Freezing da marcha na doença de Parkinson: abordagens fisioterapêuticas atuais

Abstract

Parkinson's disease is a degenerative disorder involving motor and non-motor neural circuits, characterized by premature loss of dopaminergic neurons. Among the motor symptoms, we highlight gait alterations, with freezing of gait being a frequent and serious finding, resulting in falls. The objective of the study is to demonstrate the main physiotherapeutic interventions in the freezing of gait through a literature review, a literature search with English language restriction was carried out in the databases: PEDro, Pubmed and Cochrane from June to October 2018. 2 systematic reviews with meta-analysis and 7 randomized clinical trials were selected for analysis of the results interventions such as: dance, training with cue strategies, action observation training, and water and ground walking exercises were able to significantly reduce the severity of gait freezing.