Efeitos do treinamento resistido progressivo dos membros inferiores no padrão de marcha de indivíduos com Doença de Parkinson: revisão da literatura

Abstract

Parkinson's Disease (PD) is a neurodegenerative disorder, progressive character, characterized by a deficit of dopamine in the basal ganglia, leading to profound motor disorders that significantly interfere in the functional performance of individuals with PD. The main symptoms, defined as cardinal signs of the disease are bradykinesia, rigidity, resting tremor and postural instability. Besides these, the decrease in muscle strength is a common clinical finding in individuals with PD, and may be related to the alterations in the gait pattern of these individuals. Resistance training is an effective action widely used in physical therapy to restore muscle strength and functional performance in several diseases, including the PD. But few studies have examined its effect on the gait pattern of individuals with the disease. The aim of this study is to do a review of the literature on the effects of resistance training on gait pattern of such individuals. Searches were carried out in books and in Medline / Pubmed, Lilacs, SciELO, Cochrane, PEDro and Bireme. Were selected controlled and randomized trials, meta-analysis, systematic reviews, longitudinal and transverse studies and dissertations. After analysis of studies using the PEDro scale, there are methodological limitations that prevent greater certainty about the efficacy of this therapy modality in gait pattern of individuals with PD. Although the studies to report positive effects on muscle strength and gait of these individuals, it is necessary the achievment of clinical trials with greater methodological rigor to support the clinical actions of professionals that working with this type of action in PD.