บทความทั่วไป Review Articles
30
Physical Therapy Management
in Parkinson’s Disease
Abstract
Parkinson’s is a degenerative disease of the nervous system. The prevalence of Parkinson ‘s disease in Thailand was 242.57
per 100,000 populations in 2008-2011.Prevalence increased with age gures were 1.0 % for those aged over 60 years. The symp-
toms usually emerge slowly and, as the disease worsens, non-motor symptoms become more common. The most obvious early
symptoms are resting tremor, rigidity, postural instability, slowness of movement and difculty with walking Other symptom include
sensory, impaired cognition, depression, sleep disorders, easily weakened, excretory system disorders and mental disorders.
Physical exercise to maintaining walking, balance and improve many PD symptom. These benets are supported by
research. The Parkinson’s outcomes Project shows that people with PD who start exercising earlier and a minimum of 2.5 hours a
week, experience a slowed decline in quality of life compared to those who start later. Physical Exercise for Parkinson’s disease can
be divided into 3 types: 1. Resistance to exercise, 2. Increase endurance without resistance, 3. Increase stability. Recent research
suggests that physical therapy including gait and balance training, resistance training and regular exercise may help improve or hold
the symptoms of PD at bay. Physical therapy treatment should be administered during the peak effective time of each individual
medication.
Keywords: Parkinson’s disease; Physical exercise; Balance exercise
Malisa Meesawang*, Rattaya Namprasert**
*Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand,
** Department of Rehabilitation and Thai traditional Medicine, Nonsung Hospital, Nakhonratchasima, Thailand.
Correspondence to: Malisa Meesawang E-mail: malisa.neung@gmail.com
Received: 30 July 2020 Revised: 9 November 2020 Accepted: 11 November 2020
http://dx.doi.org/10.33192/Simedbull.2021.05
Siriraj Medical Bulletin 2021;14(1):30-34
เวชบันทึกศิริราช Siriraj Medical Bulletin
31
กายภาพบำาบัดในผู้ป่ วยพาร์กินสัน
บทความทั่วไป Review Articles
32
1,2
2
6
เวชบันทึกศิริราช Siriraj Medical Bulletin
33
9
2
1,2
บทความทั่วไป Review Articles
34
