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

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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]

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^[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

• Tipo de documento: Artigo Científico
• Fonte: FRONTIERS IN NEUROLOGY; v. 12, JUL 30 2021.
• Citações Web of Science: 0

Resumo

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)

• Processo FAPESP: 13/07699-0 - Centro de Pesquisa, Inovação e Difusão em Neuromatemática - NeuroMat
• Beneficiário: Oswaldo Baffa Filho
• Modalidade de apoio: Auxílio à Pesquisa - Centros de Pesquisa, Inovação e Difusão - CEPIDs