Abstract
Introduction: Movement disorder, a major component of Parkinson’s disease can lead to dependency and disability. With an increased life expectancy health care of the ailments associated with elderly gets significant.
Aims & Objectives: This original case study which aims at evaluating the clinical course and functional outcome along with factors influencing the prognosis on a subject with Parkinson’s disease with 8 years follow up.
Materials and Methodology: This study was conducted during the period from February 2010 till April 2019. The subject was treated at his domiciliary with a set of exercises to both extremities and the spine, each session for 30-35 minutes with a frequency of thrice a week. Intensity of exercises were based on his energy levels, pain other physical and constitutional symptoms. The nature of exercise techniques included apart from passive stretching, Proprioceptive exercises using Physioball, balance training and walking re training. UPDRS was used once at the beginning in 2010 again in, 2014 and 2019, results were analyzed statistically
Results: UPDRS were in significant P>.01
Conclusion: impact of progressive nature of this chronic deteriorating condition requires not only adherence with physiotherapy but multiple parameters were influencing clinical prognosis of this condition with family support, genetic, individuals, attitude, perception and environment etc.
Keywords: PD – Parkinson’s disease, UPDRS , Proprioceptive Exercises.
References
- Tomlinson systematic reviewer, Smitaa Patel statistician, Charmaine Meek research assistant, Clare P Herd research associate. Physiotherapy intervention in Parkinson’s disease: systematic review and meta-analysis. BMJ 2012;345:e5004, PP: 1-14
- Rascol O, Brooks DJ, Korczyn AD, et al. A five-year study of the incidence of dyskinesia in patients with early Parkinson’s disease who were treated with ropinirole or levodopa. 056 Study Group. N Engl J Med. 2000;18:1484–91.
- Schrag A, Quinn N. Dyskinesias and motor fluctuations in Parkinson’s disease: a community-based study. Brain. 2000;123(11):2297–2305.
- Weintraub S. The record of independent living: an informant-completed measure of activities of daily living and behavior in elderly patients with cognitive impairment. Am J Alzheimers Dis Other Dement. 1986; 1:35–9.
- Andrew Steptoe, Aparna Shankar, Panayotes Demakakos, and Jane Wardle. Social isolation, loneliness, and all-cause mortality in older men and women. Proc Natl Acad Sci U S A. 2013 Apr 9; 110(15): 5797–5801.
- Gage H, Storey L. Rehabilitation for Parkinson’s disease: a systematic review of available evidence. Clin Rehab2004;18:463-82.
- Kim SD, Allen NE, Canning CG, Fung VS. Postural instability in patients with Parkinson’s disease. Epidemiology, pathophysiology and management. CNS Drugs. 2013;27:97–112.
- Taghipour, MH Naseri, R Safiarian, Y Dadjoo, B Pishgoo, HA Mohebbi, L Daftari Besheli, M Malekzadeh, A Kabir. Quality of Life One Year after Coronary Artery Bypass Graft Surgery. Iranian Red Crescent Medical Journal. Iran Red Crescent Med J 2011; 13(3):171-177
- Hanne Gjeilo K, Wahba A, Klepstad P, Lydersen S, Stenseth R. Healthrelated quality of life three years after coronary surgery: a comparison with the general population. Scand Cardiovasc J. 2006;40:29-36.
- Peric V, Borzanovic M, Stolic R, Jovanovic A, Sovtic S, Dimkovic S, Marcetic Z. Predictors of worsening of patients' quality of life six months after coronary artery bypass surgery. J Card Surg. 2008;23:648-54.
- Simchen E, Naveh I, ZitserGurevich Y, Brown D, Galai N. Is participation in cardiac rehabilitation programs associated with better quality of life and return to work after coronary artery bypass operations? The Israeli CABG Study. Isr Med Assoc J. 2001;3:399-403.
- Biswas .,Abhijit Biswas &Neel Das. The Differential Effects of Celebrity and Expert Endorsements on Consumer Risk Perceptions. The Role of Consumer Knowledge, Perceived Congruency, and Product Technology Orientation. 35, No. 2 (Summer, 2006),Pages 17-31
- Anne Tiedemann, Catherine Sherrington, Catherine M. Dean, Chris Rissel, Stephen R. Lord, Catherine Kirkham, and Sandra D. O’Rourke. Predictors of Adherence to a Structured Exercise Program and Physical Activity Participation in Community Dwellers after Stroke. Hindawi Publishing Corporation Stroke Research and Treatment Volume 2012, Article ID 136525, 1-8 pages
- Allen, Jooeun Song, Serene S. Paul, Catherine Sherrington, Susan M. Murray, Sandra D, O’Rourke,. Predictors of Adherence to a Falls Prevention Exercise Program for People with Parkinson’s Disease. 2015InternationalParkinsonandMovementDisorderSociety, PP: 395-399
- Behari M, Srivastava AK, Das RR, Pandey RM. Risk factors of Parkinson’s disease in Indian patients. J Neurol Sci. 2001;190: 49–55.
- Alexander G, Delong M, Strick P. Parallel organization of functionally segregated circuits linking basal ganglia and cortex. Annual Review of Neuroscience. 1986;9:357–381.
- Brown RA, Ramsey SE, Strong DR, et al. Effects of motivational interviewing on smoking cessation in adolescents with psychiatric disorders. Tobacco Control. 2003;12:3–10.
- Vlaanderen J, Portengen L, Schuz J, Olsson A, Pesch B, et al. (2014) Effect modification of the association of cumulative exposure and cancer risk by intensity of exposure and time since exposure cessation: A flexible method applied to cigarette smoking and lung cancer in the SYNERGY study. Am J Epidemiol 179: 290–298
- Tim Crocker-Buque, Godwin Mindra, Richard Duncan and Sandra Mounier-Jack. Immunization, urbanization and slums – a systematic review of factors and interventions. Crocker-Buque et al. BMC Public Health (2017) 17:556
- De La Torre J.C. (2002) Alzheimer disease as a vascular disorder: nosological evidence. Stroke 33: 1152–1162
Corresponding Author
Dr S.S. Subramanian
M.P.T (Orthopaedics), M.S (Education), M. Phil (Education), Ph.D (Physiotherapy)
The Principal, Sree Balaji College Of physiotherapy, Chennai – 100
Affiliated To (Bharath) University, BIHER, Chennai – 73, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i9.113
