A Longitudinal Study Investigating the Progression of Balance Impairment in Parkinson’s Disease Patients and Its Relationship to Fall

Faiza Rasheed, Aadil Omer, Aqsa Siddique, Shiza Rizwan, Zahra Batool, Zahid Mehmood
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Abstract

Background: Parkinson’s disease (PD) is a disorder marked by degenerative changes in the neurological system that impair the brain’s basal ganglia's ability to function normally. By precisely comparing the fall risk between two groups—one doing workouts at home and the other under professional supervision—this study seeks to fill the information gap regarding the effects of PT-based intervention in improving balance and reducing the risk of falls among PD patients. Methods: Data was gathered from n=24 patients that were undergoing Physical therapy either at supervised clinical setup or getting supervised home based session (Domiciliary Physical Therapy services). Results: The values of TUG test for patients in clinical based group revealed that sum of square (SS)=45.08, df=3, F=3.57, Fcrit= 2.81, p=0.02. Similarly for patients in home based therapy session group the values were SS=10.39,df=3, F=0.606, F-Crit=2.81,p=0.61. Conclusion: In conclusion the outcomes of this study highlight the considerable benefit of home-based and clinical-based training treatments on people with PD, as measured by the TUG and BBS measures. Keywords: Balance,Parkinson Disease, Postural, Physical Therapy.
帕金森病患者平衡障碍进展及其与跌倒关系的纵向研究
背景:帕金森病(Parkinson's disease,PD)是一种以神经系统退行性病变为特征的疾病,会损害大脑基底节的正常功能。本研究通过精确比较两组患者(一组在家锻炼,另一组在专业人员指导下锻炼)的跌倒风险,试图填补有关以运动疗法为基础的干预在改善帕金森病患者平衡能力和降低跌倒风险方面效果的信息空白:方法:本研究收集了24名患者的数据,这些患者在有监督的临床机构或在有监督的家庭治疗(家庭物理治疗服务)中接受物理治疗。结果临床治疗组患者的 TUG 测试值显示,平方和(SS)=45.08,df=3,F=3.57,Fcrit=2.81,P=0.02。同样,家庭治疗组患者的平方和(SS)=10.39,df=3,F=0.606,F-Crit=2.81,p=0.61:总之,本研究的结果强调了家庭和临床训练疗法对帕金森病患者的显著益处,这是由 TUG 和 BBS 的测量结果决定的:平衡 帕金森病 姿势 物理治疗
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