor function) sections (P 's <.05), but there was no significant difference in PDQ-39 scores. Additionally, significant differences were observed in the experimental group between the AS2 and AS3 time periods (P <.05) for both UPDRS II and III scores (P <.05). Conclusions: Aquatic dual-task training may be effective in improving both ADL and motor functions in individuals with PD. Furthermore, the combination of aquatic environment and dual-task exercises may represent a promising approach to maintaining and improving the functionality of individuals with PD. [ABSTRACT FROM AUTHOR]

Parkinson's disease (PD) is a neurodegenerative, with heterogeneous clinical conditions and motor changes that reduce functioning. Postural instability is one of the motor aspects of disease progression, with a potential increase in the risk of falls, consequently affecting the activities of daily living (ADL). The objective of this study was to verify the influence of a multimodal intervention program (MIP) sequentially applied in aquatic- (AEs) and land-based environments (LEs) on balance, postural control, motor activities, and ADL in people with PD. It is an interventional clinical study with patients in stages 1 to 4 in the Hoehn and Yahr scale, assessed with Berg Balance Scale (BBS), Mini-Balance Evaluation System Test (Mini-BESTest), Unified Parkinson's Disease Rating Scale (UPDRS) II and III, Dynamic Gait Index (DGI), and quiet stance (QS) analysis in a force platform. The MIP was conducted sequentially with aquatic- (AIs) and land-based interventions (LIs) for 12 weeks each, twice a week, each session lasting 1 hour, and a 12-week interval between interventions. The comparison analysis was made with Friedman ANOVA, and the multiple comparisons with Wilcoxon signed-rank, Bonferroni correction, and effect size (r). The sample comprised 18 people with PD (66.83 ± 11.74 years). The AI and the full intervention (FI) had a large effect according to BBS. With Mini-BESTest, the LI and FI had a large effect. According to UPDRS II, the MIP improved ADL after LI, with a medium effect, and the motor aspects of UPDRS III improved after LI and FI, with a large effect. DGI was not sensitive in the analyses, with a ceiling effect after FI. No differences were identified in QS analyses. This research identified improved balance, ADL, and motor aspects in people with PD after sequential MIP in AI and LI, indicating that land-based and aquatic interventions are complementary and advantageous to people with PD. [ABSTRACT FROM AUTHOR]

Abstract Purpose: To improve the social participation of people with Parkinson’s disease (PD), it is important to establish the functional profile and variables that influence gait, as gait is a predictive factor for independence. Based on the biopsychosocial approach of the International Classification of Functioning, Disability and Health (BPS-ICF), this paper aimed to characterise the functional profile of people with PD and correlate measures related to gait speed. Methods: Cross-sectional research with 50 people with PD, systematically assessed with functional measures, analysed based on the ICF dimensions. From this framework, multiple linear regression analyses were used to determine the gait speed predicting variables. Results: The participants’ mean age was 63.16 ± 12.68 years; 58% (n  = 29) were men; 30 participants (60%) were classified into Hoehn & Yahr stages 1 and 2. Multiple linear regression analysis indicates that gait speed is significantly influenced by Mini BESTest, 6-Minute Walk Test, and handgrip strength. Conclusions: The functional profile based on the BPS-ICF model was outlined, and findings related to personal and environmental factors were described. The triad – body balance, aerobic conditioning, and muscle strength – was identified as predictive variables for gait speed in people with PD. [ABSTRACT FROM AUTHOR]

