Physiotherapy versus physiotherapy plus cognitive training on cognition and quality of life in Parkinson´s disease: randomized clinical trial

Objective Verify the effectiveness of physiotherapy associated with cognitive training to improve cognition and quality of life in individuals with Parkinson's disease (PD). Design randomized clinical trial involving 58 individuals with mild to moderate PD, randomly distributed into two groups: motor group (MG) and cognitive-motor group (CMG). Both groups were assessed for cognition and quality of life at the beginning of the study, at the end of the intervention protocols, and three months after the end of the intervention. The following instruments were used to assess cognition and quality of life: Mini Mental State Examination, Montreal Cognitive Assessment, Verbal fluency test, Rey Auditory Verbal Learning Test, Cognitive and perceptual assessment by pictures, Trail Making Test, Clock Drawing Executive Test, and Parkinson's Disease Quality of Life Questionnaire. The MG engaged in motor physiotherapy, while the CMG underwent combined motor physiotherapy with cognitive training. Results The intragroup analysis revealed that both groups presented improved cognition (memory and visuospatial function domains) and quality of life after execution of the protocols, but without statistically significant intergroup differences. Conclusions when comparing the intervention moments, the two treatment approaches used were effective for the outcomes: memory, visuospatial function, and quality of life in both groups. Corresponding author: Natália Mariano Barboza, Universidade Estadual de Londrina, Avenida Robert Koch, n 60, Vila Operária, Londrina, Paraná, Brazil, CEP 86038-350. Phone number: (43)3371-2320. E-mail: nat_barboza@hotmail.com No funding was received. Patients provided written consent for the use of their images. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

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