Short Duration, Intensive Bed Mobility Training in Idiopathic Parkinson’s Patients- One Group Pre-post Test Study Design YM01-YM04
Dr. Deepti Chaitanya Lele,
03, Blessings, Ground Floor, 5th Cross, Michaelpalya, Off 80 ft Road, Indiranagar,
Bengaluru-560075, Karnataka, India.
E-mail: firstname.lastname@example.org; email@example.com
Introduction: Patients with Parkinsonâ€™s disease have difficulty in moving inside and getting out of the bed. Lack of bed mobility has several impacts on these patients including sleep disturbances. Generally, the length of stay in hospital for these patients is limited to few days which become a challenging task for significant improvement in bed mobility.
Aim: To determine the effectiveness of short duration, intensive bed mobility training in idiopathic Parkinsonâ€™s disease patients.
Materials and Methods: One group pre post-test study design was used. The study included 15 patients diagnosed with Idiopathic Parkinsonâ€™s disease in the age group of 50-75 years. All the participants in the study were between stage 1.5 to stage 3 on Modified Hoen and Yahr scale. Modified Hoehn and Yahr scale has 1-5 stages which describe the motor symptoms of the Parkinsonâ€™s disease. This helps in categorising the advancement of the disease based on its stages and track progression of the disease. This study uses modified version of the same scale. The participants were conveniently assigned in a single group, who satisfied the selection criteria. Pre and Post test scores were taken using bed mobility component of Lindop Parkinsonâ€™s disease mobility assessment (LPAS), body bradykinesia components and turning in bed of Unified Parkinsonâ€™s Disease Rating Scale (UPDRS). Patients received intensive bed mobility training of short duration (30 mins/session) three times a day for seven days. Total 21 sessions were given to each patient. Paired t-test was used to compare the results of pre and post training for LPAS and UPDRS which were the outcome measures.
Results: There was significant improvement in performing tasks of bed mobility. Patients were able to perform turning in bed without difficulty. Speed and the quality of movements showed drastic improvement. This was supported by statistically significant difference in LPAS bed mobility component, and a statistically significant improvement in pre and post-test performance for UPDRS-turning in bed and body bradykinesia components.
Conclusion: Smaller duration of exercise sessions was effective in improving bed mobility of the idiopathic Parkinsonâ€™s patients. Practising tasks multiple times a day helped in improving the performance of these patients. Short duration intensive training is effective in improving bed mobility. Studying the long-term effect of short duration intensive training with larger sample size should be considered for further research.