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conferenceseries
.com
Volume 08
Journal of Novel Physiotherapies
Rehabilitation Medicine 2018
May 18-19, 2018
May 18-19, 2018 Osaka, Japan
7
th
World Congress on
Physical Medicine and Rehabilitation
Physiotherapypost bilateral sub-thalamicnucleus deepbrain stimulation inpatientswithParkinsonism
Ridhima J Negandhi
1,
2
1
Kovai Medical Center and Hospital, India
2
Walton Rehabilitation-Gujarat, India
P
D is a progressive neurologic condition that occurs due to significant loss of dopamine producing degeneration of
both motor and non-motor basal ganglia circuitry. The literature used for this study suggests the Level I evidence for
physiotherapy management of PD patients and it also emphasizes on a comprehensive client centered approach based on
compensatory strategies to bypass the defective basal ganglia. DBS is an effective therapy for medication refractory symptoms
of PD. It is indicated for movement disorders such as tremors, rigidity, bradykinesia, dyskinesia, dystonia, also hallucinations
and depression although physiotherapy regime post-surgery is still lacking. For this purpose, a case series of 3 patients with
idiopathic PD and similar criterion were considered appropriate. They were scored on ADL’s H&Y scale and mean criterion for
DBS. Post-surgical intervention, significant differences were seen bradykinesia and tremors, moderate difference in cognition
but not in postural instability and rigidity. The study in mid stage supports the evidence although post 6 months of DBS - no
specific physiotherapy protocol has been devised for the same. Also, the use of one-off auditory cues has been implemented to
see its impact on functional mobility and balance confidence based on the auditory reaction time.
waltonrehab@gmail.comJ Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C2-027