open access

Vol 47, No 3 (2013)
ARTYKUŁ ORYGINALNY
Submitted: 2011-12-29
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Influence of physiotherapy on severity of motor symptoms and quality of life in patients with Parkinson disease

Joanna Cholewa, Magdalena Boczarska-Jedynak, Grzegorz Opala
DOI: 10.5114/ninp.2013.35774
·
Neurol Neurochir Pol 2013;47(3):256-262.

open access

Vol 47, No 3 (2013)
ARTYKUŁ ORYGINALNY
Submitted: 2011-12-29

Abstract

Background and purpose

Parkinson disease (PD) is one of the most frequent diseases of the central nervous system. Rehabilitation is one of the factors which may help the patients to maintain higher physical activity in everyday life. The aim of this work was to evaluate the influence of movement rehabilitation on severity of motor symptoms in PD patients.

Material and methods

The study included 70 patients suffering from PD according to the Hoehn and Yahr scale. Patients’ clinical status was assessed with Unified Parkinson's Disease Rating Scale (UPDRS) parts I-III. Additionally, activity of daily living was evaluated with the Schwab and England scale. The quality of life was evaluated by the Parkinson's Disease Questionnaire (PDQ-39). The examinations were conducted before and after the twelve weeks of the experiment. Patients included in the intervention group (n = 40) took part in 60-minute rehabilitation exercises twice a week, which were aimed at increasing movement ranges, balance improvement, movement agility and walking. The main emphasis was placed on the ability to cope with daily activities.

Results

A significant difference in scores of given scales before and after the 12-week period was observed in the intervention group: UPDRS part I score decreased by 17.31%, part II decreased by 22.2%, part III decreased by 18.96%, and PDQ-39 score decreased by 17.12%. Mean score of the Schwab and England scale increased by 9.69%, indicating an improved quality of life.

Conclusions

The applied rehabilitation programme decreased the severity of motor symptoms in patients with PD.

Abstract

Background and purpose

Parkinson disease (PD) is one of the most frequent diseases of the central nervous system. Rehabilitation is one of the factors which may help the patients to maintain higher physical activity in everyday life. The aim of this work was to evaluate the influence of movement rehabilitation on severity of motor symptoms in PD patients.

Material and methods

The study included 70 patients suffering from PD according to the Hoehn and Yahr scale. Patients’ clinical status was assessed with Unified Parkinson's Disease Rating Scale (UPDRS) parts I-III. Additionally, activity of daily living was evaluated with the Schwab and England scale. The quality of life was evaluated by the Parkinson's Disease Questionnaire (PDQ-39). The examinations were conducted before and after the twelve weeks of the experiment. Patients included in the intervention group (n = 40) took part in 60-minute rehabilitation exercises twice a week, which were aimed at increasing movement ranges, balance improvement, movement agility and walking. The main emphasis was placed on the ability to cope with daily activities.

Results

A significant difference in scores of given scales before and after the 12-week period was observed in the intervention group: UPDRS part I score decreased by 17.31%, part II decreased by 22.2%, part III decreased by 18.96%, and PDQ-39 score decreased by 17.12%. Mean score of the Schwab and England scale increased by 9.69%, indicating an improved quality of life.

Conclusions

The applied rehabilitation programme decreased the severity of motor symptoms in patients with PD.

Get Citation

Keywords

physiotherapy, Parkinson disease, quality of life

About this article
Title

Influence of physiotherapy on severity of motor symptoms and quality of life in patients with Parkinson disease

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 47, No 3 (2013)

Pages

256-262

DOI

10.5114/ninp.2013.35774

Bibliographic record

Neurol Neurochir Pol 2013;47(3):256-262.

Keywords

physiotherapy
Parkinson disease
quality of life

Authors

Joanna Cholewa
Magdalena Boczarska-Jedynak
Grzegorz Opala

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