ABSTRACT
BACKGROUND: Due to its multiple benefits in Parkinson's Disease, Dance has been a widely recommended activity in rehabilitation. However, there is a gap in the literature on the use of Brazilian sytles in rehabilitation protocols. This study aimed to compare the effect of 2 different protocols of Brazilian dance, samba and forró, and samba on motor aspects and quality of life of individuals with Parkinson's disease. METHODS: In a nonrandomized clinical trial lasting 12 weeks, 69 individuals with Parkinson's disease participated in the study: forró and samba group (FSG = 23), samba group (SG = 23), and control group (CG = 23). RESULTS: Significant improvements were found after SG intervention in the UPDRSIII and in the subitem quality of life mobility. In intra-group comparisons of FSG, significant differences were found in the subtype of quality of life discomfort. In the intergroup analysis, significant differences were found between CG, SG, and FSG in the communication sub-item, showing a greater increase in the scores of the groups that participated in the SG and FSG. CONCLUSIONS: The findings of this study suggest that Brazilian dance practice is capable of improving the perception of some aspects of quality of life and motor symptoms in relation to controls in people with Parkinson's disease.
Subject(s)
Dancing , Parkinson Disease , Humans , Parkinson Disease/rehabilitation , Quality of Life , Brazil , Exercise Therapy/methodsABSTRACT
BACKGROUND: Recent research has shown that dancing takes effect directly in improving mental health, by reducing rates of depression, anxiety, and enhancing the mood aspects in people of any age. AIM: This systematic review aimed to search for evidence of the effects of dance interventions on adults' mental health. METHODS: The eligibility criteria of the studies were defined by following the PICOS strategy, considering the population, intervention, comparison, result, and the study design. Only randomized clinical trials, conducted in adults of both sexes, with results related to mental health, including depression and/or anxiety and/or stress and/or mood disorder were considered eligible for this review. The search was conducted using 5 databases: PubMed, Cochrane Library, Web of Science, Scopus, and ScienceDirect from 2005 to 2020. The Cochrane Collaboration tool was used to assess the risk of bias in randomized clinical trials. The synthesis and presentation of results followed the guidelines of the PRISMA model. RESULTS: Of 425 selected studies, 10 randomized clinical trials were included in the review with a total of 933 participants between 18 and 62 years old. Studies included Dance Movement Therapy, Latin dance, tango, rumba, waltz, Nogma, quadrille, and Biodanza. The results indicate that regardless of style, adults who participated in dance interventions showed a reduction in symptoms of depression, anxiety, and stress compared to groups that did not participate in any type of intervention. DISCUSSION: In general, studies showed an unclear risk of bias in most items assessed. Based on these studies, it is possible to assume that the practice of dance contributes positively to the maintenance or improvement of mental health in adults.
Subject(s)
Dance Therapy , Dancing , Male , Female , Humans , Adult , Adolescent , Young Adult , Middle Aged , Mental Health , Dance Therapy/methods , Anxiety/prevention & controlABSTRACT
The purpose of this study is to examine the effects of a 16-week exercise intervention (mat Pilates or belly dance) on body image, self-esteem and sexual function in breast cancer survivors receiving hormone therapy. Seventy-four breast cancer survivors were randomly allocated into mat Pilates, belly dance, or control group. The physical activity groups received a 16-week intervention, delivered 3 days a week, and 60 min a session. The control group received three education sessions. Data collection occurred at baseline, post-intervention, 6 and 12 months of follow-up with a questionnaire including body image (Body Image After Breast Cancer Questionnaire), self-esteem (Rosenberg Self-Esteem Scale), and sexual function (Female Sexual Function Index) measures. The belly dance group significantly improved body image on limitations scale in the short term and long term, the mat Pilates significantly improved body image on limitations only in the long term, and the control group significantly decreased body image on limitations in the long term. The belly dance group experienced reduced discomfort and pain during sexual relations in the short and long term. All groups showed a significant improvement in self-esteem, but orgasm sub-scale scores declined over time. No adverse events were found for any of the exercise intervention groups. Belly dance seem to be more effective than mat Pilates and control group in improving limitations of body image and sexual discomfort in the short term for breast cancer survivors. ClinicalTrials.gov (NCT03194997) - "Pilates and Dance to Breast Cancer Patients Undergoing Treatment".
Subject(s)
Breast Neoplasms , Exercise Movement Techniques , Humans , Female , Body Image , Breast Neoplasms/therapy , Exercise Movement Techniques/methods , Self Concept , Exercise , Quality of LifeABSTRACT
Introduction: Head and neck cancer is considered a global public health problem, which arises in aesthetically and functionally critical areas. The practice of physical exercise has been considered one of the significant and effective non-pharmacological strategies to minimize the physical and psychological consequences. Objective: To analyze the evidence of physical activity interventions in the physical and psychological health of individuals with head and neck cancer. Method: A systematic review was conducted blindly and independently, from March to May 2021, according to the PRISMA guidelines. The search was performed in the following databases: PubMed Central®; Cochrane Library; Web of Science, Scopus, ScienceDirect. Results: Of the 515 selected studies, 15 were included in this systematic review with a total of 670 participants aged between 18 and 76 years old. The studies included aerobic exercises, endurance, mobility, stretching, strengthening, and yoga. Conclusion: Evidence proves that physical activity interventions performed with individuals with head and neck cancer may be beneficial in the treatment and physical/psychological health of this population. This study may help new researches considering the detailed information described previously regarding the interventions applied, in addition to discussing the most used instruments with this public and indicating the modalities that are being safely performed. It is suggested that more randomized trials be conducted to obtain more concise results.
