Effects of 8-Week Bidaily Physiotherapy Sessions on Bradykinesia and Fatigue in Patient with Parkinson’s Disease: A Single Case Study

Volume: 11 | Issue: 02 | Year 2025 | Subscription
International Journal of Neurological Nursing
Received Date: 09/26/2025
Acceptance Date: 10/10/2025
Published On: 2025-10-28
First Page: 1
Last Page: 5

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By: Sasanka Mahanta, Kangkan Talukdar, and Gautam Govinda Chetia.

1.Assistant Professor, Regional College of Paramedical Health Sciences, Tepesia, Assam, India.
2.Lecturer, Department of Physiotherapy, Jorhat Medical College, Jorhat, Assam, India.
3Senior Physiotherapist, CLS Health Care Centre, Guwahati, Assam, India.

Abstract

Aim: Parkinson’s disease is a common neurodegenerative disorder that mostly affects the older population with generalized slowing of movements (bradykinesia) and at least one other symptom of resting tremor or rigidity. Fatigue is also a major non-motor symptom of Parkinson’s disease, which affects patient’s quality of life. Although various physical therapy interventions have been shown to be effective in the management of motor and non-motor symptoms of Parkinson’s disease, there were limited evidence in the evaluation of the effects of physiotherapeutic intervention in both motor and non-motor symptom in a single study. Purpose: The objective of this study was to evaluate the effects of physiotherapy intervention in reducing bradykinesia and fatigue level in patients with Parkinson’s disease. Methodology: A 63-year-old female diagnosed with Parkinson’s disease with Hoehn & Yahr Stage 3 came for regular Physiotherapy. The subject received physical therapy twice daily for 8 weeks. Each intervention session lasted for 60–90 minutes. Bradykinesia and fatigue level were assessed on the first day prior to the intervention by using the Unified Parkinson’s Disease Rating Scale (UPDRS) and the 16-item Parkinson’s disease fatigue scale (PFS-16). At the end of 8 weeks, these outcomes measures were re-assessed and pre- and post-intervention data were analyzed. Result: After analyzing the data, it was found that both UPDRS and PFS-16 scores improved after 8 weeks of intervention. Conclusion: It was concluded that physical therapy session twice daily for 8 weeks is an effective intervention in reducing bradykinesia and fatigue level in patients with Parkinson’s disease.

Keywords: Parkinson’s disease, bradykinesia, fatigue, physiotherapy, physical therapy

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Citation:

How to cite this article: Sasanka Mahanta, Kangkan Talukdar, and Gautam Govinda Chetia Effects of 8-Week Bidaily Physiotherapy Sessions on Bradykinesia and Fatigue in Patient with Parkinson’s Disease: A Single Case Study. International Journal of Neurological Nursing. 2025; 11(02): 1-5p.

How to cite this URL: Sasanka Mahanta, Kangkan Talukdar, and Gautam Govinda Chetia, Effects of 8-Week Bidaily Physiotherapy Sessions on Bradykinesia and Fatigue in Patient with Parkinson’s Disease: A Single Case Study. International Journal of Neurological Nursing. 2025; 11(02): 1-5p. Available from:https://journalspub.com/publication/ijnen/article=22928

Refrences:

  1. Balestrino R, Schapira AHV. Parkinson disease. Eur J Neurol. 2020;27(1):27–42. doi: 10.1111/ene.14108.
  2. DeMaagd G, Philip A. Parkinson’s disease and its management: Part 1: Disease entity, risk factors, pathophysiology, clinical presentation, and diagnosis. P T. 2015;40(8):504–532.
  3. Surathi P, Jhunjhunwala K, Yadav R, Pal PK. Research in Parkinson’s disease in India: A review. Ann Indian Acad Neurol. 2016;19(1):9–20. doi: 10.4103/0972-2327.167713.
  4. Fox SH, Katzenschlager R, Lim SY, Barton B, de Bie RMA, Seppi K, et al. International Parkinson and movement disorder society evidence-based medicine review: Update on treatments for the motor symptoms of Parkinson’s disease. Mov Disord. 2018;33(8):1248–1266. doi: 10.1002/mds.27372. Erratum in: Mov Disord. 2018;33(12):1992. doi: 10.1002/mds.27548.
  5. Kumar S, Singh AK, Singh S. The effectiveness of physiotherapy approaches in patients with parkinsonism disease: A literature review. Int J Health Sci Res. 2017;7(5):382–387.
  6. Lauzé M, Daneault JF, Duval C. The Effects of Physical Activity in Parkinson’s Disease: A Review. J Parkinsons Dis. 2016;6(4):685–698. doi: 10.3233/JPD-160790.
  7. Albin RL. The pathophysiology of chorea/ballism and Parkinsonism. Parkinsonism Relat Disord. 1995;1(1):3–11. doi: 10.1016/1353-8020(95)00011-T.
  8. Stocchi F, Abbruzzese G, Ceravolo R, Cortelli P, D’Amelio M, De Pandis MF, et al. Prevalence of fatigue in Parkinson disease and its clinical correlates. Neurology. 2014;83(3):215–220. doi: 10.1212/WNL.0000000000000587.
  9. Barone P, Antonini A, Colosimo C, Marconi R, Morgante L, Avarello TP, et al. The PRIAMO study: A multicenter assessment of nonmotor symptoms and their impact on quality of life in Parkinson’s disease. Mov Disord. 2009;24(11):1641–1649. doi: 10.1002/mds.22643.
  10. Herlofson K, Kluger BM. Fatigue in Parkinson’s disease. J Neurol Sci. 2017;374:38–41.  doi: 10.1016/j.jns.2016.12.061.
  11. Brown RG, Dittner A, Findley L, Wessely SC. The Parkinson fatigue scale. Parkinsonism Relat Disord. 2005;11(1):49–55. doi: 10.1016/j.parkreldis.2004.07.007.
  12. Sutoo D, Akiyama K. Regulation of brain function by exercise. Neurobiol Dis. 2003;13(1):1–14. doi: 10.1016/s0969-9961(03)00030-5.