EFEITO DO TREINO DE DUPLA TAREFA NA MARCHA CONGELANTE EM IDOSOS COMDOENÇADEPARKINSON:UMAREVISÃOINTEGRATIVA.1

One of the most debilitating symptoms of Parkinson’s disease is freezing of gait (FoG), which significantly impacts the quality of life of elderly individuals. Dual-task training, which involves performing a motor task and a cognitive task simultaneously, has been explored as an effective intervention to improve these symptoms. This method is used in Parkinson’s patients because they often have difficulties performing multiple tasks at the same time. Dual- task training helps improve coordination and functionality by challenging both motor and cognitive systems, which can reduce the risk of falls and increase mobility. This study aimed to conduct a literature review to assess the effects of dual-task training on freezing of gait in elderly patients with Parkinson’s disease. It is an integrative review guided by the question, “What are the effects of dual-task training on freezing of gait in elderly patients with Parkinson’s disease?”. Searches were conducted in 2023/2024 using the Virtual Health Library (BVS), Cochrane Library, MEDLINE/PubMed, and the Physiotherapy Evidence Database (PEDro). Articles published between 2019 and 2024 in Portuguese, English, and Spanish, addressing elderly individuals of both genders diagnosed with Parkinson’s and freezing of gait, and employing dual-task (DT) training, regardless of whether or not it was combined with other therapies, were included. Incomplete studies, review articles, conference proceedings, and studies without a proper description of the DT methodology were excluded. A total of 8 randomized clinical trials were selected, resulting in an analysis of the therapeutic effects on these patients’ gait. The reviewed studies indicated that dual-task training showed significant improvements in gait and balance in Parkinson’s patients, reducing the severity of freezing of gait. It is concluded that dual-task training is a promising intervention to improve gait and reduce FoG in elderly patients with Parkinson’s, highlighting the importance of multidimensional and personalized interventions for effective FoG management.