Rehabilitation for patients with Parkinson's disease

Chuma, Takayo

doi:10.1007/s00415-007-4010-1

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…In general, the combination of pharmacotherapy and rehabilitation is the optimal treatment strategy for symptom control and improving quality of life (3)(4)(5)(6). By using exercises, gait training and relaxation therapy, physical therapy aims to improve the volitional movements, posture, gait, balance, and rigidity.…”

Section: Introductionmentioning

confidence: 99%

Effects of a physical therapy home-based exercise program for Parkinson's disease

et al. 2012

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INTRODUCTION: Parkinson's disease (PD) is a neurological disorder that causes loss of functional abilities and independence. The aim of this study was to evaluate the effects of a physical therapist-supervised home-based exercise program in patients with PD using the UPDRS scale. MATERIALS AND METHODS: Thirty-three PD patients in the 1.5 to 3 Hoehn and Yahr stages participated in the trial. The patients and their relatives received a booklet with a 12-week home program, with a series of strengthening, stretching and flexibility exercises. The patients were trained by a physical therapist, and each session took 60 minutes, three times a week. RESULTS: We classified our patients in four groups: Group 1 - patients under 60 years of age and less than five years of PD; Group 2 - patients under 60 years of age and more than five years of PD; Group 3 - patients over 60 years of age and less than five years of the disease; and Group 4 - patients over 60 years of age and more than five years of PD. Significant improvement was found in group 1 in mentation, activities of daily living and motor function (p > 0.05). Group 3 presented statistically significant differences in motor function subscale (p > 0.05) and Group 4 showed no worsening in mentation subscale (p > 0.05). Group 2, however, presented no difference in all subscales (p < 0.05). CONCLUSION: Although not all patients improved their UPDRS scores, our data support the use of a home program as an alternative method of physical therapy treatment for PD patients.

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Section: Introductionmentioning

confidence: 99%

Effects of a physical therapy home-based exercise program for Parkinson's disease

et al. 2012

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Music Attenuates Excessive Visual Guidance of Skilled Reaching in Advanced but Not Mild Parkinson's Disease

2009

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Parkinson's disease (PD) results in movement and sensory impairments that can be reduced by familiar music. At present, it is unclear whether the beneficial effects of music are limited to lessening the bradykinesia of whole body movement or whether beneficial effects also extend to skilled movements of PD subjects. This question was addressed in the present study in which control and PD subjects were given a skilled reaching task that was performed with and without accompanying preferred musical pieces. Eye movements and limb use were monitored with biomechanical measures and limb movements were additionally assessed using a previously described movement element scoring system. Preferred musical pieces did not lessen limb and hand movement impairments as assessed with either the biomechanical measures or movement element scoring. Nevertheless, the PD patients with more severe motor symptoms as assessed by Hoehn and Yahr (HY) scores displayed enhanced visual engagement of the target and this impairment was reduced during trials performed in association with accompanying preferred musical pieces. The results are discussed in relation to the idea that preferred musical pieces, although not generally beneficial in lessening skilled reaching impairments, may normalize the balance between visual and proprioceptive guidance of skilled reaching.

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Efficacy of Rehabilitation in Parkinson's Disease Patients using the Unified Parkinson's Disease Rating Scale (UPDRS) and Three-dimensional Motion Analysis

信夫¹,

正法²

2010

Jpn J Rehabil Med

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Objective : To demonstrate the importance of physical motor function using the unified Parkinson s disease rating scale UPDRS and three-dimensional motion analysis in Parkinson s disease rehabilitation strategies. Participants : Seventeen inpatients with Parkinson s disease. Intervention : Physical training to improve joint mobility, muscle strength and muscle stretch to increase physical capacity was conducted for about four weeks. Results The mean total scores of UPDRS significantly decreased from 37.9 13.2 before training to 27.3 11.2 after training . The ADL scores of the UPDRS decreased from 12.4 6.9 before training to 9.5 6.3 after training . The motor scores decreased from 22.5 7.5 to 15.3 6.5. Furthermore, muscle rigidity and akinesia, two key Parkinson symptoms, were improved as shown by assessment of the UPDRS motor scores. And physical function of the trunk, and upper and lower extremities was also improved. Finally, the increment of stride length and walking velocity and range of motion ROM at the hip and pelvic joints were observed by assessment of three-dimensional motion analysis. Conclusion : This study suggests that improvement of Parkinson symptoms and increment of ROM at the pelvic and lower limbs by physical training may improve stride length and walking velocity. Jpn J Rehabil Med .

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Rehabilitation for patients with Parkinson's disease

Cited by 3 publications

References 11 publications

Effects of a physical therapy home-based exercise program for Parkinson's disease

Effects of a physical therapy home-based exercise program for Parkinson's disease

Music Attenuates Excessive Visual Guidance of Skilled Reaching in Advanced but Not Mild Parkinson's Disease

Efficacy of Rehabilitation in Parkinson's Disease Patients using the Unified Parkinson's Disease Rating Scale (UPDRS) and Three-dimensional Motion Analysis

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