Efectos del Tai Chi sobre el equilibrio estático y dinámico en adultos desde los 50 años con la enfermedad de Parkinson : una revisión sistemática
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Fecha
2023
Profesor/a Guía
Facultad/escuela
Idioma
es
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Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
La enfermedad de Parkinson afecta tanto aspectos motores como no motores,
generando síntomas como rigidez, temblores, problemas cognitivos y trastornos del
sueño. El Tai Chi, un antiguo arte marcial chino, se ha considerado como una posible
intervención para abordar el equilibrio en usuarios. En Chile, esta enfermedad ha
ido en aumento en mortalidad. El tratamiento convencional involucra Levodopa, se
buscó información sobre terapias alternativas, siendo el Tai Chi una de las opciones
más novedosas.
Propósito: conocer el efecto del Tai-Chi sobre el equilibrio estático y dinámico en
personas desde los 50 años con enfermedad de Parkinson.
Método: El diseño de este estudio es una revisión sistemática guiada por el
protocolo PRISMA, incluyendo ensayos controlados aleatorios. Se realizó una
búsqueda en las siguientes bases de datos: Pubmed, Web Of Science y Scopus.
Los términos usados fueron: ((Parkinson disease[mesh] OR Parkinson*
Disease[tiab]) AND (Postural Balance[mesh] OR Postur* Balance*[tiab] OR Postur*
Equilibrium*[tiab] OR Postur* Control*[tiab]) AND (Tai Ji[mesh] OR Tai Ji[tiab] OR Tai
Chi[tiab])).La calidad metodológica se evaluó mediante escala PEDro.
Resultados: Se obtuvo 106 estudios de los cuales 4 cumplieron con los criterios de
inclusión (total 186 participantes). El Tai Chi tiene efectos en el equilibrio estático y
dinámico, mejoras notables en el Berg Balance Scale, Unified Parkinson's Disease
Rating Scale, Time Up and Go, Test de Marcha de 10 minutos y en desplazamientos
en el COP Test. Cuatro estudios presentaron buena calidad metodológica.
Conclusiones: La terapia complementaria, ejerce un efecto positivo en la mejora
tanto del equilibrio estático y dinámico en individuos con enfermedad de Parkinson.
El Tai Chi no solo contribuye positivamente a la estabilidad física de los pacientes,
sino que también a su calidad de vida, disminuyendo la depresión, ansiedad y estrés
de los sujetos.
Parkinson's disease affects both motor and non-motor aspects, generating symptoms such as stiffness, tremors, cognitive problems and sleep disorders. Tai Chi, an ancient Chinese martial art, has been considered as a possible intervention to address balance in users. In Chile, this disease has been increasing in mortality. Conventional treatment involves Levodopa, information on alternative therapies was sought, being Tai Chi one of the most novel options. Purpose: to know the effect of Tai-Chi on static and dynamic balance in people from 50 years of age with Parkinson's disease. Method: The design of this study is a systematic review guided by the PRISMA protocol, including randomized controlled trials. A search was performed in the following databases: Pubmed, Web Of Science and Scopus. The terms used were: ((Parkinson disease[mesh] OR Parkinson* Disease[tiab]) AND (Postural Balance[mesh] OR Postur* Balance*[tiab] OR Postur* Equilibrium*[tiab] OR Postur* Control*[tiab]) AND (Tai Ji[mesh] OR Tai Ji[tiab] OR Tai Chi[tiab])) and the methodological quality was evaluated using the PEDro scale. Results: We obtained 106 studies of which 4 met the inclusion criteria (total 186 participants). Tai Chi has effects on static and dynamic balance, notable improvements in the Berg Balance Scale, Unified Parkinson's Disease Rating Scale, Time Up and Go, 10-minute Gait Test and in displacements in the COP Test. Four studies presented good methodological quality. Conclusions: Complementary therapy exerts a positive effect on improving both static and dynamic balance in individuals with Parkinson's disease. Tai Chi not only contributes positively to the physical stability of patients, but also to their quality of life, decreasing depression, anxiety and stress of the subjects.
Parkinson's disease affects both motor and non-motor aspects, generating symptoms such as stiffness, tremors, cognitive problems and sleep disorders. Tai Chi, an ancient Chinese martial art, has been considered as a possible intervention to address balance in users. In Chile, this disease has been increasing in mortality. Conventional treatment involves Levodopa, information on alternative therapies was sought, being Tai Chi one of the most novel options. Purpose: to know the effect of Tai-Chi on static and dynamic balance in people from 50 years of age with Parkinson's disease. Method: The design of this study is a systematic review guided by the PRISMA protocol, including randomized controlled trials. A search was performed in the following databases: Pubmed, Web Of Science and Scopus. The terms used were: ((Parkinson disease[mesh] OR Parkinson* Disease[tiab]) AND (Postural Balance[mesh] OR Postur* Balance*[tiab] OR Postur* Equilibrium*[tiab] OR Postur* Control*[tiab]) AND (Tai Ji[mesh] OR Tai Ji[tiab] OR Tai Chi[tiab])) and the methodological quality was evaluated using the PEDro scale. Results: We obtained 106 studies of which 4 met the inclusion criteria (total 186 participants). Tai Chi has effects on static and dynamic balance, notable improvements in the Berg Balance Scale, Unified Parkinson's Disease Rating Scale, Time Up and Go, 10-minute Gait Test and in displacements in the COP Test. Four studies presented good methodological quality. Conclusions: Complementary therapy exerts a positive effect on improving both static and dynamic balance in individuals with Parkinson's disease. Tai Chi not only contributes positively to the physical stability of patients, but also to their quality of life, decreasing depression, anxiety and stress of the subjects.
Notas
Proceso investigativo (Licenciado en Kinesiología)
Palabras clave
T'ai Chi, Enfermedad de Parkinson, Rehabilitación, Revisión Sistemática