Aplicación de un programa de ejercicios con atención focalizada en 2 pacientes afectados por síndrome de Parkinson-plus

Abstract

Background and objective Parkinson-plus syndrome, also known as atypical Parkinsonian syndrome, is very heterogeneous clinically and responds poorly to antiparkinsonian (drug) therapies. It is characterized by worse prognosis and faster clinical progression compared to Parkinson's Disease. Evidence supporting the application of exercise therapy in this syndrome is lacking, we present here a therapeutic approach to these subjects with the aim of proposing a framework for therapists. Material and methods Two patients with Parkinson-plus syndrome were treated through a programme of focused-attention exercises, specifically designed for this group and with the aim of decreasing or stopping the loss of physical and mental abilities. Two controls were carried out (pre and post intervention) and the scales used were the Spanish version of the 39-item Parkinson's Disease Questionnaire and the Tinetti Scale, as well as the Mini Mental State Exam to rule out cognitive disorder that would prevent the subjects following the sessions. Results and conclusions A slight improvement was observed in the absolute values of balance, gait and quality of life. The findings suggest probable utility of the exercise programme implemented, as a valid rehabilitative strategy, since it could improve and/or prevent the rapid loss of functional capacities that affect balance, gait and quality of life. More appropriate studies are necessary to endorse these conclusions.