Los predictores motores de la deficiencia de las funciones ejecutivas en pacientes con Enfermedad de Alzheimer
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may 18, 2017
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Resumen
El objetivo de este artículo fue investigar las relaciones entre funciones ejecutivas y capacidad funcional y determinar los predictores motores de la deficiencia de las funciones ejecutivas en ancianos con enfermedad de Alzheimer (EA). 24 ancianos con EA fueron evaluados para estimar las funciones ejecutivas y los predictores motores. Se utilizó el análisis estadístico descriptivo, correlación de Pearson y regresión lineal múltiple. Las funciones ejecutivas se relacionaron con la flexibilidad (r = 0.54), equilibrio (r = 0.48), agilidad y movilidad (r = -0.41). El análisis de regresión apuntó equilibrio y flexibilidad como predictores motores de la deficiencia de las funciones ejecutivas. El prejuicio del equilibrio y la flexibilidad pueden predecir los prejuicios en funciones ejecutivas de ancianos con EA.
Keywords
Alzheimer's Disease, Functional Capacity, Executive Functions, Aging, Cognitive Impairment, MotorEnfermedad de Alzheimer, Capacidad Funcional, Funciones Ejecutivas, Envejecimiento, Deterioro Cognitivo, Motor
References
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Sunderland, T., Hill, J.L., Melow, A.M., Lawlor, B.A., Gunderland, T., Newhouse, P.A., & Grafman, J.H. (1989). Clock drawing in Alzheimer’s disease: a novel measure of dementia severity. JAGS, 37, 725-729.
Voorrips, L., Ravelli, A., Dongelmans, P., Deurenberg, P., & Van Staveren, W.A. (1991) A physical activity questionnaire for elderly. Med Sci Sports Exerc, 23, 974-979.
Wells, K.F., & Dillon, E.K. (1952). The Sit and Reach – A test of Back and Leg Flexibility. Res Q Exerc Sport, 23, 115-118.
Yaari, B., & Bloom, J.C. (2007). Alzheimer’s Disease . Seminars in Neurology, 27, 32-41.
Yesavage, J.A., Brink, T.L., Lum O., Huang, V., Adey, M., & Leirer, V.O. (1983). Development and validation of a geriatric screening scale. J Psychiatr Res, 17, 37-49.
Zidan, M., Arcoverde, C., Araújo, N.B., Vasques, P., Rios, A., Laks, J., & Deslandes, A. (2012). Alterações Motoras e Funcionais em Diferentes Estágios da Doença de Alzheimer. Revista de Psiquiatria Clínica, 39, 161-165.
Arcoverde, C., Deslandes, A., Rangel, A., Rangel, A., Pavão, R., ... Laks, J. (2008). Role of Physical Activity on the Maintenance of Cognition and Activities of Daily Living in Elderly with Alzheimer’s Disease. Arq Neuropsiquiatr, 66, 323-327.
Atalaia-Silva, K.C., & Lourenço, R.A. (2008). Tradução, adaptação e validação de construto do Teste do Relógio aplicado entre idosos no Brasil. Rev Saude Publica, 42, 930-937.
Berg, K., Wood-Dauphinée, S., Williams, J.I., & Maki, B. (1992). Measuring balance in the elderly: validation an instrument. Can J Public Health, 83, Supll2, S7-11.
Burns, J.M., Galvin, J.E., Roe, C.M., Morris, J.C., & McKeel, D.W. (2005). The pathology of the substantia nigra in Alzheimer disease with extrapyramidal signs. Neurology, 64, 1397–1403.
Davis, J.C., Hsiung, G.Y.R, & Ambrose, T.L. (2011). Challenges moving forward with economic evaluations of exercise intervention strategies aimed at combating cognitive impairment and dementia. Br J Sports Med, 45, 470-472.
Eggermont, L.H., Gavett, B.E., Volkers, K.M., Blankevoort, C.G., Scherder, E.J., … Stern, R.A. (2010). Lower-Extremity Function in Cognitively Healthy Aging, Mild Cognitive Impairment, and Alzheimer’s Disease. Archives of Physical Medicine and Rehabilitation, 91, 584-588.
Farinatti, P.T.V. (2008). Envelhecimento, promoção da saúde e exercício: bases teóricas e metodológicas. Barueri – São Paulo: Manole.
Folstein, M.F., Folstein, S.E., & Mchugh, P.R. (1975). Mini Mental State: A practical method for grading the cognitive state of patients for clinician. J Psychiatr Res, 12, 189–98.
Freitas, E.V. Tratado de geriatria e gerontologia. Rio de Janeiro. Guanabara Koogan, 2006.
Fuentes, G.P. (2008). Funcionalidad y demencia. Revista HCCH,19, 324-329.