Introdução: O câncer de cabeça e pescoço é considerado um problema de saúde pública mundial, que surge em áreas cosmeticamente e funcionalmente críticas. A prática de exercício físico está sendo considerada uma das estratégias não farmacológicas significativas e eficazes a fim de minimizar as consequências físicas e psicológicas. Objetivo: Analisar as evidências de intervenções de atividade física na saúde física e psicológica de indivíduos com câncer de cabeça e pescoço. Método: Revisão sistemática de forma cega e independente, de março a maio de 2021, de acordo com as diretrizes PRISMA. A busca foi realizada nas seguintes bases de dados: PubMed Central®; Biblioteca Cochrane; Web of Science, Scopus, ScienceDirect. Resultados: Entre os 515 estudos selecionados, 15 foram incluídos nesta revisão sistemática com um total de 670 participantes com idade entre 18 e 76 anos. Os estudos incluíram exercícios aeróbicos, resistência, mobilidade, alongamento, fortalecimento e ioga. Conclusão: Evidências comprovam que intervenções de atividade física realizadas com indivíduos com câncer de cabeça e pescoço podem ser benéficas no tratamento e na saúde física/psicológica dessa população. Este estudo pode auxiliar em novas pesquisas considerando as informações detalhadas descritas anteriormente sobre as intervenções aplicadas, além de discutir os instrumentos mais utilizados com esse público e indicar as modalidades que estão sendo realizadas com segurança. Sugere-se a realização de mais ensaios randomizados para obter resultados mais concisos.
Introducción: El cáncer de cabeza y cuello es considerado un problema de salud pública a nivel mundial que se presenta en áreas estética y funcionalmente críticas. La práctica de ejercicio físico ha sido considerada una de las estrategias no farmacológicas significativas y eficaces para minimizar las consecuencias físicas y psíquicas. Objetivo: Analizar la evidencia de intervenciones de actividad física sobre la salud física y psicológica de individuos con cáncer de cabeza y cuello. Método: Revisión sistemática ciega e independiente de marzo a mayo de 2021, según las guías PRISMA. La búsqueda se realizó en las siguientes bases de datos: PubMed Central®; Biblioteca Cochrane; Web of Science, Scopus, ScienceDirect. Resultados: Entre los 515 estudios seleccionados, 15 fueron incluidos en esta revisión sistemática con un total de 670 participantes con edades entre 18 y 76 años. Los estudios incluyeron ejercicio aeróbico, resistencia, movilidad, estiramiento, fortalecimiento y yoga. Conclusión: La evidencia demuestra que las intervenciones de actividad física realizadas con individuos con cáncer de cabeza y cuello pueden ser beneficiosas en el tratamiento y la salud física/psicológica de esta población. Este estudio puede ayudar a futuras investigaciones considerando la información detallada descrita anteriormente sobre las intervenciones aplicadas, además de discutir los instrumentos más utilizados con esta audiencia e indicar las modalidades que se están realizando de forma segura. Se sugieren más ensayos aleatorios para obtener resultados más concisos.
Subject(s)
Humans , Male , Female , Psychology , Exercise , Exercise Therapy , Head and Neck NeoplasmsABSTRACT
Objective: To review randomized clinical trials on Body Practices (BP) and Physical Exercise (PE) in menopausal women and describe their effect on sexual function. Methods: Searches carried out electronically in five databases, with a temporal criterion of 10 years of publication, from August to September 2022. Methodological quality and risk of bias were assessed using the Cochrane collaboration scale and PEDro (Physiotherapy Evidence Database Physiotherapy Evidence Database) scale score. Results: The majority of the studies presented a "'low" or "'uncertain" risk of bias. The instruments for assessing sexual function were heterogeneous. Interventions included mindfulness, relaxation hypnosis, Kegel exercises, yoga, and aerobic exercise, and generally lasted 12 weeks. Seven studies were included, of which six made up the meta-analysis, showing high heterogeneity (I2 = 94.2%; p < 0.0001). The analysis of subgroups with BP showed high heterogeneity (I2 = 94.2%; p < 0.01); interventions with PE presented more favorable results (I2 = 0%; 0; p = 0.90); the sexual function instruments showed high heterogeneity (I2 = 90%; p < 0.01); and instruments of quality of life and menopausal symptoms with domains of sexual function presented favorable results for BP and PE (I2 = 0%; p = 0.63). The funnel chart presents the studies in a dispersed manner, which implies publication bias. Conclusions: Interventions with PE proved to be more efficient compared to BP, however, there are a low number of studies with PE, and those found are limited to aerobic training, without sufficient data on intensity, volume, and frequency. Further studies with PE are needed for the treatment of sexual function symptoms in order to more comprehensively describe their effect.
