Effects of Vestibular Rehabilitation on Parkinson–Related Fatigue and Activities of Daily Living: A Randomized Controlled Trial

Background and Aim : Parkinson’s disease is the second most common neurodegenerative disease after Alzheimer’s. Among the most disabling problems is fatigue, which decreases the quality of life by restricting activities and reducing their enjoyment. Therefore, improving fatigue to enhance the quality of life is an important goal of rehabilitation. In this study, we evaluated the effect of vestibular rehabilitation on fatigue and Activities of Daily Living (ADL).Methods : the present study is a single-blind clinical trial. 24 Parkinson patients were selected based on list inclusion criteria and randomly divided into the control group (N=12, mean age 63.08) and intervention group (N=12, mean age 63.16). Each group received 24 sessions, given 3 days a week for about 50 to 60 minutes, with traditional rehabilitation in the control group and vestibular rehabilitation protocol in the other group. Both groups had been given fatigue management advice. Parkinson s fatigue was measured by Parkinson Fatigue Scale (PFS) and the Modified Fatigue Impact Scale (MFIS). ADL was measured by the Functional Independence Measure (FIM). We measured the change from baseline to completion.Results : the vestibular intervention group improved significantly more in both fatigue (P=0.001) and ADL (P=0.001).Conclusion : vestibular rehabilitation may improve fatigue and ADL. Vestibular rehabilitation can be used as a safe and effective intervention.

کلیدواژه ها:

Parkinson disease ، Fatigue ، Vestibular rehabilitation ، Vestibular rehabilitation ، Activities of Daily Living