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Effects of Vestibular Rehabilitation on Fatigue and Activities of Daily Living in People With Parkinson's Disease: A Pilot Randomized Controlled Trial Study Publisher



Abasi A1 ; Raji P1 ; Friedman JH2 ; Hadian MR3 ; Hoseinabadi R4 ; Abbasi S1 ; Baghestani A5
Authors
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Authors Affiliations
  1. 1. Department of Occupational Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Neurology, Warren Alpert School of Medicine at Brown University, Providence, RI, United States
  3. 3. School of Rehabilitation, Brain and Spinal Injury Research Center (BASIR), Institute of Neuroscience, Tehran University of Medical Sciences (TUMS), International Campus TUMS, Tehran, Iran
  4. 4. Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Parkinson's Disease Published:2020


Abstract

One of the most disabling nonmotor symptoms in persons with Parkinson's disease is fatigue, which can decrease the quality of life by restricting the function and activities of daily living (ADL). Nonetheless, sufficient evidence for treating fatigue, including drug or nondrug treatment, is not available. In this study, we evaluated the probable effects of vestibular rehabilitation on fatigue and ADL in patients with Parkinson's disease. Methods. This was a single-blind clinical trial study in which patients with Parkinson's disease voluntarily participated based on the inclusion and exclusion criteria. The patients were randomly assigned to the case and control groups. The case group received 24 sessions of vestibular rehabilitation protocol, and conventional rehabilitation was performed in the control group (i.e., 3 sessions each week, each lasted about 60 minutes). Both groups were also given fatigue management advice. Fatigue was measured by the Parkinson Fatigue Scale (PFS) and the Modified Fatigue Impact Scale (MFIS). ADL was measured by the Functional Independence Measure (FIM). All changes were measured from the baseline at the completion of the intervention. Results. Both fatigue (P≤0.001) and ADL (P≤0.001) improved significantly more in the vestibular intervention group than in the control one. Conclusion. Vestibular rehabilitation may improve fatigue and ADL and therefore can be used as an effective intervention for patients with Parkinson's disease, which was also found to be well tolerated. © 2020 Amirabas Abasi et al.
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