RESUMO
BACKGROUND: Parkinson's disease (PD) is a progressive neurodegenerative disorder, characterized by cardinal motor symptoms in addition to cognitive impairment. New insights concerning multisite non-invasive brain stimulation effects have been gained, which can now be used to develop innovative treatment approaches. OBJECTIVE: Map the researchs involving multisite non-invasive brain stimulation in PD, synthesize the available evidence and discuss future directions. METHODS: The databases PubMed, PsycINFO, CINAHL, LILACS and The Cochrane Library were searched from inception until April 2020, without restrictions on the date of publication or the language in which it was published. The reviewers worked in pairs and sequentially evaluated the titles, abstracts and then the full text of all publications identified as potentially relevant. RESULTS: Twelve articles met the inclusion criteria. The target brain regions included mainly the combination of a motor and a frontal area, such as stimulation of the primary motor córtex associated with the dorsolateral prefrontal cortex. Most of the trials showed that this modality was only more effective for the motor component, or for the cognitive and/or non-motor, separately. CONCLUSIONS: Despite the results being encouraging for the use of the multisite aproach, the indication for PD management should be carried out with caution and deserves scientific deepening.
Assuntos
Disfunção Cognitiva , Doença de Parkinson , Estimulação Transcraniana por Corrente Contínua , Encéfalo , Córtex Pré-Frontal Dorsolateral , Humanos , Doença de Parkinson/terapia , Estimulação Magnética TranscranianaRESUMO
OBJECTIVES: To compare acute effects of isometric abdominal exercises performed with or without vibration on the electromyographic activity and cutaneous temperature in the abdominal region of physically active individuals. METHODS: A randomized controlled crossover clinical trial was undertaken in thirty volunteers who completed one unique session of two different protocols of interventions apart from a week from each other, in a two-week study protocol. The subjects were randomly divided in to two groups of 15 volunteers; both were assigned to perform board exercise (30 s on the front, right and left lateral boards, with a rest interval of 2 min). The first group performed it on a vibrating platform at a frequency of 30 Hz for the first week, while the remaining participants executed the same exercise without stimulates vibration. In the second week the protocol was inverted. The outcome were surface electromyography (EMG) data for the rectus abdominis muscle (RAM) and cutaneous temperature (CT) of the abdominal region. Normality was accepted, and Student's t-tests were used to compare the measurements for dependents variables (P < 0.05). RESULTS: There were no differences in RAM activation and CT between protocols with or without vibration (P > 0.05). CT increased (P = 0.001) after both the exercises with and without vibration. CONCLUSION: The results suggest that there were no effects in cutaneous temperature or muscle activation through the use of vibration associated with isometric abdominal exercises.