Dharmaraj, P (2019) A Study to Find Out the Effectiveness of Progressive Resisted Exercises in Improving Motor Performance and Activities of Daily Living in Idiopathic Parkinsons Disease. Masters thesis, Thanthai Roever College of Physiotherapy, Perambalur.
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Abstract
BACKGROUND: Parkinson’s disease is a chronic, progressive neurodegenerative disease of the nervous system that leads to progressive disability. Idiopathic Parkinson’s disease refers to those cases where the aetiology is unknown or genetically determined Physiotherapy has an important role in PD as it focuses on transfers, posture, upper limb function, balance, gait & physical capacity & inactivity. Recent study focusing on motor performance and ADL which must be improved in IPD patients. PRE found to activate the dopaminergic system and increases dopamine availability (Sasco AJ 2010). OBJECTIVE: To find out the effectiveness of Progressive Resistance Exercise over Conventional therapy on Activities of Daily Living and Motor Performance in IPD. METHODS: Pre-Test, Post-Test Experimental design was conducted on 30 diagnosed cases of IPD. Patients were divided into two groups of 15 each. Informed consent was obtained from all patients. Group A received conventional physiotherapy treatment. Group B received conventional therapy along with PRE. PRE program consists of 10 strengthening exercises. Warm up exercises was given to find RM. UPDRS 2 and UPDRS 3 was assessed before and after treatment duration was 4 weeks, 3 days per week. RESULTS AND DISCUSSION: The tests used for statistical analysis were Mann-Whitney U test and Wilcoxon signed rank test. The results showed that, both groups showed improvement in ADL and Motor Performance. Even though both groups showed improvement, Group B showed more changes in ADL and Motor Performance than in Group A. It indicates that PRE is effective to improve ADL and Motor Performance in IPD patients. PRE found to be more effective in Parkinson’s disease, because repetitively generating large forces increases neuronal activation in basal ganglia circuits more so than small forces. The Blood Oxygen Level Dependent (BOLD) signal increases in specific basal ganglia nuclei, ventral thalamus and motor cortex with repetitive force generation. Research suggests that PRE can increase dopamine level and metabolism, which subsequently in functional independence in PD subjects (Sasco AJ, 2010). CONCLUSION: Progressive Resistance Exercise along with Conventional Therapy is effective in improving Motor Performance and Activities of Daily Living in patients with IPD.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271720142 |
| Uncontrolled Keywords: | Idiopathic Parkinsons Disease, Activities of Daily Living. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Ravindran C |
| Date Deposited: | 15 Sep 2019 14:48 |
| Last Modified: | 20 Sep 2019 09:10 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11484 |
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