This case study aimed to evaluate changes in physical function in a Parkinson’s disease patient through rehabilitation interventions and to verify the effectiveness of these interventions in reducing dressing time.
The subject was a male in his 60s, diagnosed with Parkinson's disease 12 years ago, who had difficulty with T-shirt dressing. His physical function was assessed as 1.5 on the Modified Hoehn-Yahr Severity Scale. The intervention consisted of 10 sessions, each 60 minutes long, conducted once a week. Pre- and post-intervention assessments included dressing time, the Functional Independence Measure (FIM) dressing items, the Movement Disorder Society-sponsored Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), and Goal Attainment Scaling (GAS). The intervention included video feedback on dressing movements, manual therapy, and instruction on home-based self-training, with the patient continuing daily training for 30 minutes at home.
After the intervention, dressing time decreased from 41 seconds to 19 seconds. The FIM dressing item improved from 6 to 7 points. GAS improved from -1 to +1, and the MDS-UPDRS posture item (3.13) showed improvement from 3 to 2.
In this case, a reduction in dressing time was observed, suggesting that rehabilitation interventions contributed to improvements in trunk function and ADL. Moreover, the study highlighted the importance and effectiveness of rehabilitation for progressive diseases like Parkinson’s disease.
The results of this case suggest that rehabilitation is effective in improving ADL in Parkinson’s disease patients and can be applied as a standard intervention in clinical practice. In particular, video feedback and self-training may be useful methods for enhancing patients' self-management abilities.
Dressing activities
Trunk function
