Cholewa Joanna, Gorzkowska Agnieszka, Kunicki Marcin, Stanula Arkadiusz, Cholewa Jaroslaw
The J. Kukuczka Academy of Physical Education, Katowice, Poland.
Medical University of Silesia, Katowice, Poland.
Work. 2016 Jun 4;54(3):569-75. doi: 10.3233/WOR-162305.
Parkinson's disease (PD) is a neurodegenerative disease. Due to a constantly growing incidence rate and lowering age of PD patients it is becoming a more serious social problem.
The aim of this study was to determine the effectiveness of physiotherapy procedure of patients with PD depending on their working status.
The research was carried out on 89 people with diagnosed PD of IInd stage according to the Hoehn and Yahr classification. They were divided into two groups: working professionally and non-working. The Unified Parkinson's Disease Rating Scale (UPDRS) was used to estimate patients' clinical status while the PDQ-39 (Parkinson's Disease Questionnaire) scale evaluated quality of life. Patients took part in rehabilitation activities twice a week for a period of 20 weeks. In both groups an improvement in physical activity and a quality of life were achieved.
Better effects were observed in the group of working patients. Statistically significant differences were notice in part II UPDRS (p = 0.001), part I, II and III total of UPDRS (p = 0,001) and in the PDQ-39 test (p = 0.003).
Employment and participation in properly planned physiotherapy help reduce the symptoms and improve the quality of life in people with Parkinson's disease.
帕金森病（PD）是一种神经退行性疾病。由于帕金森病患者的发病率不断上升且发病年龄降低，它正成为一个日益严重的社会问题。
本研究的目的是根据帕金森病患者的工作状态确定物理治疗程序的有效性。
对89名根据Hoehn和Yahr分类诊断为II期帕金森病的患者进行了研究。他们被分为两组：职业工作者和非职业工作者。采用统一帕金森病评定量表（UPDRS）评估患者的临床状态，同时用帕金森病问卷（PDQ-39）量表评估生活质量。患者每周参加两次康复活动，为期20周。两组患者的身体活动和生活质量均有改善。
在职患者组观察到更好的效果。在UPDRS第二部分（p = 0.001）、UPDRS第一、二和三部分总分（p = 0.001）以及PDQ-39测试（p = 0.003）中发现了统计学上的显著差异。
就业以及参与适当规划的物理治疗有助于减轻帕金森病患者的症状并改善其生活质量。
