APORTES DE UN PROTOCOLO DE TRATAMIENTO CON ESTIMULACIÓN TRANSCRANEAL Y FISIOTERAPIA OCULAR EN PERSONAS ANCIANAS CON ENFERMEDAD DE PARKINSON
REPORTES DE CASOS
DOI:
https://doi.org/10.51283/rc.30.e18222Palabras clave:
Estimulación Transcraneal de Corriente Directa, Movimientos Sacádicos, Enfermedad de Parkinson, Actividades Cotidianas, CIFResumen
La disfunción del movimiento sacádico de la mirada se encuentra frecuentemente en personas con Enfermedad de Parkinson (EP) y, aunque tiene un impacto negativo en el desempeño de las Actividades de la Vida Diaria (AVD), las estrategias para su tratamiento son escasas. En este contexto, el objetivo de este estudio fue describir un protocolo de atención con entrenamiento de la mirada y Estimulación Transcraneal de Corriente Directa (tDCS) y verificar su influencia en la ejecución del movimiento ocular sacádico, en aspectos motores, no motores y funcionales como marcha y equilibrio, en personas con EP. Este es un reporte de dos casos clínicos. Se utilizaron como medidas la Escala de Equilibrio de Berg, la Escala UPDRS, el “Time up and go test” y el examen de “Electronistagmografía”. Los dos individuos se sometieron a un protocolo de intervención utilizando tDCS asociado con ejercicios oculomotores. Los resultados del caso 1 fueron discretos en las medidas utilizadas. Los resultados del Caso 2 demostraron una simetría de respuesta entre las medidas analizadas. Según nuestros resultados, hubo relación entre la mejora en algunas funciones cognitivas con la estimulación del Campo Ocular Frontal (COF), además de cambios en las puntuaciones de los instrumentos de evaluación utilizados. No está clara la influencia de la asociación de tDCS anódica en OFC para mejorar el rendimiento oculomotor en adultos con EP y la relación con los aspectos cognitivos investigados. En conclusión, los resultados sugieren efectos parciales del protocolo, pero no permiten afirmar su efectividad debido al número limitado de participantes. Se necesitan estudios futuros para continuar la investigación.
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