ABSTRACT
Aims: (1) To evaluate mental health symptoms in people with Parkinson's (PwP) in self-isolation, before and during the COVID-19 pandemic, in Brazil; (2) to explore associations between mental health and physical activity levels. Methods: An observational cross-sectional survey using retrospective data. PwP from the Brazilian territory, both sexes, no age limit, in self-isolation due to COVID-19 pandemic, were invited to complete an online self-administered and validated questionnaire. Demographic data (sex, age, Brazilian state they lived in, levels of education, and household income), days in self-isolation, time of diagnosis, and symptoms that bothered most were reported. Self-reported levels of physical activity and mental health symptoms (depression, anxiety, fear, and thoughts of death), before and during the COVID-19 pandemic, were assessed. Results: The participants were 156 individuals with PD (64 ± 11 years), from both sexes (50% women; 50% men), resident in the 5 Brazilian regions. There was a worse on mental health symptoms over the time: anxiety [effect size = - 0.52; 95% CI (- 0.70; - 0.28); p < .001], fear [effect size = - 0.58; 95% CI (- 0.76; - 0.34); p < .001], and thoughts of death [effect size = - 0.43; 95% CI (- 072;-0.02); p = .001]. A lower physical activity level during the pandemic is related to increased probability of thoughts of death [crude OR = 1.84; 95% CI (0.98; 3.46); p = 0.05; adjusted OR = 2.98; 95% CI (- 0.01; 2.19); p = 0.05]. Anxiety, fear and depression were not associated with physical activity levels. Conclusions: Anxiety, fear and thoughts of death worsened during the COVID-19 pandemic in comparison with the period before COVID-19. Lower physical activity level during the pandemic was related to an increased probability of thoughts of death. Supplementary Information: The online version contains supplementary material available at 10.1007/s11332-021-00868-y.
ABSTRACT
BACKGROUND: Evidence-based practices involving dance modalities found in binary (two-beat rhythm) or quaternary (four-beat rhythm) show that dance positively influences the motor aspects of disease.
Aim: This randomized clinical trial aimed to analyze the effect of two dance rhythm (binary and quaternary) on the balance, gait, and mobility in individuals with Parkinson's disease (PD).
Methods: Thirty-one individuals with PD were randomized into the binary group (n = 18) and the quaternary group (n = 13). Both groups participated in different dance rhythms lasting 12 weeks, twice a week, for 45 minutes.
Results: The binary group showed a significant difference in balance (p = 0.003), freezing of gait (p = 0.007), as well as in the motor aspects of MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS), with emphasis on the total values with a score change of 3.23. In the quaternary group, significant differences were found in balance (p = 0.021) with a score change of -2.54 and in the motor aspects of the MDS-UPDRS Part III where the total values stood out with a change of 3.54.
Discussion: When comparing the possible effects of binary and quaternary rhythms on the motor symptoms of individuals with PD, it was demonstrated that binary rhythm improved balance, freezing gait, and UPDRSIII. As for the quaternary rhythm, the benefits were in balance and the UPDRSIII.
Conclusion: The binary and the quaternary rhythm dance protocols positively influenced the motor symptoms of individuals with PD after 12 weeks of intervention.
Subject(s)
Dance Therapy , Dancing , Gait Disorders, Neurologic , Parkinson Disease , Dance Therapy/methods , Gait Disorders, Neurologic/etiology , HumansABSTRACT
Abstract Aim: People with Parkinson's disease constantly demonstrate low levels of physical activity, which is why dance has become increasingly important for the treatment of the disease. This study aimed to analyze the influence of binary and quaternary rhythm on fatigue, sleep, and daytime sleepiness in individuals with Parkinson's disease. Methods: 31 individuals participated in this randomized clinical trial with a mean age of 66.6 ± 10.2 years, 71% were male and 29% were female, allocated into two groups, binary and quaternary, where they participated in different dance interventions lasting 12 weeks. A questionnaire was applied including personal and clinical information; Mental State Mini-Examination (MMSE), Hoehn and Yahr (H&Y), Fatigue Severity Scale (FSS), Sleep Scale for Parkinson's Disease (PDSS), and Daytime Sleepiness Epworth Scale (ESS). Results: The groups that participated in binary rhythm classes showed improvement in sleep quality and daytime sleepiness after 12 weeks of intervention. However, no significant differences were found in the group that participated in the quaternary rhythm classes. Moreover, it was noted that the binary group managed to raise the heart rate during the 12 weeks of intervention, given that these results were not obtained in the quaternary group. Conclusion: The results showed the effectiveness of binary rhythm on non-motor symptoms and heart rate increase in individuals with Parkinson's disease. Thus, it is concluded that the binary rhythm was more effective than the quaternary rhythm.
ABSTRACT
Abstract Aim: This study aims to compare a functional training protocol and Mat Pilates for individuals with Parkinson's disease and to evaluate the effects on motor symptoms, as well as non-motor symptoms using a randomized controlled trial. Methods: Protocol for a randomized clinical trial in which 45 individuals with Parkinson's disease will be recruited and randomly allocated to one of three groups: (1) functional training; (2) Mat Pilates; (3) control group. Both intervention groups will have 60 min classes twice a week for 12 weeks. The primary outcome will be analyzed through motor symptoms, including balance, mobility, muscle strength, handgrip strength, flexibility, range of motion, and cardiorespiratory fitness. Secondary outcomes will include non-motor symptoms such as cognition, aging perspective, mood, anxiety, and depression. Conclusion: This will be the first randomized trial to compare the effects of functional training and Mat Pilates in a population with Parkinson's disease. It is hypothesized that improvements in motor and non-motor symptoms will be greater and more lasting after functional training and Mat Pilates interventions than those that maintain their routine activities, given the benefits of exercise and the unprecedented protocols in this disease.
