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Influence of physiotherapy on severity of motor symptoms and quality of life in patients with Parkinson disease
- Akademia Wychowania Fizycznego im. J. Kukuczki w Katowicach
- KIinika Neurologii Śląskiego Uniwersytetu Medycznego w Katowicach
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Abstract
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 methodsThe 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.
ResultsA 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.
ConclusionsThe applied rehabilitation programme decreased the severity of motor symptoms in patients with PD.
Abstract
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 methodsThe 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.
ResultsA 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.
ConclusionsThe applied rehabilitation programme decreased the severity of motor symptoms in patients with PD.
Keywords
physiotherapy, Parkinson disease, quality of life
Title
Influence of physiotherapy on severity of motor symptoms and quality of life in patients with Parkinson disease
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
256-262
Page views
866
Article views/downloads
1064
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