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CONSEQUENCES OF FUNCTIONAL RE-EDUCATION IN PATIENTS WITH PARKINSON'S DISEASE
Tutu-Pata V, Prada G, Fita I, Prada S
The main objective of the study was to develop a unitary rehabilitation program for Parkinson's disease patients. Authors investigated 187 patients with this disease, 52% men and 48% women, age range from 45 to 80 years (mean 62.5), that have been divided into 2 groups: 57% study group (they have followed the entire individualized reeducation program with a progressive increase to 45% of the maximum endurance) and second group (control) 43% of subjects (in these patients the intensity of exercise could not increase to more than 10% of maximum endurance). Physical therapy did not influence tremor. Rigidity improved in 65% in study group and only 39% in controls, the difference being statistically significant (U=5.4; p<0.03). Bradykinezia improved in 25% of subjects, only a little more in study group (27%) as compared to controls (26%) (U=2.12; p>0.05 ? not-significant). Walking improved in 57% of study patients and only 36% in controls (significant difference: U=3.95; p<0.05). Freezing was reduced in 39% of patients, and postural instability in 24%. Upper limbs swinging improved in 35% of patients, almost equal in the two groups, same as speech. Posture improved in 41% of subjects, considerably higher in study group (56%) as compared to control group (19%) ? significant difference: U=5.81; p<0.03. Swallowing improved in 52% of patients, more in study group (54%) as compared to control (48%) with a significant difference (U=2.44; p<0.05). Rehabilitation in Parkinson disease is possible, indicated and effective provided it is started early in the course of disease.
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