The relationships between disease severity, impairments, functional abilities and personal factors in individuals with Parkinson’s disease
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Abstract
Background: Parkinson’s disease affects function of body, functional capabilities, social participation and decreases quality of life. International Classification of Functioning Disability and Health (ICF)explains relationship among health conditions, body functions and structures, activities, participation environmental factors and personal factors. Therefore, for appropriate treatment planning for Parkinson's patients, therapists should conduct a comprehensive assessment taking into account all dimensions.
Objective: To evaluate the relationship between disease severity, impairments, functional abilities and personal factors in individuals with Parkinson’s disease (PD).
Methods: Twenty-six patients with PD were assessed 4 domains; 1.Disease severity: (Modified Hoehn and Yahr: Modified H&Y), 2. Impairments: Part III of Unified Parkinson’s Disease Rating Scale (UPDRS), 3. Functional abilities: Part II of UPDRS, balance (Berg Balance Scale: BBS), ambulation (Time Up and Go: TUG), gait speed (10-Metre Walk Test: 10mWT), and endurance (Six-Minute Walk Test: 6MWT), and 4. Personal factors: gender, age and cognition (Thai Mental State Examination: TMSE). Researcher analyzed the correlation between aforementioned variables.
Results: The Modified H&Y was fair to moderate correlated with UPDRS II, UPDRS III and BBS (r=0.46 – 0.59). The TMSE was fair to moderate correlated with TUG, UPDRS III, age and BBS (r=0.36 – 0.56). And the BBS was fair to moderate correlated with all tests (r=0.47 – 0.74). But gender showed no correlation with other tests.
Conclusion: There were relationships between disease severity, impairments, functional abilities and personal factors except for gender. Moreover, balance was correlated with all dimensions. The findings suggest that physical therapists should assess all aspects of patients, for holistic treatment.
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