Efeito do ritmo nos membros superiores na doença de Parkinson: abordagem interdisciplinar entre terapia ocupacional e musicoterapia

Abstract

Parkinson's disease (PD) is characterized as a neurodegenerative disorder that affects movement, presenting symptoms such as tremor, bradykinesia and muscle rigidity. Though not considered lethal, neurological degeneration of various structures, particularly the basal ganglia, seriously compromises the functional performance, impairing activities of daily living such as dressing, eating and brushing teeth. Research involving the use of musical elements such as rhythm have grown in the rehabilitation of people with neurological diseases. This study was based on literature review on the effects of rhythm in motor rehabilitation of the upper extremity in Parkinson's disease, with approach between occupational therapy and music therapy. This review of the literature is being compared to scientific production in English and Portuguese from the year 2000. Was used the databases Virtual Health Library - VHL (Biblioteca Virtual em Saúde - BVS), Coordination for Improvement of Higher Education Personel Periodic (Portal da CAPES) and PubMed, associating the descriptors neurologic music therapy (musicoterapia neurológica), occupational therapy (terapia ocupacional), Parkinson , rhythm (ritmo), rhythmicity (ritmicidade), rehabilitation (reabilitação), brain (cérebro), upper extremity (membros superiores) and finger tapping. As a result were found representative production of articles in English and non-representative in Portuguese. After the reading, those that addressed in its researches rhythm, PD and upper extremity together, were chosen and summarized, totaling four articles. The articles showed gains in motor coordination, precision movements, improvement in repetitive motor tasks in patients with PD through music and rhythmic elements. The little scientific literature in Portuguese and that talk about occupational therapy and music therapy requires further work in this field.