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Efeito de uma intervencao cognitivo motora sobre os sintomas depressivos de pacientes com doenca de Parkinson (Effects of a cognitive-motor intervention on depressive symptoms in patients with Parkinson's disease) [Portuguese]
Christofoletti G, Candido ER, Olmedo L, Miziara SRB, Beinotti F
Jornal Brasileiro de Psiquiatria 2012 Jan;61(2):78-83
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; 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*

OBJECTIVE: To verify the effectiveness of a cognitive-motor intervention on depressive symptoms in idiopathic PD patients. METHODS: This longitudinal design study assessed 26 patients, divided into experimental and control groups. The subjects were evaluated by means of the Geriatric Depression Scale, being, the experimental group, submitted to a six-month protocol of physiotherapeutic exercises on motor and cognitive functions. With respect to the data analysis, were applied the repeated measure analysis of variance, the contrast statistic and the Student-t test for independent samples, with a significant level of 5%. RESULTS: The results showed homogeneity of the groups at baseline and the experimental group achieved a trend of significance in the interaction "moment of intervention versus group", as evidenced by the alpha error of 6% with a linear contrast data curve. CONCLUSION: The proposed protocol has been well accepted by patients diagnosed with idiopathic PD. Although we couldn't contemplate an interval of confidence of 95%, the significant trend obtained represents a potential of this protocol, but with a need of further corroborative studies.

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