Analyze The Effect of Dual Task Hand Activities In Parkinsons Patients

Abstract

Parkinson's disease (PD) is a Neurodegenerative disease, the prevalence of which in India is estimated at around 1.3-1.5% for the population aged 60 years or above. In a ranking that listed the top 10 of the most disabling chronic diseases, Parkinson's disease was ranked second, both in the list of physical disorder and the list of mental disorder. Parkinson's disease is also known as Shaking Palsy, Idiopathic Parkinsonism, Primary Parkinsonism, or Paralysis Agitans. It is a progressive degenerative disorder of the Central Nervous System. Movements are mainly affected early in the course of the disease.1It is characterized by motor impairments, including Bradykinesia, Tremor, Postural Instability and Rigidity. These motor abnormalities may also be accompanied by changes in cognition for a significant proportion of patients. While a minority of Parkinson's patients will develop frank dementia, most patients with Parkinson's disease patients will experience changes in cognitive function, frequently early in the course of their illness.2 Design & Methodology: Patients who fulfilled the inclusion criteria were taken up for the study purpose. Written consent regarding their voluntary participation in the study was taken. The purpose of the study and procedure was explained to the subjects. Initially all the patients were given 2-3 trial sessions for practice for Purdue peg board test. All the patients first performed the motor task and there score was taken, according to the number of pegs placed in a peg board in 30 sec and documented as a motor task. Next all the patients performed two motor tasks simultaneously. In these patients were given a ball squeezing activity along with a Purdue pegboard test for a period of 30 sec and documented as motor and motor task. Finally all the patients performed a cognitive task along with a motor task .In these patients were given a verbal cognitive task based on a questionnaire along with a Purdue pegboard test for a period of 30sec and documented as cognitive and motor task.