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Physical therapy in Parkinson's disease: an open long-term rehabilitation trial.

AbstractThe aim of this study was to evaluate the effects of prolonged physical therapy on disability in patients with Parkinson's disease. The study was designed as an open long-term trial over 20 weeks. Twenty slightly to moderately affected parkinsonian patients were included (Hoehn & Yahr stages: 1.5-3). A comprehensive rehabilitation program was applied three times a week in all patients. Pharmacological treatment was kept stable. Evaluations were performed at baseline, at the end of treatment and after 3 months. Following physical rehabilitation, there was a significant improvement in UPDRS (ADL and motor sections) scores, Self-assessment Parkinson's disease Disability Scale, Ten-Meter Walk test and Zung scale for depression. At 3-month follow-up clinical improvements were largely maintained. A sustained improvement of motor skills in PD patients can be achieved with a long-term comprehensive rehabilitation program.
AuthorsM T Pellecchia, A Grasso, L G Biancardi, M Squillante, V Bonavita, P Barone (Affiliation: Department of Neurological Sciences, University "Federico II", Ed. 17, Via Pansini 5, 80131, Naples, Italy. foods at katamail.com)
JournalJournal of neurology (J Neurol) Vol. 251 Issue 5 Pg. 595-8 (May 2004) ISSN: 0340-5354 Germany
PMID15164194 (Publication Type: Clinical Trial, Comparative Study, Journal Article)
Topics
  • Aged
  • Disability Evaluation
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Motor Skills (physiology)
  • Neurologic Examination
  • Parkinson Disease (rehabilitation)
  • Physical Therapy Modalities
  • Severity of Illness Index
  • Single-Blind Method
  • Time Factors
  • Treatment Outcome
  • Walking