Garuffi, M., Gobbi, S., Hernandez, S.S.S., Vital, T.M., Stein, A.M., Pedroso, R.V., ... Stella, F. (2011) Atividade Física para promoção da saúde de idosos com doença de Alzheimer e seus cuidadores. Rev. Bras. Ativ. Fis Saúde, 16, 80-83.
Horak, F.B., & MacPherson, J.M. (1996). Postural orientation and equilibrium. In: Rowell, L.B., & Shepherd, J.T. (Eds.). Exercise: regulation and integration of multiple systems. New York: Oxford University Press, 255-292.
Kato-Narita, E.M., Nitrini, R., & Radanovic, M. (2011). Assessment of balance in mild and moderate stages of Alzheimer’s disease. Implications on falls and functional capacity. Arq Neuropsiquiatr, 69, 202-207.
Kluger, A., Gianutsus, J. G., Golomb, J., Ferris, S. H., George, A. E., Frassen, E., & Reiberg, B. (1997). Patterns of motors impairment in normal aging, mild cognitive decline, and early Alzheimer’s Disease. Journal of Gerontology, 52B, 28-39.
Montaño, M. B., & Ramos, L. R. (2005). Validade da versão em portugués da Clinical Dementia Rating (CDR). Rev Saúde Públ, 39, 912–917.
Morris, J. (1993). The Clinical Dementia Rating (CDR): Current version and scoring rules. Neurology, 43, 2412–2414.
Nitrini, R., Caramelli, P., Bottino, C.M.C., Damasceno, B.P., Brucki, S.M.D., & Anghinah, R. (2005). Diagnóstico de Doença de Alzheimer no Brasil, Arq Neuropsiquiatr, 63, 720-727.
Osness, W.H., Adrian, M., Clark, B., Hoeger, W., Raab, D., & Wiswell, R. (1990). Functional Fitness Assessment for Adults Over 60 Years. The American Alliance For Health, Physical Education, Recreation and Dance. Association For Research Administration, Professional Councils, and Societies. Council On Aging and Adult Development. 1900 Association Drive. Reston, VA 22091.
Perry, R.J., & Hodges, J.R. (2000). Relationship between functional and neuropsychological performance in early Alzheimer disease. Alzheimer Dis Assoc Disord, 14, 1–10.
Podsiadlo, D., & Richardson, S. (1991). The “Timed Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 39, 142-148.
Rikli, R.E., & Jones, C.J. (1999) Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Activ, 7, 129-161.
Royall, D.R., Lauterbach, E.C., Cummings, J.L., Reeve, A., Rummans, T.A., … Coffey, C.E. (2002). Executive control function: a review of its promise and challenges for clinical research. A report from the Committee on Research of the American Neuropsychiatry Associations. J Neuropsychiatry Clin Neurosci, 14, 377–405.
Schneider, J.A., Li, J.L., Li, Y., Wilson, R.S., Kordower, J.H., & Bennett, D.A. (2006). Substantia nigra tangles are related to gait impairment in older persons. Ann. Neurol, 59, 166–173.
Sunderland, T., Hill, J.L., Melow, A.M., Lawlor, B.A., Gunderland, T., Newhouse, P.A., & Grafman, J.H. (1989). Clock drawing in Alzheimer’s disease: a novel measure of dementia severity. JAGS, 37, 725-729.
Voorrips, L., Ravelli, A., Dongelmans, P., Deurenberg, P., & Van Staveren, W.A. (1991) A physical activity questionnaire for elderly. Med Sci Sports Exerc, 23, 974-979.
Wells, K.F., & Dillon, E.K. (1952). The Sit and Reach – A test of Back and Leg Flexibility. Res Q Exerc Sport, 23, 115-118.
Yaari, B., & Bloom, J.C. (2007). Alzheimer’s Disease . Seminars in Neurology, 27, 32-41.
Yesavage, J.A., Brink, T.L., Lum O., Huang, V., Adey, M., & Leirer, V.O. (1983). Development and validation of a geriatric screening scale. J Psychiatr Res, 17, 37-49.
Zidan, M., Arcoverde, C., Araújo, N.B., Vasques, P., Rios, A., Laks, J., & Deslandes, A. (2012). Alterações Motoras e Funcionais em Diferentes Estágios da Doença de Alzheimer. Revista de Psiquiatria Clínica, 39, 161-165.
Cómo citar
Valle Pedroso, R., Icassatti Corazza, D., de Almeida Andreatto, C. A., Gomes dos Santos, J., Miki Stein, A., Gutiérrez Huamaní, O., Riani Costa, J. L., & Ferreira Santos-Galduròz, R. (2017). Los predictores motores de la deficiencia de las funciones ejecutivas en pacientes con Enfermedad de Alzheimer. Universitas Psychologica, 15(5). https://doi.org/10.11144/Javeriana.upsy15-5.pmdf
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