Occupational Therapy for Parkinsonian Patients: A Retrospective Study
Joint Authors
Maestri, Roberto
Frazzitta, Giuseppe
Franciotta, Michele
Ortelli, Paola
Ferrazzoli, Davide
Mastalli, Federica
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-11-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Hand functionality and finger dexterity are impaired in patients with Parkinson’s disease (PD).
These disturbances lead to a dependency in activities of daily living (ADL) and poor quality of life (QoL).
Objective.
We aimed to evaluate whether a specific occupational therapy (OT) program is effective in improving finger and hand dexterity and its impact on ADL in PD patients.
Methods.
We retrospectively studied PD patients, hospitalized for a 4-week multidisciplinary intensive rehabilitation treatment (MIRT) between January 2015 and June 2018.
All patients underwent 1 h/day OT treatment, 5 days a week.
The primary outcome measure was the O’Connor finger dexterity test; secondary outcome measures were the Minnesota dexterity test, UPDRS II, and Self-Assessment Parkinson’s Disease Disability Scale (SPDDS).
These measures were assessed at admission (T0) and discharge (T1).
Results.
Based on the Hoehn and Yahr scale (H&Y), patients were divided into two groups: 262 subjects in H&Y stage <3 (early-stage PD patients) and 220 in H&Y stage ≥3 (medium-advanced stage PD patients).
As expected, at baseline, all measures were worse in higher H&Y stages.
After treatment, both groups experienced significant improvements in all outcomes.
Significant differences between early-stage and medium-advanced stage PD patients were observed only for the changes in UPDRS II, with a better improvement in patients in H&Y stage ≥3.
Conclusions.
We showed that PD patients who underwent a rehabilitation protocol including OT experienced improvements in finger dexterity and hand functionality.
Our results underline the relevance of OT in improving autonomy and QoL in PD patients.
American Psychological Association (APA)
Franciotta, Michele& Maestri, Roberto& Ortelli, Paola& Ferrazzoli, Davide& Mastalli, Federica& Frazzitta, Giuseppe. 2019. Occupational Therapy for Parkinsonian Patients: A Retrospective Study. Parkinson’s Disease،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1206910
Modern Language Association (MLA)
Franciotta, Michele…[et al.]. Occupational Therapy for Parkinsonian Patients: A Retrospective Study. Parkinson’s Disease No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1206910
American Medical Association (AMA)
Franciotta, Michele& Maestri, Roberto& Ortelli, Paola& Ferrazzoli, Davide& Mastalli, Federica& Frazzitta, Giuseppe. Occupational Therapy for Parkinsonian Patients: A Retrospective Study. Parkinson’s Disease. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1206910
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1206910