INFLUENCE OF MOTOR REHABILITATION IN PARKINSON'S DISEASE
Keywords:
Parkinson's disease, motor rehabilitation, treatmentAbstract
Parkinson's disease is a chronic neurodegenerative disease that involves progressive changes in motor and non motor functions. It affects the patient's daily life and reduces both participation and quality of life at all stages of the disease. Early and regular therapeutic exercises can alleviate the effects of the symptoms of this disease. In the overall rehabilitation, proper drug therapy, physical therapy and, when necessary, surgical intervention are used. It begins when the disease is diagnosed, with motor rehabilitation and drug therapy in order to alleviate symptoms and treat later complications. Previous studies have shown that therapeutic exercises and physical means as part of the overall motor rehabilitation have an impact on the treatment of pain, impaired postural stability and risky falls in these patients. This study shows the impact of motor rehabilitation included in the overall treatment of patients with Parkinson's disease. Material and methods: The data were taken from the PHI City General Hospital "8 mi Septemvri" Skopje. Motor rehabilitation was conducted in 7 patients diagnosed with Parkinson's disease. Data on patients' 10 meter per second walking time were analyzed. Results: There was a statistically significant improvement in performance (reduced walking time) between all time points. Conclusion: Regular physical activity shows a significant positive impact on slowing the progression of symptoms and improving the motor function of patients. Therefore, motor rehabilitation should not be considered only as an additional treatment, but as a necessary part of a holistic approach to the care of patients with Parkinson's disease.
References
Agarwal, S., Pawlak, N., Cucca, A., Sharma, K., Dobbs, B., Shaw, M., Charvet, L., & Biagioni, M. (2018) Remotely-supervised transcranial direct current stimulation paired with cognitive training in Parkinson's disease: an open-label study. J Clin Neurosci, 57:51–57.
Agosta, F., Gatti, R., Sarasso, E., Volonté, M., Canu, E., Meani, A., Sarro, L., Copetti, M., Cattrysse, E., Kerckhofs, E., Comi, G., Falini, A., & Filippi, M. (2017) Brain plasticity in Parkinson's disease with freezing of gait induced by action observation training. J Neurol, 264:88–101
Baglio, F., Pirastru, A., Bergsland, N., Cazzoli, M., & Tavazzi, E. (2021) Neuroplasticity mediated by motor rehabilitation in Parkinson's disease: a systematic review on structural and functional MRI markers. Rev Neurosci, 33:213–226.
Ballarini, T., Růžička, F., Bezdicek, O., Růžička, E., Roth, J., Villringer, A., Vymazal, J., Mueller, K., Schroeter, M., & Jech, R. (2018) Unraveling connectivity changes due to dopaminergic therapy in chronically treated Parkinson's disease patients. Sci Rep, 8:10.
Droby, A., Maidan, I., Jacob, Y., Giladi, N., Hausdorff, J., & Mirelman, A. (2020) Distinct effects of motor training on resting-state functional networks of the brain in Parkinson's disease. Neurorehabil Neural Repair, 34:795–803.
Ferrazzoli, D., Ortelli, P., Madeo, G., Giladi, N., Petzinger, G., & Frazzitta, G. (2018) Basal ganglia and beyond: the interplay between motor and cognitive aspects in Parkinson's disease rehabilitation. Neurosci Biobehav Rev, 90:294–308.
Ferrazzoli, D., Ortelli, P., Maestri, R., Bera, R., Giladi, N., Ghilardi, M., Pezzoli, G., & Frazzitta, G. (2016) Does cognitive impairment affect rehabilitation outcome in Parkinson's disease? Front Aging Neurosci, 8:192.
Fogassi, L., & Luppino, G. (2005) Motor functions of the parietal lobe. Curr Opin Neurobiol, 15:626–631.
Isernia, S., Di Tella, S., Pagliari, C., Jonsdottir, J., Castiglioni, C., Gindri, P., ... & Baglio, F. (2020). Effects of an innovative telerehabilitation intervention for people with Parkinson's disease on quality of life, motor, and non-motor abilities. Frontiers in neurology, 11, 846.
Ji, G., Hu, P., Liu, T., Li, Y., Chen, X., Zhu, C., Tian, Y., Chen, X., & Wang, K. (2018) Functional connectivity of the corticobasal ganglia-thalamocortical network in Parkinson disease: a systematic review and meta-analysis with cross-validation. Radiology, 287:973–982.
Li, Z., Wang, T., Liu, H., Jiang, Y., Wang, Z., & Zhuang, J. (2020). Dual-task training on gait, motor symptoms, and balance in patients with Parkinson’s disease: a systematic review and meta-analysis. Clinical rehabilitation, 34(11), 1355-1367.
Marotta, N., Calafiore, D., Curci, C., Lippi, L., Ammendolia, V., Ferraro, F., & Invernizzi, M. (2022). Integrating virtual reality and exergaming in cognitive rehabilitation of patients with Parkinson disease: a systematic review of randomized controlled trials. EuropEan Journal of physical and rEhabilitation MEdicinE, 58(6), 818.
Park, J. K., & Kim, S. J. (2021). Dual-Task-Based drum playing with rhythmic cueing on motor and attention control in patients with parkinson’s disease: A preliminary randomized study. International journal of environmental research and public health, 18(19), 10095.
Pazzaglia, C., Imbimbo, I., Tranchita, E., Minganti, C., Ricciardi, D., Monaco, R. L., ... & Padua, L. (2020). Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson’s disease: a randomised controlled trial. Physiotherapy, 106, 36-42.
Vasileva, D., & Efremova, E. (2023) Kinesitherapy in patients with Parkinson's disease. Knowledge – International journal (KIJ), 60 (4), 693-699. ISSN 1857-923X.
Vellata, C., Belli, S., Balsamo, F., Giordano, A., Colombo, R., & Maggioni, G. (2021). Effectiveness of telerehabilitation on motor impairments, non-motor symptoms and compliance in patients with Parkinson's disease: a systematic review. Frontiers in neurology, 12, 627999.
Zhou, Z., Zhou, R., Wei, W., Luan, R., & Li, K. (2021). Effects of music-based movement therapy on motor function, balance, gait, mental health, and quality of life for patients with Parkinson’s disease: A systematic review and meta-analysis. Clinical rehabilitation, 35(7), 937-951.
