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Treino de marcha com pistas visuais no paciente com doenca de Parkinson (Training of gait with visual cues in the patient with Parkinson's disease) [Portuguese]
Dias NP, Fraga DA, Cacho EWA, Oberg TD
Fisioterapia em Movimento [Physical Therapy in Movement] 2005 Oct-Dec;18(4):43-51
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Gait disturbances are one of the primary symptoms in Parkinson's disease (PD). In the last years, promising Physical therapy programs studies had appeared combined with visual cues for the gait treatment. OBJECTIVE OF THE STUDY: Evaluate the training effectiveness of gait with visual cues in the patient with PD. METHODS: 16 patients with PD had been selected, in the service of Physical therapy and Occupational therapy from UNICAMP Hospital of Clinics, and randomized in two groups. Study group with n = 8 (20 training sessions of gait with visual cues, and conventional Physical therapy) and 8 in the controll group (20 conventional Physical therapy sessions). Evaluated in the beginning of the treatment, in its finish and 30 clays after it. MEASURE INSTRUMENTS: Unified Estimative Scale of PD (UPDRS), Independence Functional Measure (MIF), Berg Scale Balance and gait functional evaluation. ANALYSIS STATISTICS: Applied t-student test, if p < 0.05 is significant. RESULTS: In the study group the speed of the gait, stride length and cadence increased. Beyond the improvement in balance, and independence in functional activities. Wasn't observed improvement in the results in the controll group. CONCLUSION: The study demonstrated that the gait trainings with visual cues are a powerful way to improve the gait in PD.

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