Fuerza muscular, funcionalidad y calidad de vida en pacientes con enfermedad de Parkinson después del entrenamiento de fuerza: un ensayo clínico aleatorizado

Treinamento de fuerza em pacientes com doença Parkinson

Autores/as

  • Tatiane Cristina Luz de Abreu Hospital das Clínicas de la Universidad Federal de Goiás https://orcid.org/0000-0002-9988-4269
  • Maestro Juliana ​Consulte os detalhes 69 / 5.000 Resultados de tradução Resultado da tradução Facultad de Educación Física y Danza de la Universidad Federal de Goiás https://orcid.org/0000-0002-9132-2261

DOI:

https://doi.org/10.34019/1982-8047.2024.v50.42359

Palabras clave:

Enfermedad de Parkinson, Ejercicio, Fuerza Muscular

Resumen

Introducción: El entrenamiento de fuerza (EF) o entrenamiento con pesas aumenta la fuerza muscular y reduce los síntomas motores en la Enfermedad de Parkinson (EP). Objetivo: Verificar los efectos de la EF sobre la fuerza muscular, el rendimiento funcional y la calidad de vida en pacientes con EP. Metodología: Se realizó un ensayo clínico aleatorizado con 15 pacientes con EP de 64,27 ± 7 años, divididos en: Grupo Control (GC), n=6 y Grupo de Entrenamiento de Fuerza (GEF), n=9. El CG no hizo ejercicio. El GEF realizó EF individualizada durante 8 semanas. Cada entrenamiento con 6 ejercicios, 2 series de 10 repeticiones con una carga del 60% al 80% de 10RM (repeticiones máximas) y un intervalo de descanso de 2 minutos. Las evaluaciones fueron: test de fuerza muscular de 10RM en press de banca y press de piernas; Rendimiento funcional en Time Up and Go (TUG) y calidad de vida mediante el Cuestionario de la enfermedad de Parkinson-39 (PDQ-39). En el análisis de los datos se utilizó Chi-cuadrado y t de Student, además de t pareada y de Wilcoxon con el Paquete Estadístico de Ciencias Sociales (SPSS, 23.0) y significancia de p < 0.05. Resultados: Los grupos eran similares antes de la intervención. Después de 8 semanas, hubo una diferencia significativa entre CG y GEF, respectivamente, en la fuerza muscular en press de banca: (25,83 ± 8,61 kg) (43,33 ± 15,6 kg), p=0,03; en prensa de piernas: (40,83 ± 25,58 kg) (97,22 ± 16,22 kg), p<0,001; en TUG: (12,70 ± 3,42 segundos) (6,94 ± 1,01 segundos), p<0,001 y en el puntaje QDP-39: (41,88 ± 16,70) (18,09 ± 6,78), p=0,02.  Conclusión: La EF aumentó la fuerza muscular en los miembros superiores e inferiores, además de mejorar el rendimiento funcional y la calidad de vida de los pacientes con EP.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Gollan R, Ernst M, Lieker E, Caro-Valenzuela J, Monsef I et al. Effects of resistance training on motor- and non-motor symptoms in patients with Parkinson's disease: a systematic review and meta-analysis. J Parkinsons Dis. 2022. 12(6):1783-806.

Balestrino R, Schapira AHV. Parkinson disease. Eur J Neurol. 2020; 27(1):27-42.

Yang X, Wang Z. Effectiveness of progressive resistance training in Parkinson's disease: a systematic review and meta-analysis. Eur Neurol. 2023; 86(1):25-33.

Demonceau M, Maquet D, Jidovtseff B, Donneau AF, Bury T et al. Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study. Eur J Phys Rehabil Med. 2017; 53(2):184-200.

Lima TA, Ferreira-Moraes R, Alves W, Alves TGG, Pimentel CP et al. Resistance training reduces depressive symptoms in elderly people with Parkinson disease: a controlled randomized study. 2019; 29(12):1957-67.

Dibble LE, Hale TF, Marcus RL, Droge J, Gerber JP, LaStayo PC. High-intensity resistance training amplifies muscle hypertrophy and functional gains in persons with Parkinson's disease. Mov Disord. 2006; 21(9):1444-52.

Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ et al. Resistance training for older adults: position statement from the national strength and conditioning association. J Strength Cond Res. 2019; 33(8):2019-52.

Brienesse LA, Emerson MN. Effects of resistance training for people with Parkinson's disease: a systematic review. J Am Med Dir Assoc. 2013; 14(4):236-41.

Chung CL, Thilarajah S, Tan D. Effectiveness of resistance training on muscle strength and physical function in people with Parkinson's disease: a systematic review and meta-analysis. Clin Rehabil. 2016; 30(1):11-23.

Li X, He J, Yun J, Qin H. lower limb resistance training in individuals with Parkinson's disease: an updated systematic review and meta-analysis of randomized controlled trials. Front Neurol. 2020; 11:591605.

David FJ, Rafferty MR, Robichaud JA, Prodoehl J, Kohrt WM et al. Progressive resistance exercise and Parkinson's disease: a review of potential mechanisms. Parkinsons Dis. 2012; 2012:124527.

