Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus
ABSTRACT Objective: To present a program of home physical exercises for patients with normal pressure hydrocephalus (NPH) and to evaluate adherence, acceptance and applicability; to verify possible changes in patients with NPH in the home physical exercise program, comparing patients with, and with...
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Thieme Revinter Publicações
2020-01-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019001200860&tlng=en |
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| author | Paulo Cesar Modesto Fernando Campos Gomes Pinto |
| author_facet | Paulo Cesar Modesto Fernando Campos Gomes Pinto |
| author_sort | Paulo Cesar Modesto |
| collection | DOAJ |
| description | ABSTRACT Objective: To present a program of home physical exercises for patients with normal pressure hydrocephalus (NPH) and to evaluate adherence, acceptance and applicability; to verify possible changes in patients with NPH in the home physical exercise program, comparing patients with, and without, a ventriculoperitoneal shunt, regarding gait, quality of life, activities of daily living, static and dynamic balance and its impact on the risks of falling. Methods: This was a controlled clinical trial, with assessments in three moments (0, 10 and 18 weeks) at the home, from October 2015 to November 2017. Fifty-two patients (30 women and 22 men) participated in the study. Results: There was a statistically significant improvement with 10 weeks of home physical exercises for the groups with and without ventriculoperitoneal shunt, respectively, in the sub-items: activities of daily living p = 0.032*, p = 0.003*; static balance p < 0.001*, p < 0.001*; functional capacity p < 0.001*, p = 0.027*; and dynamic balance and gait p = 0.009*, p < 0.001*. There was no statistically significant difference for the subitems: quality of life p = 0.695, p = 1.000; and NPH grading scale p = 0.695, p = 1.000, respectively. Conclusion: The developed program of home physical exercise was easily applied and there was good acceptance by most patients with NPH included in the research. There was a statistically significant improvement with the 10 weeks of home physical exercises in the sub-items: activities of daily living, static balance and functional capacity, for both groups. In the sub-item dynamic balance and gait, there was a statistically significant improvement for both groups, but with a higher score for the group with a ventriculoperitoneal shunt. There was no statistically significant difference for the sub-items: quality of life, NPH grading scale and risk of falls, based on the Berg scale. |
| format | Article |
| id | doaj-art-e69c02c3e15f498b90a1cf235a3f772f |
| institution | Kabale University |
| issn | 1678-4227 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e69c02c3e15f498b90a1cf235a3f772f2025-08-20T03:24:57ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272020-01-01771286087010.1590/0004-282x20190183Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalusPaulo Cesar Modestohttps://orcid.org/0000-0001-7462-7920Fernando Campos Gomes Pintohttps://orcid.org/0000-0003-2384-2190ABSTRACT Objective: To present a program of home physical exercises for patients with normal pressure hydrocephalus (NPH) and to evaluate adherence, acceptance and applicability; to verify possible changes in patients with NPH in the home physical exercise program, comparing patients with, and without, a ventriculoperitoneal shunt, regarding gait, quality of life, activities of daily living, static and dynamic balance and its impact on the risks of falling. Methods: This was a controlled clinical trial, with assessments in three moments (0, 10 and 18 weeks) at the home, from October 2015 to November 2017. Fifty-two patients (30 women and 22 men) participated in the study. Results: There was a statistically significant improvement with 10 weeks of home physical exercises for the groups with and without ventriculoperitoneal shunt, respectively, in the sub-items: activities of daily living p = 0.032*, p = 0.003*; static balance p < 0.001*, p < 0.001*; functional capacity p < 0.001*, p = 0.027*; and dynamic balance and gait p = 0.009*, p < 0.001*. There was no statistically significant difference for the subitems: quality of life p = 0.695, p = 1.000; and NPH grading scale p = 0.695, p = 1.000, respectively. Conclusion: The developed program of home physical exercise was easily applied and there was good acceptance by most patients with NPH included in the research. There was a statistically significant improvement with the 10 weeks of home physical exercises in the sub-items: activities of daily living, static balance and functional capacity, for both groups. In the sub-item dynamic balance and gait, there was a statistically significant improvement for both groups, but with a higher score for the group with a ventriculoperitoneal shunt. There was no statistically significant difference for the sub-items: quality of life, NPH grading scale and risk of falls, based on the Berg scale.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019001200860&tlng=enHydrocephalus normal pressureventriculoperitoneal shuntgaitquality of lifephysical therapy |
| spellingShingle | Paulo Cesar Modesto Fernando Campos Gomes Pinto Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus Arquivos de Neuro-Psiquiatria Hydrocephalus normal pressure ventriculoperitoneal shunt gait quality of life physical therapy |
| title | Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus |
| title_full | Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus |
| title_fullStr | Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus |
| title_full_unstemmed | Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus |
| title_short | Home physical exercise program: analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus |
| title_sort | home physical exercise program analysis of the impact on the clinical evolution of patients with normal pressure hydrocephalus |
| topic | Hydrocephalus normal pressure ventriculoperitoneal shunt gait quality of life physical therapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019001200860&tlng=en |
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