Subject(s)
Humans , Parkinson Disease/therapy , Exercise , Exercise Movement Techniques/instrumentation , Motor Activity , Randomized Controlled Trials as TopicABSTRACT
The search for movement plasticity causes dancers to seek to achieve and maintain low body weight, which can lead to dissatisfaction with their body image and to eating disorders. The purpose of this study was to analyze body image satisfaction and the presence of eating disorders and associated factors in professional ballroom dancers in Brazil. Three hundred and twenty dancers took part via a self-reported questionnaire. The majority of the dancers proved to be dissatisfied with their body image; the increase with age of body mass index (BMI) influenced the dissatisfaction due to excess weight. It is concluded that body image is associated with eating disorders, age, and BMI in ballroom dancers.
Subject(s)
Body Dissatisfaction , Dancing , Feeding and Eating Disorders , Body Image , Brazil , HumansABSTRACT
This study aimed to compare the effect of a binary and quaternary rhythm protocol on cognition, mental activity, daily life, and quality of life among individuals with Parkinson's Disease. A two-arm randomized clinical trial with 31 individuals diagnosed with Parkinson's disease, who were allocated to the binary group or quaternary group. Both groups underwent a 12-week intervention. The following variables were analyzed: personal and clinical information; MoCA; UPDRSI and II; PDQ-39. Both intervention groups improved cognition, mental activity, activities of daily living, and quality of life. In addition, there were intergroup differences in total UPDRSII, writing, and hygiene where the quaternary group was superior to the binary group. It concludes that the binary and quaternary rhythm positively influenced and presented similar effects on the complementary treatment of individuals with Parkinson's disease on the studied variables. Thus, it is believed that both interventions are possible and feasible for the health professionals involved in the area.
Subject(s)
Dance Therapy , Dancing , Parkinson Disease , Activities of Daily Living , Humans , Parkinson Disease/therapy , Quality of LifeABSTRACT
This non-randomized clinical trial aimed to analyze the impact of the Brazilian samba training protocol on the balance and quality of life of people with Parkinson's disease. Forty-seven individuals participated, with a mean age of 68 ± 9.3 years-old, 24 from the control group (CG) and 23 from the experimental group (EG). The CG was formed by those who did not participate in the interven-tion, and the EG by individuals who participated in the Brazilian samba dance protocol. This study was divided into pre-intervention (before 12 weeks) and post-intervention (after 12 weeks) with a questionnaire consisting of: Mini Mental State Examination (MMSE); Unified Parkinson's Disease Rating Scale (UPDRS); Quality of life (PDQ-39); Berg's Balance Scale; Perception of perceived changes. The results point to a significant improvement after the intervention in the UPDRS (p < 0.001) and balance (p = 0.006) of the EG; in the quality of life of the EG after intervention in the mobility (p = 0.009) and total (p = 0.034) domains; and in the post-intervention period in the cog-nitive (p = 0.025) and communication (p = 0.032) domains of the EG and CG. Thus, it is concluded that the Brazilian samba rhythm has been shown to be effective in improving the total UPDRS, balance and quality of life, as well as in mobility, cognition and communication
Esse ensaio clínico não randomizado teve como objetivo analisar o impacto do protocolo de treinamento de samba brasileiro no equilíbrio e na qualidade de vida de pessoas com a doença de Parkinson. Participaram quarenta e sete indivíduos, média de idade de 68 ± 9,3 anos, 24 do grupo controle (GC) e 23 do grupo experimental (GE). O GC foi formado por aqueles que não participaram da intervenção, e o GE por indivíduos que participaram do protocolo de dança do samba brasileiro. Este estudo foi dividido em pré-intervenção (antes das 12 semanas) e pós-intervenção (após as 12 semanas) com um questionário composto por: Mini Exame do Estado Mental (MEEM); Escala Unificada de Avaliação de Doença de Parkinson (UPDRS); Qualidade de vida (PDQ-39); Escala de Equilíbrio de Berg; Percepção das mudanças percebidas. Os resul-tados apontam para uma melhora significativa após a intervenção no UPDRS (p < 0,001) e equilíbrio (p = 0,006) do GE; na qualidade de vida do GE pós intervenção nos dominios mobilidade (p = 0,009) e total (p = 0,034); e no período pós intervenção nos domínios cognitivos (p = 0,025) e comunicação (p = 0,032) do GE e GC. Desta forma conclui-se que o ritmo samba brasileiro tem se mostrado eficaz na melhora do UPDRS total, do equilíbrio e da qualidade de vida, como na mobilidade, cognição e comunicação
Subject(s)
Humans , Male , Female , Parkinson Disease , Quality of Life , MusicABSTRACT
The world has been hit by a pandemic caused by the new coronavirus (COVID-19), which has result-ed in government recommendations and measures including social isolation to reduce the spread of the disease. In view of these recommendations, there were drastic changes in lifestyle, impacting the physical and mental health of men and women. Thus, this study aimed to investigate the practice of physical activity, according to sex, in individuals with Parkinson's disease in social isolation before and during the COVID-19 pandemic.Cross-sectional observational study, based on an online question-naire validated for individuals with Parkinson's disease PAFPA/COVID19, in which 156 individuals of both sexes and degrees of the disease (I to V ) were allocated, with a mean age of 63.70 ± 11.00 years and from different Brazilian regions. Chi-square, Fisher's exact and binary logistic regression tests were used. It is observed that 92% of the participants were in social isolation, which caused nega-tive effects on the level of physical activity of the participants, even though most of them doing phys-ical activity online. In addition, it was found that those who participated in specific exercise programs for Parkinson's disease, are less likely to be insufficiently active, as well as individuals who receive online guidance. Although social isolation is a necessary measure to combat COVID-19, the results show a negative effect of this social isolation on the parameters of physical activity in this population in different regions of Brazil. This suggests that better strategies for health promotion in order to increase levels of physical activity at home are necessary to reduce the physical inactivity lifestyle dur-ing the pandemic, in order to prevent diseases associated with social isolation and physical inactivity
