Relación entre los síntomas musculoesqueléticos y la funcionalidad en personas con enfermedad de Parkinson

Araceli Ortiz-Rubio, Irene Cabrera-Martos, Irene Torres-Sánchez, Laura López-López, Janet Rodríguez-Torres, Marie Carmen Valenza

Resumen


Introducción: La enfermedad de Parkinson (EP) es una de las enfermedades más frecuentes del sistema nervioso central, y además de los síntomas motores clásicos, ahora se sabe que los pacientes también sufren una variedad de síntomas no motores que afectan negativamente a la independencia funcional. Objetivo: El objetivo de este estudio fue evaluar la relación entre los síntomas musculoesqueléticos y la funcionalilidad en personas con EP. Materiales y Métodos: Este estudio es un estudio observacional transversal que involucra a pacientes con enfermedad de Parkinson utilizando los siguientes instrumentos: Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS- UPDRS), Fahn-Tolosa-Marín Tremor Rating Scale (TRS), Manual Ability Measure-16 (MAM-16), Evaluative Frailty Index for Physical Activity (EFIP), Coin Rotation Task (CRT), Fatigue Severity Scale (FSS), Brief Pain Inventory (BPI). Resultados: Se incluyeron 24 pacientes, con una edad media de 72,54 ± 9,4 años.  Se encontró relación (p < 0,05) entre las variables severidad del Parkinson, temblor, destreza, fatiga y dolor con las variables de funcionalidad. Conclusiones: Puntuaciones altas en las afecciones musculoesqueléticas se asocian con discapacidad. El enfoque de la gestión en la EP debe cambiar a una estrategia integral que incorpore el cuidado de síntomas motores como el temblor o la destreza y síntomas no motores como la fatiga y el dolor.


Palabras clave


Enfermedad de Parkinson; Manifestaciones Neurológicas; Extremidad Superior; Sistema Musculoesquelético

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Referencias


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DOI: http://dx.doi.org/10.20320/rfcsudes.v5i2.102

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