Funcionalidade e gravidade na Doença Parkinson: série de casos

Abstract

Introduction. Parkinson's disease (PD) is a progressive neurodegenerative disorder of multifactorial etiology, characterized by a variety of motor and non-motor causes and clinical presentations. Objectives. The objetives were to classify severity and asses functionality in Parkinson's disease. Material and methods. This is a cross-sectional study carried out with people diagnosed with people diagnosed with Parkinson's disease treated in 2022 at the Clinic-School of Physiotherapy. After agreeing to participate in the research, the Mini Mental State Examination (MMSE) was applied, followed by PD staging with the Hoeh and Yahr scale and functionality assessed with the Unified Parkinson's Disease Rating Scale (UPDRS). Results. Five participants were included, the results showed that the majority were men, older than 60 years and with preserved cognitive status — mean of 27.23 (standard deviation: 3.78) in the MMSE. All participants were using levodopa. Regarding the clinical status, 60% of participants were in the ON time and 40% in the OFF state. As for staging, 80% were between stages 1 and 2 of HY. The final mean of the UPDRS was 125.4 with a standard deviation of 43.39. Conclusion. It is concluded that the participants of this study have mild to moderate disability. As for functionality, it is considerably preserved in the motor and non-motor aspects of daily life experiences, but it is compromised in the motor examination and motor complications.