Advanced search
Start date
Betweenand
Related content
(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial

Full text
Author(s):
Show less -
Silva-Batista, Carla [1] ; Coelho, Daniel Boari [2] ; Freire Junior, Renato Campos [3] ; Almeida, Lorena Rosa [4, 5] ; Guimaraes, Adriana [6] ; Costa Nobrega, Katia Cirilo [7] ; Sanchez, Hugo Machado [8] ; Rodrigues Lindquist, Ana Raquel [9] ; Israel, Vera Lucia [10] ; Kanegusuku, Helcio [11] ; Guimaraes, Rachel [12] ; Bosaipo, Nayanne Beckmann [13] ; Barbosa, Richelma [14] ; Correa, Clynton Lourenco [15] ; Finatto, Maria Jose [16] ; dos Santos Mendes, Felipe Augusto [17] ; Pimentel Piemonte, Maria Elisa [18]
Total Authors: 17
Affiliation:
Show less -
[1] Univ Sao Paulo, Exercise Neurosci Res Grp, Sao Paulo - Brazil
[2] Fed Univ ABC, Biomed Engn, Sao Bernardo Do Campo - Brazil
[3] Univ Fed Amazonas, Fac Phys Educ & Phys Therapy, Manaus, Amazonas - Brazil
[4] Bahiana Sch Med & Publ Hlth, Motor Behav & Neurorehabil Res Grp, Salvador, BA - Brazil
[5] Roberto Santos Gen Hosp SESAB, Movement Disorders & Parkinsons Dis Clin, Salvador, BA - Brazil
[6] Univ Estado Santa Catarina, Dept Phys Educ, Florianopolis, SC - Brazil
[7] Univ Fed Amapa, Dept Physiotherapy, Macapa - Brazil
[8] Fed Univ Jatai, Phys Therapy Dept, Jatai - Brazil
[9] Univ Fed Rio Grande do Norte, Grad Program Phys Therapy, Natal, RN - Brazil
[10] Univ Fed Parana, Dept Physiotherapy, Curitiba, Parana - Brazil
[11] Univ Nove Julho, Grad Program Rehabil Sci, Sao Paulo, SP - Brazil
[12] Univ Estadual Campinas, Lab Neuroimaging, Sao Paulo - Brazil
[13] Univ Sao Paulo, Fac Med Ribeirao Preto, Hosp Clin, Setor Disturbios Movimento & Neurol Comportamenta, Sao Paulo - Brazil
[14] Univ State, Dept Physiotherapy, Santarem - Brazil
[15] Univ Fed Rio de Janeiro, Grad Program Phys Educ, Rio De Janeiro - Brazil
[16] Univ Fed Rio Grande do Sul, Dept Linguist, Porto Alegre, RS - Brazil
[17] Univ Brasilia, Grad Program Rehabil Sci, Fac Ceilandia, Brasilia, DF - Brazil
[18] Univ Sao Paulo, Fac Med Sci, Sao Paulo - Brazil
Total Affiliations: 18
Document type: Journal article
Source: FRONTIERS IN NEUROLOGY; v. 12, JUL 30 2021.
Web of Science Citations: 0
Abstract

Background: Self-reported clinical worsening by people with Parkinson's disease (PD) during social distancing may be aggravated in Brazil, where the e/tele-health system is precarious. Objectives: This study aims to investigate self-reported changes in motor and non-motor aspects during social distancing in people with PD living in Brazil and to investigate the factors that might explain these changes. Methods: In this multicenter cross-sectional trial, 478 people with a diagnosis of idiopathic PD (mean age = 67, SD = 9.5; 167 female) were recruited from 14 centers distributed throughout the five geographical regions of Brazil. The evaluators from each center applied a questionnaire by telephone, which included questions (previous and current period of social distancing) about the motor and non-motor experiences of daily living, quality of life, daily routine, and physical activity volume. Results: Self-reported clinical worsening in non-motor and motor aspects of daily life experiences (Movement Disorder Society-Unified PD Rating Scale-parts IB and II-emotional and mental health, and fear of falling) and in the quality of life was observed. Only 31% of the participants reported a guided home-based physical activity with distance supervision. Perceived changes in the quality of life, freezing of gait, decreased physical activity volume, daily routine, and fear of falling explained the self-reported clinical worsening (P < 0.05). Conclusions: Self-reported clinical worsening in people with PD living in Brazil during social distancing can also be aggravated by the precarious e/tele-health system, as perception of decreased physical activity volume and impoverishment in daily routine were some of the explanatory factors. Considering the multifaceted worsening, the implementation of a remote multi-professional support for these people is urgent. (AU)

FAPESP's process: 13/07699-0 - Research, Innovation and Dissemination Center for Neuromathematics - NeuroMat
Grantee:Oswaldo Baffa Filho
Support Opportunities: Research Grants - Research, Innovation and Dissemination Centers - RIDC