O mundo foi atingido por uma pandemia causada pelo novo coronavírus (COVID-19), que resultou em re-comendações e medidas governamentais, incluindo isolamento social para reduzir a disseminação da doença. Diante dessas recomendações, ocorreram mudanças drásticas no estilo de vida, impactando na saúde física e mental de homens e mulheres. Assim, este estudo teve como objetivo investigar a prática de atividade física, segundo o sexo, em indivíduos com doença de Parkinson em isolamento social antes e durante a pandemia de COVID-19. Estudo observacional transversal, baseado em questionário online validado para indivíduos com doença de Parkinson PAFPA/COVID19, no qual foram avaliados 156 indivíduos de ambos os sexos e graus da doença (I ao V ), com média de idade de 63,70 ± 11,00 anos e de diferentes regiões brasileiras. Foram utilizados os testes Qui-quadrado, exato de Fisher e a regressão logística binária. Observa-se que 92% dos participantes encontravam-se em isolamento social, o que causou repercussões negativas no nível de atividade física dos participantes, embora a maioria realizasse atividade física online. Além disso, verificou-se que aqueles que participaram de programas de exercícios específicos para a doença de Parkinson, tiveram menor probabilidade de serem insuficientemente ativos, assim como os indivíduos que recebem orientação online. Embora o isolamento social seja uma medida necessária para combater a COVID-19, os resultados mostram um efeito negativo desse isolamento social sobre os parâmetros de atividade física dessa população em dife-rentes regiões do Brasil. Isso sugere que melhores estratégias de promoção da saúde para aumentar os níveis de atividade física no domicílio são necessárias para reduzir o inatividade física durante a pandemia, a fim de prevenir doenças associadas ao isolamento social e inatividade física
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Parkinson Disease , Social Isolation , Exercise , COVID-19 , Parkinson Disease/psychology , Logistic Models , Cross-Sectional Studies , Surveys and Questionnaires , Sex Distribution , Education, Distance , Physical Distancing , COVID-19/psychology , Sociodemographic FactorsABSTRACT
Introduction: Surgical treatment after the diagnosis of breast cancer can lead to several consequences of the survivor's upper limb. Objective: Analyze the physical function of the upper limb after breast cancer surgery in Southern Brazilian survivors. Method: 82 breast cancer survivors (55±10 years) receiving hormone therapy were included. A questionnaire for general information, pain (Visual Analogue Scale), and upper limb functionality (DASH) were applied, followed by physical tests; the shoulder range of motion (goniometer), strength (dynamometer), proprioception (kinesimeter) and arm volume (perimeter of the arm). Results: No differences were found for any variable of physical function in relation to mastectomy or breast-conserving surgery. However, better scores of strength and the shoulder range of motion were found for the non-surgery arm. Linear regression demonstrated a relation between pain, strength, range of motion, proprioception, and arm volume with the disabilities of the upper limb, and when adjusted by surgery modality, shoulder range of motion, arm volume, and proprioception maintained significantly. Conclusion: Breast cancer survivors presented physical disabilities on the upper limb after surgery, regardless of the modality of surgery. Results elucidate the need for an efficient post-treatment program to prevent poor physical function after breast cancer surgery and provide better daily activities to these women.
Introdução: O tratamento cirúrgicodo câncer de mama pode levar a consequências físicas no membro superior de sobreviventes. Objetivo: Analisar a funcionalidade do membro superior após cirurgia de câncer de mama em sobreviventes do Sul do Brasil. Método: Foram avaliadas82 sobreviventes de câncer de mama (55±10 anos) em tratamento com hormonioterapia. Foi aplicado um questionário para informações gerais, dor (Escala Visual Analógica) e funcionalidade do membro superior (DASH), seguido de testes físicos; amplitude de movimento (goniômetro), força (dinamômetro), propriocepção (cinesiômetro) e volume do braço (perímetro do braço). Resultados: Não foram encontradas diferenças para nenhuma das variáveis de funcionalidade em relação à mastectomia ou cirurgia conservadora de mama. No entanto, melhores escores de força e amplitude de movimento foram apresentados no membro contralateral à cirurgia. A regressão linear demonstrou uma relação entre dor, força, amplitude de movimento, propriocepção e volume do braço com as disfunções do membro superior e, quando ajustada pela modalidade de cirurgia, apenas a amplitude de movimento, volume do braço e propriocepção mantiveram--se significativamente. Conclusão: A cirurgia do câncer de mama pode levar à pior funcionalidade no membro superior, independentemente da modalidade da cirurgia. Os resultados elucidam a necessidade de um programa eficiente de pós-tratamento para prevenir as consequências na função física do membro superior após cirurgia de câncer de mama e proporcionar melhora nas atividades de vida diária nessa população.
