Exercícios de dupla tarefa associado à gameterapia na funcionalidade de idosos com doença de Parkinson.

Abstract

Parkinson's Disease (PD) is a neurodegenerative, progressive and chronic disease that compromises the central nervous system, causing motor alterations such as tremors, rigidity and postural instability. Neurofunctional physiotherapy has proven to be an effective approach to improving gait, balance and functionality in individuals with PD, favoring autonomy and quality of life. Innovative therapeutic strategies, such as dual-task exercises and game therapy, have been incorporated into clinical practice with promising results, by promoting the integration of motor and cognitive stimuli. The aim of the study was to evaluate the effects of a physiotherapeutic intervention based on dual-task exercises and virtual reality on the functionality of elderly people living with PD. This is an exploratory case study with physiotherapeutic intervention using the dual-task method and game therapy, targeting elderly people with PD. The sample consisted of one elderly individual diagnosed with PD and linked to the FisioUnisc clinic, who could be male or female, aged over 60 years and who had completed the study protocol. The results showed that after the intervention consisting of dual-task exercises associated with game therapy, there was an improvement in functionality, balance and muscle strength, an increase in the Barthel Index score, an improvement in performance on the Berg Balance Scale, a reduction in the Time Up and Go test time, an increase in repetitions in the sit-to-stand test and an increase in handgrip strength. The data analysis showed that interventions based on dual-task exercises associated with game therapy are more effective than conventional methods, promoting more significant benefits in the rehabilitation process of individuals with PD.