Parkinson hastalarında telerehabilitasyon temelli motor ve bilişsel ikili görev egzersizlerinin etkilerinin karşılaştırılması-randomize kontrollü bir çalışma

This study investigated the effects of telerehabilitation and motor and cognitive dual-task exercises on cognitive function, balance, walking, fall risk and quality of life in individuals with Parkinson's Disease. Thirty individuals who met the inclusion criteria and were diagnosed with 'Idiopathic Parkinson's Disease' by a neurologist were recruited. Individuals were randomly divided into three groups as Dual Task (DT) cognition (n=10), Dual Task motor (n=10) and Control group (n=10). All individuals were given a physical exercise program. In addition, individuals in the Dual Task cognition group were given cognitive tasks and individuals in the Dual Task motor group were given motor tasks. The treatment was administered online under the supervision of a physiotherapist for 60 minutes three times a week for eight weeks. In the study, the 10- meter walking test was used to assess walking speed, the Berg Balance Scale (BBS) for balance, and the Montreal Cognitive Assessment Scale (MoCA) for cognitive function, the International Fall Effectiveness Scale (FES-I) for fear of falling, the Parkinson's Disease Questionnaire (PDQ-39) for quality of life, Timed Up and Go Test (TUG) was used for physical performance, and the Five Times Sit to Stand Test (5XSST) was used for extremity trunk strength and muscle endurance. Individuals were evaluated by the same physiotherapist before and after treatment (8 weeks). When the Quality of Life, MoCA, TUG and 10m walking test were evaluated, the mean scores obtained in the posttest in the dual task cognition and dual task motor task groups were statistically higher than the pretest scores (p<0.05). Similar increases were observed for these scales in these two groups. When BDS, 5XSST, and FES-I were evaluated, more significant results were obtained in the DT cognition group. In our study, it was found that dual-task training programs with physical exercises were effective in increasing the quality of life, walking speed and improving cognitive function. When the superiority of cognitive-motor and motor-motor dual-task combined physical exercises were examined, the cognitive-motor dual-task exercise group was found to be significantly superior in improving balance and reducing the fear of falling.