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Physiotherapy Versus Physiotherapy Plus Cognitive Training on Cognition and Quality of Life in Parkinson Disease

Randomized Clinical Trial

Barboza, Natália Mariano, MSc; Terra, Marcelle Brandão, MSc; Bueno, Maria Eduarda Brandão, MSc; Christofoletti, Gustavo, PhD; Smaili, Suhaila Mahmoud, PhD

American Journal of Physical Medicine & Rehabilitation: June 2019 - Volume 98 - Issue 6 - p 460–468
doi: 10.1097/PHM.0000000000001128
Original Research Articles

Objective The aim of the study was to verify the effectiveness of physiotherapy associated with cognitive training to improve cognition and quality of life in individuals with Parkinson disease.

Design This is a randomized clinical trial involving 58 individuals with mild to moderate Parkinson disease, randomly distributed into two groups: motor group and cognitive-motor group. Both groups were assessed for cognition and quality of life at the beginning of the study, at the end of the intervention protocols, and 3 mos after the end of the intervention. The following instruments were used to assess cognition and quality of life: Mini-Mental State Examination, Montreal Cognitive Assessment, Verbal fluency test, Rey Auditory Verbal Learning Test, Cognitive and perceptual assessment by pictures, Trail Making Test, Clock Drawing Executive Test, and Parkinson Disease Quality of Life Questionnaire. The motor group engaged in motor physiotherapy, whereas the cognitive-motor group underwent combined motor physiotherapy with cognitive training.

Results The intragroup analysis revealed that both groups presented improved cognition (memory and visuospatial function domains) and quality of life after execution of the protocols, but without statistically significant intergroup differences.

Conclusions When comparing the intervention moments, the two treatment approaches used were effective for the outcomes: memory, visuospatial function, and quality of life in both groups.

From the Physiotherapy Department, Universidade Estadual de Londrina, Londrina, Paraná, Brazil (NMB, MBT, MEBB, SMS); and Institute of Health, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil (GC).

All correspondence should be addressed to: Suhaila Mahmoud Smaili, PhD, Universidade Estadual de Londrina, Avenida Robert Koch, n 60, Vila Operária, Londrina, Paraná, Brazil.

Patients provided written consent for the use of their images.

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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