Balance Ability and Occupational Performance in Patients With Parkinson's Disease and On-Medication-State Freezing of Gait

Rehabil Nurs. 2022 Jul-Aug;47(4):138-146. doi: 10.1097/rnj.0000000000000365. Epub 2022 Mar 22.

Abstract

Purpose: The aim of this study was to examine balance ability and occupational performance in patients with Parkinson's disease (PD) and on-medication-state freezing of gait (FOG).

Design: A cohort study with three groups was conducted.

Methods: Seven patients with PD and on-medication-state FOG with optimized pharmacological therapy; seven patients with PD matched by age, gender, length of time since diagnosis, and Hoehn and Yahr stage; and seven controls were included. Outcomes included balance and occupational performance. Nonparametric analyses were used.

Findings: Significant differences were found between the two subgroups of patients with PD in the Timed Up & Go Test when adding a cognitive task, dual-task interference, and self-confidence in balance.

Conclusions: Patients with PD and on-medication-state FOG had lower scores on dual-task interference and self-confidence than matched PD patients.

Clinical relevance: The assessment and rehabilitation approach for patients with PD and on-medication-state FOG should include balance confidence and dual-task interference.

MeSH terms

  • Cohort Studies
  • Gait
  • Gait Disorders, Neurologic*
  • Humans
  • Parkinson Disease* / complications
  • Parkinson Disease* / drug therapy