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Virtual Rehabilitation in Parkinson Disease: A Dopamine Transporter Imaging Study.
Toldo, Juliana M P; Arjona, Michelly; Campos Neto, Guilherme C; Vitor, Taise; Nogueira, Solange Amorim; Amaro, Edson; Saba, Roberta A; Silva, Sonia M C A; Ferraz, Henrique B; Felício, André C.
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  • Toldo JMP; From the Hospital Israelita Albert Einstein, São Paulo, Brazil (JMPT, MA, GCCN, TV, SAN, EAJ, ACF); Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo, São Paulo, Brazil (RAS, SMCAS); and Universidade Federal de São Paulo, São Paulo, Brazil (RAS, SMCAS, HBF).
Am J Phys Med Rehabil ; 100(4): 359-366, 2021 04 01.
Article en En | MEDLINE | ID: mdl-33727518
OBJECTIVE: The aim of the study was to verify the effect of a virtual rehabilitation protocol for patients with Parkinson disease, primarily assessing striatal dopamine transporters and secondarily motor symptoms and quality of life. DESIGN: Nineteen patients with Parkinson disease underwent an 8-wk virtual rehabilitation protocol using XBOX 360S. Evaluation of dopamine transporters was performed by single-photon emission computed tomography using TRODAT-1 as the radioligand. Participants were clinically assessed using the Unified Parkinson Disease Rating Scale to quantify motor symptoms. Moreover, the Parkinson Disease Questionnaire and Short-Form Health Status Survey were used to assess quality of life and the Berg Balance Scale to assess balance. RESULTS: Regarding our primary outcome, dopamine transporter was significantly increased in the putamen contralateral to the clinically most affected body side (P = 0.034) considering preintervention and postintervention measurements. Furthermore, we observed significant improvement in Unified Parkinson Disease Rating Scale (10-point reduction, P = 0.001), Parkinson Disease Questionnaire (11.3-point reduction, P = 0.001), Short-Form Health Status Survey ("Functional capacity," P = 0.001; "Pain," P = 0.006; and "Mental Health" domains, P < 0.001), and Berg Balance Scale (5-point increase, P = 0.015). CONCLUSIONS: In our group of Parkinson disease patients, this virtual rehabilitation protocol enabled a dopamine transporter increase in the region of the putamen contralateral to the clinically most affected body side. Moreover, motor signs and quality of life were significantly improved.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Parkinson / Proteínas de Transporte de Dopamina a través de la Membrana Plasmática / Terapia por Ejercicio / Telerrehabilitación Tipo de estudio: Guideline Aspecto: Patient_preference Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Phys Med Rehabil Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Parkinson / Proteínas de Transporte de Dopamina a través de la Membrana Plasmática / Terapia por Ejercicio / Telerrehabilitación Tipo de estudio: Guideline Aspecto: Patient_preference Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Phys Med Rehabil Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos