Eficacia de un programa intensivo y continuado de fisioterapia para la mejoría clínica en pacientes con enfermedad de Parkinson

Abstract

Objective To demonstrate the long-term beneficial effect of physiotherapy in patients with Parkinson's Disease. Design A prospective, controlled, double-blind study. Setting Association of Parkinson disease Patients. Astorga (Spain). Participants 26 patients (69.50±10.34 years of age) were evaluated applying the Unified Parkinson's Disease Rating Scale (UPDRS). Intervention Control group (n=9, drug treatment), experimental group (n=18, physiotherapy and drug treatment). Main outcome measures Analysis of the results obtained from the motor examination on the UPDRS scale. Results They are presented by means of the SPSS ® 16.0 software. The central trend measurements in the global score recorded for the pre- and post-intervention stages were: phase on, the mean went from 64.22±16.383 before physiotherapy intervention to 50.89±19.499 after intervention; phase off, the value of the mean changed from 85.78±12.549 to 75.78±17,745, respectively. If we increase the range to 7–12 sessions, the scores for the motor examination are higher. This indicates that the rigidity, posture, postural stability and gait improve, and that such improvement is longer lasting. Conclusion The clinical relevance of rehabilitation programs for PD patients is estimated to be sufficient if the following criteria are present: efficacy, everyday life relevance, long-term effect, therapy frequency and follow-up, duration of therapy sessions, quality of life, intervals between the questionnaire and medication. The relevance of our work is that it has demonstrated the long-term efficacy of a physiotherapy program in PD patients.