Research Report Abstracts - Gesundheit

WPT2011, Research Report Abstracts eS187
ity of life. The effects of using manual therapy to improve
xerostomy and mood in breast cancer women with fatigue
are not known.
Participants: Nineteen breast cancer survivors (age:
49.1 ± 7.2 years; weight: 72.39 ± 8.2 kg.; height:
160.45 ± 5.4 cm.; IMC: 27.8 ± 4.0) with breast cancer
grade I-II and a score between 4 and 6 in Borg’s scale after
a physical activity session
Methods: Crossover study in which patients received either
the experimental treatment (manual therapy protocol) or a
placebo intervention (chat about general nutrition and life
style guidance), like a recovery methods after exercise program
based on strength and cardiorespiratory endurance.
Salivary flow rate, measured by stimulated saliva collected for
3 minutes at each assessment time, and mood measured by the
Profile of Mood States (POMS) with six subscales: tensionanxiety,
depression-dejection, anger-hostility, vigor, fatigue,
confusion, were obtained pre-intervention and immediately
after intervention.
Analysis: Separate analyses of variance (ANOVA) were
performed with each dependent variable. The hypothesis
of interest was group × moment intervention. Data were
analyzed with the SPSS package version 16.0 (SPSS Inc,
Chicago, IL).
Results: The ANOVA showed a significant group × moment
intervention for index tension-anxiety (F = 4.973, P = .039),
vigor (F = 6.123, P = .024), fatigue (F = 5.101, P = .036) and
salivary flow rate (F = 6.883, P = .018), but not for depressiondejection
(F = 0.884, P = .359) or anger-hostility (F = 1.426,
P = .247).
Conclusions: The application of a single session of manual
therapy program produces an immediate improving in
mood state, specifically an increase of vigor and a decrease
in tension and fatigue in breast cancer survivors with fatigue.
Furthermore, salivary flow rate was also increased compared
with control session.
Implications: Breast cancer women with fatigue can improve
their mood and salivary flow rate immediately after a manual
therapy protocol. This knowledge can help give a different
orientation in the treatment for these. Manual therapy can be
used after physical activity to improve the psychophysiological
state and so the recovery process. This findings could
have positive effects on their quality of life.
Keywords: Manual therapy; Breast cancer survivors; Mood
Funding acknowledgements: This research was made possible
by grant (FIS 08-ETES-PI0890418) from the Spanish
National Institute of Health Carlos III (Innovation and Science
Ministry, Spanish Government).
Ethics approval: The study protocol was approved by the
local Ethics Committee (FIS 08-ETES-PI0890418) and conducted
following the Helsinki Declaration.
Research Report Poster Display
Number: RR-PO-208-14-Thu Thursday 23 June 12:00
RAI: Exhibit Halls2&3
BALANCE RHYTHMICAL TRAINING: A NEW
APPROACH TO IMPROVE BALANCE IN PATIENTS
WITH PARKINSON’S DISEASE
Capato T. 1 , Souto P. 1 , Zan T. 1 , Barbosa E.R. 2 , Piemonte
M.E. 1
1University of São Paulo, Physicaltherapy, São Paulo, Brazil,
2University of São Paulo, Neurology, São Paulo, Brazil
Purpose: To verify the effectiveness of a new approach to
improve balance of patients with Parkinson’s disease (PD)
based on motor training associated with rhythmical auditory
cues: Balance Rhythmical Training (BRT).
Relevance: Of all PD motor symptoms, postural instability
is one of the most incapacitating, where loss of motor
independence by patients marks a significant stage of disease
onset. Physiotherapy, in conjunction with medication,
plays an important role in the treatment of this symptom,
although no consensus has been reached on the best approach
to the problem. Based on evidence suggesting deficits in sensory
integration and automatic motor control are associated to
lack of balance in PD, we developed a new approach that used
rhythmical auditory cues to elicit motor responses during balance
tasks. Theses cues may stimulate sensory integration and
improve automatic balance responses.
Participants: 112 PD patients with mean age of 66.85 years,
at stages 2 to 3 according to Hoehn and Yahr classification and
asymptomatic for depression and dementia, took part in the
study. The subjects were informed about the study and agreed
to participate by signing the HCFMUSP informed consent
term. Patients’ previous medical regimens were unchanged
during the study.
Methods: A blinded examiner assessed the balance of
patients before and after 10 training sessions, and again 4 and
30 weeks after the end of the training. The anticipatory postural
adjustments were assessed by the Berg Balance Scale (BT)
and compensatory postural responses by the Postural Stress
Test (PST). Patients were also assessed for independence in
daily life activities and motor performance using section II
and III of the UPDRS and for quality of life using the Parkinson’s
Disease Quality of Life (PDQL) questionnaire. The
patients were randomly assigned into one of 2 groups (experimental
and control). The experimental group receiving BRT
(motor program to improve balance associated with rhythmical
auditory cues). Training aims were self-perception, motor
performance, attention, and the training program consisted of
5 weeks of 45-minute sessions each comprising a 5-minute
warm-up, 30-minute main part in which movements were
elicited by rhythmical auditory cues, and 10-minute cooldown.
The control group performed motor training (MT) with
the same aims as BRT but without rhythmical auditory cues
to guide the movements.