Leal LC, Abrahin O, Rodrigues RP, Silva MC, Araújo AP et al. Low-volume resistance training improves the functional capacity of older individuals with Parkinson's disease. Geriatr Gerontol Int. 2019; 19(7):635-40.

Helgerud J, Thomsen SN, Hoff J, Strandbråten A, Leivseth G et al. Maximal strength training in patients with Parkinson's disease: impact on efferent neural drive, force-generating capacity, and functional performance. J Appl Physiol. 2020; 129(4):683-90.

Moraes Filho AV, Chaves SN, Martins WR, Tolentino GP et al. Progressive resistance training improves bradykinesia, motor symptoms and functional performance in patients with Parkinson's disease. Clin Interv Aging. 2020; 15:87-95.

Inkster LM, Eng JJ, MacIntyre DL, Stoessl AJ. Leg muscle strength is reduced in Parkinson's disease and relates to the ability to rise from a chair. Mov Disord. 2003; 18(2):157-62.

Mak MK, Pang MY, Mok V. Gait difficulty, postural instability, and muscle weakness are associated with fear of falling in people with Parkinson's disease. Parkinson's Dis. 2012; 2012:901721.

Strand KL, Cherup NP, Totillo MC, Castillo DC, Gabor NJ, Signorile JF. Periodized resistance training with and without functional training improves functional capacity, balance, and strength in Parkinson's disease. J Strength Cond Res. 2021; 35(6):1611-9.

Roeder L, Costello JT, Smith SS, Stewart IB, Kerr GK. Effects of resistance training on measures of muscular strength in people with Parkinson's disease: a systematic review and meta-analysis. PloS One. 2015; 10(7):e0132135.

Souza CFM, Almeida HCP, Sousa JB, Costa PH, Silveira YSS, Bezerra JCL. Parkinson's disease and the process of aging motor: literature review. Revista Neurociencias. 2011; 19:718-23.

Carod-Artal FJ, Martinez-Martin P, Vargas AP. Independent validation of SCOPA-psychosocial and metric properties of the PDQ-39 Brazilian version. Mov Disord. 2007; 22(1):91-8.

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2):142-8.

Pinto CL, Botelho PB, Carneiro JA, Mota JF. Impact of creatine supplementation in combination with resistance training on lean mass in the elderly. J Cachexia Sarcopenia Muscle. 2016; 7(4):413-21.

Vale AF, Carneiro JA, Jardim PCV, Jardim TV, Steele J et al. Acute effects of different resistance training loads on cardiac autonomic modulation in hypertensive postmenopausal women. J Transl Med. 2018; 16(1):240.

Lima LO, Scianni A, Rodrigues-de-Paula F. Progressive resistance exercise improves strength and physical performance in people with mild to moderate Parkinson's disease: a systematic review. J Physiother. 2013; 59(1):7-13.

Kanegusuku H, Peçanha T. Effects of resistance training on metabolic and cardiovascular responses to a maximal cardiopulmonary exercise test in Parkinson’s disease. Einstein. 2021; 19:eAO5940.

Silva-Batista C, Corcos DM, Roschel H, Kanegusuku H, Gobbi LT et al. Resistance training with instability for patients with Parkinson's Disease. Med Sci Sports Exerc. 2016; 48(9):1678-87.

Cherup NP, Buskard ANL, Strand KL, Roberson KB, Michiels ER et al. Power vs strength training to improve muscular strength, power, balance and functional movement in individuals diagnosed with Parkinson's disease. Exp Gerontol. 2019; 128:110740.

Alexandre TS, Meira DM, Rico NC, Mizuta SK. Accuracy of Timed Up and Go Test for screening risk of falls among community-dwelling elderly. Rev Bras Fisioter. 2012; 16(5):381-8.

Rawlins MD, Culyer AJ. National Institute for Clinical Excellence and its value judgments. BMJ. 2004; 224-7.

Podsiadlo D, Richardson S. The “Timed Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; (39):142-8.

Ferreira RM, Alves W, Lima TA, Alves TGG, Alves Filho PAM et al. The effect of resistance training on the anxiety symptoms and quality of life in elderly people with Parkinson's disease: a randomized controlled trial. Arq Neuropsiquiatr. 2018; 76(8):499-506.

Izquierdo M, Duque G, Morley JE. Physical activity guidelines for older people: knowledge gaps and future directions. Lancet Healthy Longev. 2021; 2(6):e380-e3.

Kwok JYY, Kwan JCY, Auyeung M, Mok VCT, Chan HYL. The effects of yoga versus stretching and resistance training exercises on psychological distress for people with mild-to-moderate Parkinson's disease: study prxotocol for a randomized controlled trial. Trials. 2017; 18(1):509.

Publicado

2024-05-09

Cómo citar

1.
Abreu TCL de, Carneiro JA. Fuerza muscular, funcionalidad y calidad de vida en pacientes con enfermedad de Parkinson después del entrenamiento de fuerza: un ensayo clínico aleatorizado: Treinamento de fuerza em pacientes com doença Parkinson. HU Rev [Internet]. 9 de mayo de 2024 [citado 21 de diciembre de 2024];50:1-9. Disponible en: https://periodicos.ufjf.br/index.php/hurevista/article/view/42359

Número

Sección

Artigos Originais