Aims of the study are (1) to evaluate the effectiveness of a specific OT treatment aimed to enhance finger and hand dexterity and (2) its impact on daily living autonomy of PD patients.
Reduction in hand functionality and finger dexterity are significant, but often overlooked, symptoms of Parkinson's Disease (PD). They are strictly correlated with loss of patient's autonomy, due to their significant impact on Activities of Daily Living (ADL) and, consequently in patient's Quality of life (QoL). No studies investigated the effectiveness of a specific and functional-based Occupational Therapy (OT) treatment in improving hand functionality and finger dexterity in PD patients. Aims of tthe study are to evaluate the effectiveness of a specific OT treatment aimed to enhance finger and hand dexterity and its impact on daily living autonomy of PD patients. Retrospectively, 482 PD patients, hospitalized for a 4-week Multidisciplinary Intensive Rehabilitation Treatment (MIRT) between January 2015 and January 2018 were identified. All patients underwent 1h/day OT treatment. The outcome measure was the O'Connor finger dexterity test; secondary outcome measures were Minnesota dexterity test, UPDRS II and SPDDS scale. These measures were assessed at admission (T0) and discharge (T1).
Study Type
OBSERVATIONAL
Enrollment
482
4 week MIRT provide: 1. front to front treatment (1 hour/day for 5 days/week) 2. treatment with robotic devices (1 hour/day for 5 days/week) 3. occupational therapy (1 hour/day for 5 days/week)
O'Connor Finger Dexterity Test
peg-placement test aimed to evaluate the ability to manipulate small objects
Time frame: 4 weeks
Minnesota Manual Dexterity Test
test aimed to evaluate the reach-to-grasp movements, gros manual dexterity and left vs right manual impairment
Time frame: 4 weeks
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