Assignment of physiotherapy in medical conditions Name: Apoorv Garg Roll no.: 04 20th BATCH Submitted to: Dr. Sampada Topic: Find an article written on the assessment of Parkinson's disease. Write a note on what you learned from that article in 500 words. (Writing instructions: Font: Times New Roman, Size 12, 1.5 line spacing) The Assessment of the Disablement Process in Parkinson’s Disease 1. The disablement process(SCOPA-SCALES FOR OUTCOMES OF PARKINSON DISEASE) The disablement process is a socio-medical model that describes the pathway from disease to disability via impairments and functional limitations. It is based on the International Classification of Impairments, Disabilities and Handicap (ICIDH) by the World Health Organization. 2. Assessment of postural instability For postural instability, there is really no gold standard. Research findings imply that the retropulsion test, as proposed by Nutt et al., is the best way to assess postural stability in PD patients. An unexpected shoulder pull is used in this version of the retropulsion test. According to the research, this finding is explained by the fact that unreliable and unpracticed balancing tests resemble real-life situations when people are forced to adapt to quick and unexpected changes in their surroundings. 3. Responsiveness of Disabilities and Impairments in Parkinson Here, the research assessed the response of items from the Activities of Daily Living (ADL) and Motor section of the Unified Parkinson’s Disease Rating Scale (UPDRS) in patients with Parkinson’s disease. The research showed that it is crucial to remember that the responsiveness of the items doesn't always imply the significance of the change. A modest change in "walking" may be more meaningful to a patient than a bigger difference in "finger taps." The least amount of change (minimal clinical important difference, MCID) that signals an important improvement must be calculated using anchor-based methodologies, in which clinical outcomes are linked to a patient-based external criterion of change. The ADL and motor sections have quite different MCIDs. Because the quality of the assessment scales determines the findings of research that analyze change over time, responsiveness is an important scale attribute. 4. Assessing Co-morbidity in Patients with Parkinson’s Disease The purpose of the research was to see how accurate an interview-based CIRS-G (Cumulative Illness Rating Scale-Geriatric) evaluation for measuring co-morbidity in outpatients with Parkinson was. This study shows that an interview-based CIRS-G can provide reliable information on co-morbidity in patients with Parkinson's disease along with demonstrating acceptable accuracy for the organ systems, and good agreement for the summary scores. The CIRS-G has the benefit of being clinically relevant. All illnesses, not just the most common or life-threatening, can be graded in one of the organ systems, taking into account the existence and severity of the condition. Although the CIRS-G is designed for the elderly, the structure and ranking of relevant body systems permits it use in younger Parkinson patients as well. 5. Reliability and Validity of Beck Depression Index in Parkinson The Beck Depression Inventory has been used regularly in the assessment of depression in people with Parkinson's disease (BDI). The SRD of the overall BDI in PD is 3.3, meaning that a difference of greater than 3.3 on the BDI indicates a real change in follow-up studies. Because lesser modifications are necessary to overcome measurement error, a low SRD suggests great potential responsiveness. BDI is a self-administered depression scale that has been demonstrated to have high test-retest reliability, internal consistency and is valid, and potentially responsive instrument for assessing the degree of depression in people with Parkinson's disease. LINK OF ORIGINAL ARTICLE https://scholarlypublications.universiteitleiden.nl/access/item%3A3145456/view#pa ge=67 THANK YOU
