Efeito do uso da plataforma vibratória em indivíduos com Doença de Parkinson: uma revisão sistemática

Abstract

Vibratory stimulation through the vibrating platform is a therapeutic resource that has been widely used by physiotherapists. Previous systematic reviews have already investigated the effects of the vibrating platform on the rehabilitation of individuals with Parkinson's Disease (PD), however, they have provided inconclusive results. Considering that the last systematic review on the topic included studies until November / 2018, an update is necessary. Therefore, the objectives are to update the existing evidence on the effects of using the vibrating platform on the rehabilitation of individuals with PD and to synthesize the protocols used. This is a systematic review following the PRISMA criteria. All steps were performed by two independent examiners. Searches were carried out in the MEDLINE, PEDro and Scielo databases in March 2020, updated in June of the same year. Experimental studies were included, with a control group, carried out with individuals with PD without restriction of age and stage of the disease; studies involving the use of the vibrating platform isolated or associated with other interventions; and studies with any outcome measure. The methodological quality of the studies was assessed using the PEDro Scale. 104 studies were found in the electronic databases, eight of which were included in the present review. Of the eight studies included, four were randomized clinical trials and four were quasi-experimental clinical trials. The methodological quality of the studies ranged from reasonable to good. In randomized clinical trials, the use of the vibrating platform proved to be effective in comparison to the control group in two (50%) studies. Improvement in postural stability and less excessive consumption of post-exercise oxygen have been reported. In quasiexperimental clinical trials, the use of the vibrating platform proved to be effective in comparison to the control group in three (75%) studies. Improvement in the signs and symptoms of PD, balance, postural stability and gait were reported. There was variability in the protocols used and scarcity of some information. The use of the vibrating platform promotes some positive effects when used in the rehabilitation of individuals with PD. However, the heterogeneity of the studies and the low methodological quality do not allow drawing conclusions about the effectiveness of this therapeutic resource and recommending its use in clinical practice.