Trattamento fisioterapico secondo le linee guida KNGF Vs trattamento di ginnastica dolce nella malattia di Parkinson: valutazione clinica in studio randomizzato

ABSTRACT Objectives: To obtain preliminary data on the effects of specific physiotherapy in Parkinson Disease (PD) and to determine whether improved performance is accompanied by reduction of disability, improvement of the quality of life, improvement of mood, reduction of pain, improvement of walk (speed and number of footsteps), reduction of falls. Design: randomised controlled trial Setting: Melegnano Hospital – Neurology Departement Participants:40 patients with PD, 2 years or more since diagnosis, with Hoehn and Yahr stage 2 or 3 Interventions: Subjects were randomised to physiotherapy according to KNGF guide-lines or motor activity not finalized to rehabilitative purposes. Patients completed 28 + 4 sessions over 4 months. Main outcome measures: UPDRS, FIM, TEN METER WALK TEST, VNS, TUG TEST, HRSD, QL-INDEX, FALL’S DIARY. Results: Improvement in the autonomy, in the motor clinical conditions and in functional mobility, increase of the speed and reduction of the number of footsteps, reduction of depressive symptoms was observed in patients that have followed the specific program of physiotherapy.