Volume : 9, Issue : 5, MAY 2023

EFFECTIVENESS OF BLIND FOLDED BALANCE TRAINING IN PARKINSON’S DISEASE SUBJECTS.

DR. J ANANDH RAJ, DR. M L RAMYA KRISHNA, DR. V KIRAN, DR. K HIMABINDU

Abstract

Parkinson’s disease (PD) is characterized not only by classical parkinsonism motor symptoms, but also by a range of non-motor features including autonomic, cognitive, psychiatric, and behavioral dysfunctions.3 Patients can survive up to a decade after diagnosis, but as PD progresses most patients experience severe physical and mental disabilities which impair their ability to live independently. Although Patients with PD get the best available medications, they still experience a declining of body function, daily activities, participation and weakening in mobility. Methodology: 30 subjects who fulfills the inclusion criteria are selected for the study. All the 15 subjects to experimental group and 15 subjects to control group underwent for pre intervention assessment with berg balance scale (BBS) and Timed Up & Go test (TUG). Then subjects in experimental group was received blindfolded balance training for 20 repetition of each exercise for 3 sets and 4 session / week for 4 weeks. The subjects in control group received the convention physiotherapy management of single leg standing, tandem standing, tandem walking and walking in all the direction for 10 meters for 4 session / week for 4 weeks. Then all the 30 subjects underwent post intervention assessment with berg balance scale and timed up 7 go test. Berg Balance Scale to assess the balance and risk of fall. Timed Up & Go test used to assess the mobility function of the subjects. According to data analysis ,a significant difference was found in both the experimental and control group between pre and post values of Berg balance scale and timed up & go test (<0.0001*) . There was significant difference in the mean value of pre and post assessment values. But the statistical mean values are more significant in experimental group than the mean value of control group. The study concluded that the blindfolded balance training is effective in improving the balance and functional mobility of the individual with Parkinson.

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References

1. Parkinson J An Essay on the Shaking Palsy. London: Sherwood, Neely, and Jones; 1817. [Google Scholar]

2. Lebouvier T, Chaumette T, Paillusson S, Duyckaerts C, Bruley des Varannes S, Neunlist M, Derkinderen P. The second brain and Parkinson's disease. Eur J Neurosci. 2009 Sep;30(5):735-41. doi: 10.1111/j.1460-9568.2009.06873.x. Epub 2009 Aug 27. PMID: 19712093.

3. Kalia LV, Lang AE. Parkinson’s disease. Lancet. 2015;386(9996):896–912.

4. Rubenstein LM, DeLeo A, Chrischilles EA. Economic and health-relatedquality of life considerations of new therapies in Parkinson’s disease.Pharmacoeconomics. 2001;19(7):729–52.

5. Park, JH., Kim, DH., Kwon, DY. et al. Trends in the incidence and prevalence of Parkinson’s disease in Korea: a nationwide, population-based study. BMC Geriatr 19, 320 (2019). https://doi.org/10.1186/s12877-019-1332-7

6. Tysnes OB, Storstein A. Epidemiology of Parkinson's disease. J Neural Transm (Vienna). 2017 Aug;124(8):901-905. doi: 10.1007/s00702-017-1686-y. Epub 2017 Feb 1. PMID: 28150045.

7. A. Ascherio et al. Prospective study of caffeine consumption and risk of Parkinson's disease in men and womenAnn Neurol(2001)

8. A. Ascherio et al. Pesticide exposure and risk for Parkinson's diseaseAnn Neurol (2006)

9. Sudha, N. and V., Rajalaxmi (2022) Comparison of the Effects of Task Oriented Balance Training Versus Blindfolded Balance Training in Patients with Parkinson’s Disease. INTI JOURNAL, 2022 (01). pp. 1-11. ISSN e2600-7320

10. Emamzadeh FN, Surguchov A. Parkinson's Disease: Biomarkers, Treatment, and Risk Factors. Front Neurosci. 2018;12:612. Published 2018 Aug 30. doi:10.3389/fnins.2018.00612

11. Sudha, N. and V., Rajalaxmi (2022) Comparison of the Effects of Task Oriented Balance Training Versus Blindfolded Balance Training in Patients with Parkinson’s Disease. INTI JOURNAL, 2022 (01). pp. 1-11. ISSN e2600-7320

12. T. A. Boonstra, H. van der Kooij, M. Munneke, and B. R.Bloem, “Gait disorders and balance disturbances in Parkinson’s disease: clinical update and pathophysiology,” Current Opinion in Neurology, vol. 21, no. 4, pp. 461–471, 2008.

