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The efficiency of combined therapy at people with Parkinson's disease

Publication at First Faculty of Medicine, Faculty of Education |
2020

Abstract

Objective: The content of the article is the results of a longitudinal research survey. The aim of the research was to determine the effect of psychomotor therapy using elements of occupational therapy (with the support of cognitive rehabilitation and robotically assisted therapy) on the social adaptability of people suffering from Parkinson's disease in social services with regard to length of diagnosis and length of stay.

Material and methods: The research survey was conducted in 39 (100%) probands, with the representation of 26 (66.7% share) men in the age range 64-71 years and 13 (33.3% share) women in the age range 67-70 years. Another relevant feature was the length of stay of selected probands, which was at least 1 year from the start of the facility.

The research group selected in this way was divided according to another criterion by deliberate selection, ie 39 probands diagnosed with Parkinson's disease (according to ICD-10; G20 in category G20-G26: extrapyramidal and movement disorders), for whom rehabilitation care (especially occupational therapy) was regularly indicated. The intervention itself lasted intensively 3 months (12 weeks), 4 times a week for about 45 minutes per proband.

We provided input and output data using a standardized test focused on the evaluation of functional independence (FIM test - Functional Independence Measure). Comparison of the obtained data between input and output testing was performed by Tukey HSD test at the significance level a = 0.05.

Results: The achieved results (at the level of significance a = 0.05) show that the monitored group of probands achieved better results compared to the testing period and the initial testing. An integral part of the effectiveness of the chosen therapy is also the use of the drug L-DOPA, which was properly administered to all probands.