Short term effects of home exercise program on severity of disease and quality of life in patients with Parkinson’s disease

Yıl 2020, Cilt: 27 Sayı: 1, 45 - 53, 01.03.2020

Elif Esen Özdemir Serpil Savaş

https://doi.org/10.17343/sdutfd.467225

Öz

Objective: Parkinson’s disease is a chronic
neurodegenerative disease that seriously deteriorates of quality of life of the
patients. In this study we aimed to investigate short term effects of home
exercise program on quality of life in patients with Parkinson’s disease.

Materials and Methods: Thirty patients
with Parkinson’s disease were included in this study. Demographical  and clinical data of all patients were recorded,
Unified Parkinson’s Disease Rating Scale (UPDRS) was filled to evaluate
severity of illness and Parkinson’s Disease Questionnaire (PDQ-39) was filled
to evaluate quality of life. Patients were randomly allocated into two groups
as group 1 (n=15) and group 2 (n=15). One month duration home exercise program
were given to one group (group1). No extra intervention or advice other than
their pharmachological treatment were given 
to the other group (group2). One month later, patients in group 1 were
reevaluated by PDQ-39 and UPDRS.

Results: There was no statistically significant
difference between groups in relation to demographical and clinical features,
severity of disease and quality of life scores at the initial evaluation. The PDQ-39
and UPDRS scores of the patients who have taken home exercise programs were
found to be significantly better compared to both their own pre-exercise status
and to the patients who did not get any exercise program. In the post-exercise
evaluation, mobility, activities of daily living, emotional well-being,
cognitions, communication, bodily discomfort and total scores of PDQ-39  and mentation, behavior and
mood, activities of daily living, motor examination and total scores of UPDRS of the patients who have taken home exercise
programs were found to get significantly better. (p<0.05)

Conclusion: In patients with Parkinson’s
disease, severity of disease and quality of life gets significantly better
after taking a home exercise program. In our opinion, making home exercise
programs a part of the treatment plan of patients with Parkinson’s disease will
increase their quality of life.

Anahtar Kelimeler

Parkinson's disease, exercise, quality of life

Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi

Öz

Amaç: Parkinson hastalığı, kronik nörodejeneratif
bir hastalık olup hastaların yaşam kalitesini ciddi biçimde bozmaktadır. Bu
çalışmada ev egzersiz programının Parkinson hastalarının yaşam kalitesi üzerine
kısa dönemdeki etkisini araştırmayı amaçladık.

Gereç ve Yöntem: Bu çalışmaya toplam
30 Parkinson hastası alınmıştır. Tüm hastaların demografik ve klinik verileri
kaydedilmiş, hastalık şiddetini değerlendirmek için Birleşik Parkinson
Hastalığı Değerleme Ölçeği (BPHDÖ), yaşam kalitesini değerlendirmek için
Parkinson Hastalığı Anketi (PDQ-39), doldurulmuştur. Hastalar randomize olarak olarak
iki gruba ayrılmıştır. Gruplardan birine bir aylık ev egzersiz programı
verilmiştir (grup1).  Diğer gruba mevcut farmakolojik
tedavileri dışında ek girişim veya öneride bulunulmamıştır (grup2). Grup 1’deki
hastalar bir ay sonra PDQ-39 ve BPHDÖ ile tekrar değerlendirilmiştir.

Bulgular: İlk değerlendirmede gruplar
arasında demografik ve klinik özellikler, hastalık şiddeti ve yaşam kalitesi skorları
açısından istatistiksel olarak anlamlı farklılık yoktu. Ev egzersiz programı
alan hastaların PDQ-39 ve BPDHÖ skorlarının hem egzersiz öncesi durumlarıyla
karşılaştırıldığında, hem de ev egzersiz programı almayan Parkinson hastalarıyla
karşılaştırıldığında anlamlı olarak daha iyi olduğu belirlendi. Ev egzersiz
programı alan hastaların egzersiz sonrası değerlendirmelerinde PDQ-39 mobilite, günlük yaşam aktiviteleri, kognitif durum, iletişim,
beden konforsuzluğu ve total skorları ve
BPHDÖ düşünce-davranış-ruhsal durum, günlük yaşam aktiviteleri, motor muayene
ve total skorları anlamlı olarak iyileşmiş bulundu. (p<0.05)

Sonuç: Parkinson hastalarında, ev egzersiz
programı sonrasında, yaşam kalitesi ve hastalık şiddetinde anlamlı iyileşme olmaktadır.
 Ev egzersiz programlarının Parkinson
hastalarının tedavi planın bir parçası haline getirilmesinin, hastaların yaşam
kalitesini arttıracağı düşüncesindeyiz.

Anahtar Kelimeler

Parkinson hastalığı, egzersiz, yaşam kalitesi

Kaynakça

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