Assessment of Individualized and Group Physical Exercise Programs in Patients with Parkinson’s Disease: A Pilot Study

Abstract

The objective was to assess physical exercise programs (individualized and group) targeting postural correction in Parkinson’s disease patients. A total of 29 Parkinson’s disease patients performed an individualized (12 patients) or group exercise program (17 patients) for 6 months. After 6 months of therapy, all patients received a self-made questionnaire that assessed the benefits of exercise programs for their health status and the compliance to therapy. Patients also completed the Movement Disorder Society–Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) questionnaire (patients’ section) at the inclusion in the study and after 6 months. All patients considered that the physical exercise program had benefits and was important for their functioning and health status. There were no significant differences in what concerns the mental and physical status during the physical exercise program, and the improvement in quality of life after physical exercise program in the two groups. After the 6 month physical exercise program, a significantly improved functional status was recorded in both groups (MDS-UPDRS scores for individualized therapy: 1.90 ± 1.05 vs. 2.30 ± 1.04, p = 0.001; for group therapy: 1.79 ± 0.85 vs. 2.13 ± 1.02, p = 0.005). The proposed questionnaire for assessment of physical exercise programs for patients with Parkinson’s disease represents a valuable and easy-to-use tool.