Objective: We developed new programs for mild and advanced stage of Parkinson’s disease (PD) patients, because the limited number of established PD program is now available. The programs are TSPDM for mild to moderate and TSPDA for advanced stage of PD. The programs composed by essentially “active and dynamic” voluntary movements.

Background: Programs of physiotherapy for PD are unmet needs for most of the patients with moderate to advanced stage of the disease.

Methods: Multicenter trial registered 67 PD patients with mild to moderate stage and assigned randomly for TSPDM (23), Nordic Walking (22) and static exercise (22). Advanced 38 patients, with longer disease period than in TSPDM, were divided randomly for TSPDA and conventional ROM exercise. Each session was supervised for 40 min in each day. After 4 weeks, main efficiency was measured by MDS-UPDRS score change from baseline. Student t test was employed for analyses.

Results: Significant reduction of MDS-UPDRS total and motor score was obtained only in TSPDM against static exercise in TSPDM study: p<0.01 and p<0.05, respectively. Motor score reduction was 20% of original score. In TSPDA study, reduction of MDS-UPDRS score was significant in total and motor, p<0.005 in both. Reduction of motor score in TSPDA was 20% more than in ROM exercise.

Conclusions: New effective physiotherapy programs for the range of mild to advanced stage of PD are established.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/effective-physiotherapy-program-for-parkinsons-disease/