Abstract

8 YEARS RETROSPECTIVE STUDY ON A SUBJECT WITH MOVEMENT DISORDER ON SYNDOPA & EXERCISES – AN ANALYSIS OF FACTORS INFLUENCING PROGNOSIS WITH EVIDENCE

*Dr. S. S. Subramanian

Abstract

Introduction: Movement disorder, a major component of Parkinson’s disease can lead to dependency and disability. With an increased life expectancy health care of the ailments associated with elderly gets significant. Aims & Objectives: This original case study which aims at evaluating the clinical course and functional outcome along with factors influencing the prognosis on a subject with Parkinson’s disease with 8 years follow up. Materials and Methodology: This study was conducted during the period from February 2010 till April 2018. The subject was treated at his domiciliary with a set of exercises to both extremities and the spine, each session lased for 30-35 minutes with a frequency of thrice a week. Intensity of exercises were based on his energy levels, pain other physical and constitutional symptoms. The nature of exercise techniques included apart from passive stretching, Proprioceptive exercises using Physioball, balance training and walking re training. UPDRS was used once at the beginning in 2010 again in, 2014 and 2018, results were analyzed statistically Results: UPDRS were in significant P>.01 Conclusion: impact of progressive nature of this chronic deteriorating condition requires not only adherence with physiotherapy but multiple parameters were influencing clinical prognosis of this condition with family support, genetic, individuals, attitude, perception and environment etc.

Keywords: PD – Parkinson ’s disease, UPDRS , Proprioceptive Exercises