Introducción: El tratamiento quirúrgico después del diagnóstico de cáncer de seno puede conducir a varias consecuencias de la extremidad superior de la sobreviviente. Objetivo: Analizar la función física de la extremidad superior después de una cirugía de cáncer de mama en sobrevivientes del sur de Brasil.Método: Se incluyeron 82 sobrevivientes de cáncer de mama (55±10 años) que recibieron terapia hormonal. Se aplicó un cuestionario para información general, dolor (escala analógica visual) y funcionalidad de la extremidad superior (DASH), seguido de pruebas físicas; el rango de movimiento (goniómetro), fuerza (dinamómetro), propiocepción (kinesímetro) y volumen del brazo (perímetro del brazo). Resultados: No se encontraron diferencias para ninguna variable de la función física con respecto a someterse a una mastectomía o cirugía conservadora de seno. Sin embargo, se encontraron mejores puntajes de fuerza y rango de movimiento para el brazo no quirúrgico. La regresión lineal demostró una relación entre el dolor, la fuerza, el rango de movimiento, la propiocepción y el volumen del brazo con las discapacidades de la extremidad superior, y cuando se ajustó por la modalidad quirúrgica, el rango de movimiento, el volumen del brazo y la propiocepción se mantuvieron significativamente. Conclusión: Las sobrevivientes de cáncer de mama presentaron discapacidades físicas en la extremidad superior después de la cirugía, independientemente de la modalidad de la cirugía. Los resultados aclaran la necesidad de un programa de postratamiento eficiente para prevenir la mala función física después de la cirugía de cáncer de mama y proporcionar mejores actividades diarias a estas mujeres.
Subject(s)
Humans , Female , Middle Aged , Aged , Breast Neoplasms/rehabilitation , Upper Extremity/physiopathology , Mastectomy/rehabilitation , Pain/rehabilitation , Brazil , Breast Neoplasms/surgery , Breast Neoplasms/therapy , Survivors , Muscle StrengthABSTRACT
BACKGROUND: Side-effects of hormone therapy can impair the physical health of breast cancer survivors. Exercise has been clearly shown to improve the quality of life of breast cancer survivors. Less is known about the effects of exercise on physical outcomes for breast cancer survivors receiving hormone therapy. OBJECTIVE: To investigate the effects of exercise on physical outcomes of breast cancer survivors receiving hormone therapy. METHODS: Five electronic databases were searched by two authors using the terms "Breast Neoplasms" [MeSH] and "Tamoxifen" [MeSH] and "Aromatase Inhibitors" [MeSH] and "Exercise" [MeSH]. Randomized and non-randomized clinical trials were included. Risk of bias was assessed by the Cochrane Collaboration tool and ROBINS-I, and the quality of evidence was evaluated using GRADE. Pooled effects were reported as standardized mean differences (SMDs) and 95 % confidence intervals (CIs) using a random effects model. RESULTS: Eleven studies were included in the meta-analysis. Two hundred and fourteen breast cancer survivors receiving hormone therapy, tamoxifen, or aromatase inhibitors participated in interventions based on aerobic plus resistance exercise or walking activity. The physical outcomes reported in the articles were: cardiorespiratory fitness, pain, bone mineral density, grip strength, and body fat percentage. Exercise effects were found only for cardiorespiratory fitness (SMD = 0.37; 95 % CI: 0.11; 0.63; I2 = 93 %) and pain (SMD = -0.55; IC95 % -1.11; -0.00; I2 = 80 %), with low quality of evidence. No effects were observed for the other variables. CONCLUSIONS: Aerobic plus resistance exercise had positive effects on cardiorespiratory fitness and pain in breast cancer survivors receiving hormone therapy. However, high-quality randomized clinical trials are required to confirm this finding.
Subject(s)
Antineoplastic Agents, Hormonal/adverse effects , Aromatase Inhibitors/adverse effects , Breast Neoplasms/rehabilitation , Cancer Survivors , Exercise , Tamoxifen/adverse effects , Bone Density , Breast Neoplasms/drug therapy , Exercise Therapy , Female , Humans , Quality of Life , Survivors , WalkingSubject(s)
Breast Neoplasms , Cancer Survivors , Bone Density , Breast Neoplasms/drug therapy , Exercise , Humans , SurvivorsABSTRACT
OBJECTIVE: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease. METHODS: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life. RESULTS: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group. CONCLUSION: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.
