Individualized guidance and telephone monitoring in a selfsupervised home-based physiotherapeutic program in Parkinson
DOI:
https://doi.org/10.1590/1980-5918.030.003.AO14Abstract
Introduction: Home therapeutic exercises have been a target of interest in the treatment of the Parkinson's disease (PD). The way that the physical therapist guides and monitors these exercises can impact the success of therapy. Objective: To evaluate the effects of individualized orientation and monitoring by telephone in a self-supervised home therapeutic exercise program on signs and symptoms of PD and quality of life (QoL). Methods: Single-blind randomized clinical trials with 28 people with PD (Hoehn and Yahr 1 to 3). Patients were randomized into two groups: experimental and control. The experimental group had a meeting with individualized guidance about physiotherapy exercises present in a manual, received the manual to guide their activities at home and obtained subsequent weekly monitoring by telephone. The control group received the usual cares by the service. Both were orientated to carry out exercises three times a week during 12 weeks. Was evaluated: (1) activities of daily living (ADL) and motor examination sections of the Unified Parkinson's Disease Rating Scale (UPDRS) and QoL by the Parkinson Disease Questionnaire 39 (PDQ-39). The analysis between groups was performed by the Mann-Whitney test and intragroup through the Wilcoxon (p < 0.05). Results: Significant improvement in ADL (p= 0.001) and motor examination (p= 0.0008) of the UPDRS, PDQ-39 total (p = 0.027) and dimensions mobility (p = 0.027), emotional well-being (p= 0.021) and bodily discomfort (p = 0.027) in the experimental group compared to the control group. Conclusion: The individualized guidance and weekly monitoring by telephone in a self-supervised home therapeutic exercises program promoted positive effects on ADL, motor examination and QoL of people in early stages of PD.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
The authors guarantee that the works submitted to this journal are original and were not prepared in violation of any third party rights, having obtained all the necessary authorizations to include complementary content, such as, but not restricted to, translations, illustrations, tables and citations, whose precise sources the author also undertakes to indicate. The authors also declare that the works do not contain defamatory statements that violate morals, good customs and/or that violate intellectual property rights.
When submitting your paper, the Copyright Assignment signed by all authors must be attached.