Neurorehabilitation in Parkinsonism: Impact of Physiotherapy, Ergotherapy and Preformed Modalities on Autonomy (A Comparative Study)

Parkinsonism (Prk) is a neurodegenerative ailment that is regarded as a socially significant disease due to a significant decline in patients’ autonomy and quality of life.

Our goal over the last few years has been to quantify the efficacy of various neurorehabilitation (NR) treatments on patients’ independence in activities of daily living (ADL).

The current study’s GOAL was to examine qualitatively and quantitatively the influence of physiotherapy (PT), ergotherapy (ET), and certain preformed physical modalities [such Electrical Stimulations, Deep Oscillation, Magnetic field, and Transcutaneous Electroneurostimulation] in Prk’s complex NR.

Materials and Methods: We examined 204 Parkinson’s disease (PARK) patients who met the criteria of the Unified Parkinson’s Disease Rating Scale (UPDRS) and were randomly assigned to one of six therapy groups (gr). In group 1, we used typical physiotherapy (control group); in group 2, we used a sophisticated NR-program that included physiotherapy, ergotherapy, and patient education. We performed the following physical modalities on patients in the following groups: gr-3 – ES for foot extensors and flexors; gr-4 – DO; gr-5 – MF; and gr-6 – TENS paravertebrally.

We employed parametrical analysis (t-test – analysis of variances ANOVA) and non-parametric distribution analysis (Wilcoxon signed rank test) to manage the database, all of which were accomplished using the SPSS package. If the P value was less than 0.05, the treatment difference was judged statistically significant.

The comparative analysis of findings shows statistically significant improvement (in all experimental groups) in the following areas: brady-hypokinesia; gait stability, pulsion phenomena (particularly retropulsio); Hoehn and Yahr scale; depression and anxiety. In groups with prefabricated physical modalities, paravertebral discomfort, rigidity (muscular and articular stiffness), and Prk-posture were most significantly altered. In grades 2 and 3, we noticed the most significant gain in autonomy in many activities, such as the Timed Up and Go test.

Conclusion: We recommend our customised NR programme, which includes physiotherapy, occupational therapy, and prepared modalities and is beneficial to parkinsonian patients’ autonomy in ADL.

Author(S) Details

Ivet B. Koleva
Medical University of Sofia, Bulgaria and Hospital for long-term Care and Rehabilitation “Serdika” – Sofia, Bulgaria.

Borislav R. Yoshinov
Medical Faculty of Sofia University, Bulgaria.

Radoslav R. Yoshinov
University of Information Technologies – Sofia, Bulgaria.

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