Subject(s)
Exercise Therapy/methods , Music Therapy/methods , Parkinson Disease/rehabilitation , Activities of Daily Living , Aged , Brazil , Feasibility Studies , Female , Humans , Male , Middle Aged , Non-Randomized Controlled Trials as Topic , Quality of Life , Socioeconomic Factors , Time Factors , Treatment OutcomeABSTRACT
ABSTRACT Introduction: People with Parkinson's disease constantly have low levels of physical activity. Dancing has become increasingly important for treating the disease and can help improve non-motor symptoms. Objective: To analyze the influence of Brazilian samba on the non-motor symptoms of PD according to TD and PGID subtypes. Methods: A 12-week, non-randomized clinical trial, through comparison with a control group. The 23 individuals who agreed to participate in the activities formed the experimental group (EG) and the 24 individuals who opted not to participate in the Brazilian samba classes comprised the control group (CG). A questionnaire was applied, composed of validated instruments. Mini Mental State Examination - MMSE; HY - Disability Scale; Unified Parkinson's Disease Rating Scale - UPDRS 1 and total values; Parkinson's Disease Questionnaire - PDQ-39, Parkinson's Disease Sleep Scale - PDSS; Beck Depression Inventory - BDI; Fatigue Severity Scale - FSS and Magnitude of Perceived Changes. Results: After the twelve weeks of intervention, it was observed that the EG showed improvement in the scores of all the tests. The comparison between groups, however, indicated a significant difference in the post-UPDRS1 period in which the EG presented improvement in cognitive impairment, while the CG presented a deficit in these values. The results of the division between disease subtypes show a greater change in the values between individuals of the TD group, when comparing the EG with the CG. For the EG, the greatest difference between pre- and post- intervention was fatigue. Conclusion: There was a positive trend in all the variables studied after the application of the protocol. This demonstrates that interventions such as dance may have greater effects on non-motor symptoms, depending on the expected progression of the disease. The scarcity of studies that use this approach in their analyses may explain the lack of evidence in this symptomatology related to dance. Level of evidence II; Therapeutic studies - Investigating the results of treatment.
RESUMO Introdução: As pessoas com doença de Parkinson constantemente apresentam baixos níveis de atividade física. A dança tem se tornado cada vez mais importante para o tratamento da doença e pode ajudar a melhorar os sintomas não motores. Objetivo: Analisar a influência do samba brasileiro nos sintomas não motores da DP, segundo os subtipos TD e PGID. Métodos: Ensaio clínico não randomizado com duração de 12 semanas por meio de comparação com grupo controle. Os 23 indivíduos que aceitaram participar das atividades formaram o grupo experimental (GE) e os 24 indivíduos que optaram por não participar das aulas de dança brasileira formaram o grupo controle (GC). Um questionário foi aplicado, composto por instrumentos validados: Mini Exame do Estado Mental - MEEM; HY - Escala de Grau de Incapacidade; Escala Unificada de Avaliação da Doença de Parkinson - UPDRS 1 e valores totais; Questionário sobre a Doença de Parkinson - PDQ-39; Escala de Sono para a Doença de Parkinson - PDSS; Inventário de Depressão de Beck - BDI; Escala de Severidade de Fadiga - FSS e Magnitude das Alterações Percebidas. Resultados: Após doze semanas de intervenção, observou-se que o GE apresentou melhora nos escores de todos os testes. A comparação entre os grupos, no entanto, indicou uma diferença significativa no período pós-UPDRS1 em que o GE apresentou melhora no comprometimento cognitivo, enquanto o GC apresentou déficit nesses valores. Os resultados da divisão entre os subtipos da doença apresentam uma maior mudança nos valores entre os indivíduos do grupo TD ao comparar o GE com o GC. Em relação ao GE, a maior diferença entre a pré e pós-intervenção foi relacionada à fadiga. Conclusão: Houve tendência positiva em todas as variáveis estudadas após a aplicação do protocolo. Isso demonstra que intervenções como a dança podem ter maiores efeitos sobre os sintomas não motores, dependendo da progressão esperada da doença. A escassez de estudos que utilizam essa abordagem em suas análises pode explicar a falta de evidências nessa sintomatologia relacionadas à dança. Nível de evidência II; Estudos terapêuticos-Investigação dos resultados do tratamento.
RESUMEN Introducción: Las personas con enfermedad de Parkinson constantemente presentan bajos niveles de actividad física. La danza se ha vuelto cada vez más importante para el tratamiento de la enfermedad y puede ayudar a mejorar los síntomas no motores. Objetivo: Analizar la influencia del samba brasileño en los síntomas no motores de la EP, según los subtipos TD y PGID. Métodos: Ensayo clínico no aleatorizado con duración de 12 semanas, por medio de comparación con grupo control. Los 23 individuos que aceptaron participar en las actividades formaron el grupo experimental (GE) y los 24 individuos que optaron por no participar en las clases de danza brasileña formaron el grupo control (GC). Fue aplicado un cuestionario, compuesto por instrumentos validados: Mini Examen del Estado Mental - MEEM; HY - Escala del Grado de Incapacidad; Escala unificada de evaluación de la Enfermedad de Parkinson - UPDRS 1 y valores totales; Cuestionario sobre la Enfermedad de Parkinson - PDQ-39; Escala de Sueño de la Enfermedad de Parkinson - PDSS; Inventario de Depresión de Beck - BDI; Escala de Severidad de la Fatiga - FSS y Magnitud de las Alteraciones Percibidas. Resultados: Después de doce semanas de intervención, se observó que el GE presentó una mejora en los puntajes de todos los tests. La comparación entre los grupos, sin embargo, indicó una diferencia significativa en el período post-UPDRS1 en que el GE presentó una mejora en el compromiso cognitivo, mientras que el GC presentó déficit en esos valores. Los resultados de la división entre los subtipos de la enfermedad presentan un mayor cambio en los valores entre los individuos del grupo TD al comparar el GE con el GC. Con relación al GE, la mayor diferencia encontrada entre la pre y post intervención fue relacionada a la fatiga. Conclusión: Hubo tendencia positiva en todas las variables estudiadas después de la aplicación del protocolo. Eso demuestra que intervenciones como la danza pueden tener mayores efectos sobre los síntomas no motores, dependiendo de la progresión esperada de la enfermedad. La escasez de estudios que utilizan ese abordaje en sus análisis, puede explicar la falta de evidencias en esa sintomatología cuando relacionadas a la danza. Nivel de evidencia II; Estudios terapéuticos - Investigación de los resultados del tratamiento.
