Parkinson's disease: effects of Aquatic Exercise Dual Task in balance and functionality

INTERVENTION: Behavioural E02.779.492 G11.427.590.530.698.277 The intervention took place over 20 meetings, often twice a week, each intervention lasting one hour and (20 minutes for measurement of initial and final vital signs and 40 minutes of immersion). Water exercises involving Dual Task (DT) have been proposed. The activities occurred in groups of 7 to 8 participants comprise 2 groups of sequential times in the same day of the week (Tuesday and Friday) with the same temporal duration and exercise content. The intervention was previously outlined, in order to follow an increasing sequence of complexity, aiming at the gradual progression of difficulty, which will take place from the participant's achievement in carrying out the activity of lower difficulty, moving into the most complex activity. As an intervention strategy, learning tips were used. Initially verbally describe the exercise, showing and commenting critics and attention points. Corrections to improve the movement were made in general and not directed to a specific participant. According Bertoldi, Ladewig and Israel (2007), direct attention to the task and give learning tips favor motor acquisition in neurological patients. Experimental group: 13 individuals with Parkinson's disease received the interventions described. Control Group: 11 individuals with Parkinson's disease who did not receive the intervention. At the end of the study, who was interested was invited to participate in water activities CONDITION: C10.228.140.079.862.500 G00‐G99 Parkinson Disease ; C10.228.140.079.862.500 PRIMARY OUTCOME: Expected to know the effects of aquatic exercise of dual‐task on Quality and Life (through the questionnaire Parkinson's Disease Questionnaire ‐ PDQ‐39), Activities of Daily Living (through the questionnaire Unified Parkinson's Disease Rating Scale ‐ UPDRS), Functional Mobility (via the 5 times Sit to Stand Test and the Timed Up and Go), Balance (by BERG Balance Scale), Gait (via the Dynamic Gait Index ‐ DGI) and Aquatic Motor Skills (by Aquatic Functional Assessment Scale ‐ AFAS) of individuals with Parkinson's disease. We observed that the proposed program interventions (aquatic exercise of dual‐taskl‐task) were effective to raise the average quality of life (p <0.05), Activities of Daily Living (p <0.05), Functional Mobility (p <0.05), Balance (p <0.05), Gait (p <0.05). However, it was not effective to increase the means of the Water Motor Skills (p> 0.05).; The observed effects were cited and for the experimental group compared to him even before the intervention, and also for the experimental group compared to the control group. SECONDARY OUTCOME: Secondary outcomes are not expected. INCLUSION CRITERIA: Both sexes; Clinical diagnosis of idiopathic Parkinson's disease; Stages 1 to 4 in the Hoehn and Yahr; Clinical Attestation for aquatic exercise and to attend the heated pool.