Problems in the respiratory system are the main cause of death in Parkinson's disease (PD). Ventilatory limitations can also be part of a vicious cycle involving physical-functional limitations (e.g., walking difficulties) and the patients' perception of fatigue. The objective of this study was to analyze the effects of an aquatic physical exercise intervention program on ventilatory parameters, perception of fatigue, and gait capacity in participants with PD. This quasi-experimental study had a single group with repeated measures in four assessments, proposing an aquatic physical exercise intervention program. The inclusion criteria encompassed being in levels 1 to 4 on the Hoehn and Yahr scale and having a medical certificate for the activities. Assessments took place at 3-month intervals between them—the first period was the control, the second following the intervention, and the third period was the follow-up. The intervention had 25 biweekly sessions over 3 months. A total of 13 people (71.3 ± 5.61 years old) participated in the intervention, without significant differences in the control period. Between the intervention assessments, they had statistically significant differences in MIP, MEP, FVC, Tiffeneau index, MVV, and fatigue. The study demonstrated that the aquatic physical exercise intervention was effective for ventilatory outcomes and fatigue in people with PD. [ABSTRACT FROM AUTHOR]

Parkinson's disease (PD) is a neurodegenerative, with heterogeneous clinical conditions and motor changes that reduce functioning. Postural instability is one of the motor aspects of disease progression, with a potential increase in the risk of falls, consequently affecting the activities of daily living (ADL). The objective of this study was to verify the influence of a multimodal intervention program (MIP) sequentially applied in aquatic- (AEs) and land-based environments (LEs) on balance, postural control, motor activities, and ADL in people with PD. It is an interventional clinical study with patients in stages 1 to 4 in the Hoehn and Yahr scale, assessed with Berg Balance Scale (BBS), Mini-Balance Evaluation System Test (Mini-BESTest), Unified Parkinson's Disease Rating Scale (UPDRS) II and III, Dynamic Gait Index (DGI), and quiet stance (QS) analysis in a force platform. The MIP was conducted sequentially with aquatic- (AIs) and land-based interventions (LIs) for 12 weeks each, twice a week, each session lasting 1 hour, and a 12-week interval between interventions. The comparison analysis was made with Friedman ANOVA, and the multiple comparisons with Wilcoxon signed-rank, Bonferroni correction, and effect size (r). The sample comprised 18 people with PD (66.83 ± 11.74 years). The AI and the full intervention (FI) had a large effect according to BBS. With Mini-BESTest, the LI and FI had a large effect. According to UPDRS II, the MIP improved ADL after LI, with a medium effect, and the motor aspects of UPDRS III improved after LI and FI, with a large effect. DGI was not sensitive in the analyses, with a ceiling effect after FI. No differences were identified in QS analyses. This research identified improved balance, ADL, and motor aspects in people with PD after sequential MIP in AI and LI, indicating that land-based and aquatic interventions are complementary and advantageous to people with PD. [ABSTRACT FROM AUTHOR]

Parkinson's disease (PD) is one of the most common Central Nervous System diseases, with primarily motor repercussions. Studies seek strategy and intervention based in physical activity and motor rehabilitation, however, PD is also related to morbidity and mortality due to respiratory disorders. There are not many clinical trials on ventilatory limitations in this population, for direct of prevention and rehabilitation. The aim of this study was to understand the respiratory condition in people with PD, through search in the evaluation literature and/or intervention in ventilatory parameters. A literature review was carried out with studies available on Pubmed. We found 8 studies that match your search. Only 2 of the studies proposed intervention in ventilatory parameters as dependent variable. Normal ventilation depends on unrestricted airways or obstructions, adequate muscle function, and complete respiratory drive. There is evidence that the disease encompasses respiratory changes, with incoordination, atelectasis, hypoventilation, retention of pulmonary secretions, fatigue and respiratory muscle changes. The neurodegeneration and use of Levodopa alter the respiratory trigger drive and associated with postural alteration lead to several spirometry findings: restrictive, obstructive, mixed patterns and loss of muscle strength. Limitation in activities of daily living and physical activities also affects ventilatory parameters. In contrast, aerobic exercises are able to reduce sedentary lifestyle, morbidity and mortality. Adequate follow-up and training aimed at respiratory outcomes can lead to improvements in lung function and should be used, noting that there are detectable changes in ventilatory parameters in PD. [ABSTRACT FROM AUTHOR]