Eficacia de las terapias complementarias y/o alternativas al tratamiento convencional de la enfermedad del Parkinson.
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2017-05-23
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Jaén: Universidad de Jaén
Resumen
[ES] Introducción: La enfermedad del Parkinson se trata de la segunda afección neurológica más frecuente después del
Alzheimer. Se trata de una enfermedad degenerativa que no posee cura, por tanto su tratamiento es paliativo. De ahí, la
importancia de encontrar terapias distintas a la farmacología, que mejoren los síntomas de la enfermedad.
Objetivo: Realizar una búsqueda bibliográfica sobre terapias complementarias al tratamiento de la EP, para definir y
detectar la utilidad y uso de las éstas terapias con la EP.
Metodología: Este trabajo se trata de una revisión secundaria estructurada. He realizado una búsqueda bibliográfica en
cinco bases de datos (CINAHL, Pubmed, Medline, Cuiden, Scopus) utilizando cadenas de búsqueda con los operadores
boleanos ”AND" y ”OR" y paréntesis. Finalmente se han utilizado 67 resultados obtenidos de esta búsqueda.
Resultados: De las terapias analizada, prácticamente todas tienen algún efecto positivo sobre los síntomas de la
enfermedad del Parkinson, excepto las terapias sobre el habla que se han analizado, cuyo resultados no han sido
efectivos o son poseen poca evidencia.
Conclusiones: De las terapias analizadas, la gran mayoría producen efectos positivos sobre los síntomas de la
enfermedad. Hay algunas de las que se han encontrado un mayor número de resultados que aportan mayor evidencia de
los beneficios que aportan, como es el caso de la acupuntura, el baile, el ejercicio, el Tai-chi, la estimulación cognitiva yla
terapia ocupacional. Además, hay otras terapias que producen beneficios pero de las cuales se han obtenido menos
resultados, como lo son las terapias de la disfagia, el cannabis, el teatro, el yoga y la fisioterapia. Por otro lado, las
terapias de habla no han reflejado ser efectivas según los resultados hallados.
[EN] Introduction: Parkinson's disease is the second most common neurological condition after Alzheimer's. It is a degenerative disease that does not have a cure, so its treatment is palliative. Hence, improve the symptoms of the disease. Objective: To perform a bibliographic search on therapies complementary to the treatment of PD, to define and detect the utility and use of these therapies with PD. Methodology: This work is a structured secondary review. I have performed a bibliographic search in five databases (CINAHL, Pubmed, Medline, Cuiden, Scopus) using search strings with the "AND" and "OR" Boolean operators and parentheses. Finally, 67 results were obtained from this search. Results: Of the therapies analyzed, practically all of them have some positive effect on the symptoms of Parkinson's disease, except the speech therapies that have been analyzed, the results of which have not been effective or have little evidence… Conclusions: Of the therapies analyzed, the vast majority have positive effects on the symptoms of the disease. There are some that have found a greater number of results that provide more evidence of the benefits they provide, such as acupuncture, dance, exercise, Tai-chi, cognitive stimulation and occupational therapy. In addition, there are other therapies that produce benefits but from which less results have been obtained, such as dysphagia, cannabis, theater, yoga and physiotherapy therapies. On the other hand, speech therapies have not been shown to be effective according to the results found.
[EN] Introduction: Parkinson's disease is the second most common neurological condition after Alzheimer's. It is a degenerative disease that does not have a cure, so its treatment is palliative. Hence, improve the symptoms of the disease. Objective: To perform a bibliographic search on therapies complementary to the treatment of PD, to define and detect the utility and use of these therapies with PD. Methodology: This work is a structured secondary review. I have performed a bibliographic search in five databases (CINAHL, Pubmed, Medline, Cuiden, Scopus) using search strings with the "AND" and "OR" Boolean operators and parentheses. Finally, 67 results were obtained from this search. Results: Of the therapies analyzed, practically all of them have some positive effect on the symptoms of Parkinson's disease, except the speech therapies that have been analyzed, the results of which have not been effective or have little evidence… Conclusions: Of the therapies analyzed, the vast majority have positive effects on the symptoms of the disease. There are some that have found a greater number of results that provide more evidence of the benefits they provide, such as acupuncture, dance, exercise, Tai-chi, cognitive stimulation and occupational therapy. In addition, there are other therapies that produce benefits but from which less results have been obtained, such as dysphagia, cannabis, theater, yoga and physiotherapy therapies. On the other hand, speech therapies have not been shown to be effective according to the results found.