ABSTRACT
BACKGROUND: Breast cancer is a global public health issue. The side effects of the clinical treatment can decrease the quality of life of these women. Therefore, a healthy lifestyle is essential to minimize the physical and psychological side effects of treatment. Physical activity has several benefits for women with breast cancer, and Pilates solo and belly dancing can be an enjoyable type of physical activity for women with breast cancer undergoing clinical treatment. The purpose of this study is to provide a Pilates solo and a belly dance protocol (three times per week/16 weeks) for women undergoing breast cancer treatment and compare its effectiveness with that in the control group. METHODS: The participants will be allocated to either the intervention arm (Pilates solo or belly dance classes three times per week for 16 weeks) or a control group (receipt of a booklet on physical activity for patients with breast cancer and maintenance of habitual physical activity routine). The Pilates solo and belly dance classes will be divided into three stages: warmup and stretching, the main stage, and relaxation. Measurements of the study outcomes will take place at baseline; postintervention; and 6, 12, and 24 months after the end of the intervention (maintenance period). The data collection for both groups will occur with a paper questionnaire and tests covering general and clinical information. The primary outcome will be quality of life (EORT QLQ-C30 and EORT QLQ-BR23), and secondary outcomes will be physical aspects such as cardiorespiratory fitness (6-min walk test and cycle ergometer), lymphedema (sum of arm circumference), physical activity (IPAQ short version), disabilities of the arm (DASH), range of motion (goniometer test), muscular strength (dynamometer test) and flexibility (sit and reach test), and psychological aspects such as depressive symptoms (Beck Depression Inventory), body image (Body Image After Breast Cancer Questionnaire), self-esteem (Rosenberg), fatigue (FACT-F), pain (VAS), sexual function (FSFI), and sleep quality (Pittsburgh Sleep Quality Index). DISCUSSION: In view of the high prevalence of breast cancer among women, the implementation of a specific protocol of Pilates solo and belly dancing for patients with breast cancer is important, considering the necessity to improve their physical and psychological quality of life. Pilates solo and belly dancing are two types of physical activity that involve mental and physical concentration, music, upper limb movements, femininity, and social involvement. An intervention with these two physical activities could offer options of supportive care to women with breast cancer undergoing treatment, with the aim being to improve physical and psychological quality of life. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03194997. Registration date 12 August 2017. Universal Trial Number (World Health Organization), U1111-1195-1623.
Subject(s)
Breast Neoplasms/psychology , Dancing , Exercise Movement Techniques , Exercise , Quality of Life , Randomized Controlled Trials as Topic , Body Image , Breast Neoplasms/physiopathology , Breast Neoplasms/therapy , Cardiorespiratory Fitness , Female , Humans , Muscle Strength , Outcome Assessment, Health Care , Prospective Studies , Range of Motion, Articular , Self ConceptABSTRACT
Abstract Background: New protocols applied in the rehabilitation of Parkinson's disease enable different action strategies for health professionals, as well as a new range of activities for these individuals. However, no valid samba protocol with activity prescription for this population was found in the literature. Objective: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease. Methods: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life. Results: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group. Conclusion: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.
Resumo Fundamentos: Novos protocolos aplicados na reabilitação da doença de Parkinson possibilitam diferentes estratégias de atuação para profissionais de saúde, além de um novo leque de atividades para estes indivíduos. Entretanto, não se encontrou na literatura qualquer protocolo de samba com prescrição de atividades validado para esta população. Objetivo: O objetivo foi verificar a viabilidade de um protocolo de samba brasileiro em indivíduos com doença de Parkinson. Métodos: Vinte participantes, com idade média de 66,4±10,7 anos, com diagnóstico de doença de Parkinson idiopática divididos em: grupo experimental que recebeu a intervenção das aulas de dança - samba brasileiro (10 indivíduos); e grupo controle que manteve as suas atividades rotineiras (10 indivíduos). Para a coleta dos dados foi utilizado um questionário dividido: Informações Gerais; Escala de estágios de Incapacidade; Equilíbrio e Qualidade de Vida. Resultados: Durante a realização das aulas, não houve quedas, todas as atividades de dança aderiram aos detalhes das etapas do protocolo, sem quaisquer alterações, e os pacientes completaram, em média, 82,7% das atividades. Após 12 semanas, o grupo experimental apresentou melhoras no escore global da escala UPDRS, em atividades de vida diária e no exame motor. Houve também melhora nos escores de equilíbrio e no domínio de mobilidade da qualidade de vida do grupo experimental. Conclusão: A utilização de um protocolo de samba para indivíduos com doença de Parkinson mostrou-se viável, por sua característica segura e prazerosa, e por apresentar benefícios físicos suficientes para combinação com o tratamento medicamentoso. Houve também benefícios nas relações sociais e como uma possível ferramenta de reabilitação em indivíduos com a doença de Parkinson.