13. C. J. Hass, M. Bishop, M. Moscovich et al., “Defining the clinically meaningful difference in gait speed in persons with Parkinson disease,” Journal of Neurologic PhysicalTherapy, vol.38, no. 4, pp. 233–238, 2014.

14. T. A. Boonstra, H. van der Kooij, M. Munneke, and B. R. Bloem, “Gait disorders and balance disturbances in Parkinson’s disease: clinical update and pathophysiology,” Current Opinion in Neurology, vol. 21, no. 4, pp. 461–471, 2008.

15. Chong RK, Horak FB, Woollacott MH. Parkinson’s disease impairs the ability to change set quickly. J Neurol Sci 2000;175:57–70.

16. Brod M, Mendelsohn GA, Roberts B. Patients’ experiences of Parkinson’s disease. J Gerontol B Psychol Sci Soc Sci. 1998;53(4):213–22.

17. Ashburn A, Stack E, Pickering RM, Ward CD. Predicting fallers in a community-based sample of people with Parkinson’s disease. Gerontology. 2001;47(5):277–81.

18. Ashburn A, Fazakarley L, Ballinger C, Pickering R, McLellan LD, Fitton C. A randomised controlled trial of a home based exercise programme to reduce the risk of falling among people with Parkinson’s disease. J Neurol Neurosurg Psychiatry. 2007;78(7):678–84

19. Smania N, Corato E, Tinazzi M, Stanzani C, Fiaschi A, Girardi P, et al. Effect of balance training on postural instability in patients with idiopathic Parkinson’s disease. Neurorehabil Neural Repair. 2010;24(9):826–34.

20. Mak MK, Pang MY. Balance confidence and functional mobility are independently associated with falls in people with Parkinson’s disease. J Neurol. 2009;256(5):742–9.

21. Mak MK, Pang MY. Fear of falling is independently associated with recurrent falls in patients with Parkinson’s disease: a 1-year prospective study. J Neurol. 2009;256(10):1689–95

22. Adkin AL, Frank JS, Jog MS. Fear of falling and postural control in Parkinson’s disease. Mov Disord. 2003;18(5):496–502.

23. Allen NE, Sherrington C, Paul SS, Canning CG. Balance and falls in Parkinson’s disease: a meta-analysis of the effect of exercise and motor training. Mov Disord. 2011;26(9):1605–15.

24. Tinetti ME, Baker DI, McAvay G, Claus EB, Garrett P, Gottschalk M, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331(13):821–7

25. A. M. De Nunzio, A. Nardone, and M. Schieppati, “The control of equilibrium in Parkinson’s disease patients: delayed adaptation of balancing strategy to shifts in sensory set during a dynamic task,” Brain Research Bulletin, vol. 74, no. 4, pp. 258– 270, 2007.

26. S. C. Lefaivre and Q. J. Almeida, “Can sensory attention focused exercise facilitate the utilization of proprioception for improved balance control in PD?” Gait & Posture, vol. 41, no. 2, pp. 630– 633, 2015.

27. M. Nallegowda, U. Singh, G. Handa et al., “Role of sensory input and muscle strength in maintenance of balance, gait and posture in Parkinson’s disease,” American Journal of Physical Medicine & Rehabilitation, vol. 83, no. 12, pp. 898–908, 2004.

28. G. Samoudi, M. Jivegard, A. P. Mulavara, and F. Bergquist,  “Effects of stochastic vestibular galvanic stimulation and LDOPA on balance and motor symptoms in patients with Parkinson’s disease,” Brain Stimulation, vol. 8, no. 3, pp. 474– 480, 2015.

29. H. C. Stronks, A. C. Nau, M. R. Ibbotson, and N. Barnes, “The role of visual deprivation and experience on the performance of sensory substitution devices,” Brain Research, vol. 1624, pp. 140–152, 2015.