Session Information
Date: Monday, September 23, 2019
Session Title: Physical and Occupational Therapy
Session Time: 1:45pm-3:15pm
Location: Les Muses Terrace, Level 3
Objective: Provide new evidence on the motor and non-motor factors that interfere with the decline in functionality, comparing objective and subjective instruments with Functional Independence Measure (FIM).
Background: Parkinson’s Disease (PD) is the second most common neurodegenerative disease, and because it is progressive and the cure is not yet known, maintenance and recovery of functionality have been considered as the main therapeutic objectives in the care of people with PD. However, despite the numerous tests and scales recommended for the evaluation of people with PD, there is no specific scale for the evaluation of functionality
Method: A total of 42 people diagnosed with Idiopathic PD, aged between 50 and 82 years old, being 24 men and 18 women, with Hoehn and Yahr stage between 1 and 4, were evaluated. For motor objective measurements were used the Mini Best-test, 10-minute walk test, 5 times sit-to-stand test (STDP5X), 6-minute walk test (TC6min), 9 Hole Peg Test of Upper Extremity Function (9HPT), and the Unified Parkinson’s Disease Rating Scale (UPDRS) part III, and for cognitive objective measurement was used the Montreal Cognitive Assessment (MoCA). As subjective measurement, were used the Freezing of Gait Questionnaire (FOG), Falls Efficacy Scale – International (FES-I), Geriatric Depression Scale (GDS), Parkinson’s Disease Questionnaire-39 (PDQ), UPDRS part II and FIM.
Results: UPDRS III, distance walked on the 6MWT, total score of the Mini Best test and the number of falls in six months were able to predict FIM in more than 80% of the observations and UPDRS II alone was able to predict almost 60% of the observed values.
Conclusion: Functionality in people with PD, assessed through FIM, is fundamentally associated with the severity of symptoms, gait changes, balance and independence in activities of daily living, reinforcing that rehabilitation programs may use this aspects as strategy keys for the treatment for people in intermediate stage of PD.
To cite this abstract in AMA style:
E. Libardi, M. Piemonte, E. Guelfi, E. Okamoto. Factors that interfere in the functionality according to Functional Independence Measure in people with Parkinson’s Disease. [abstract]. Mov Disord. 2019; 34 (suppl 2). https://www.mdsabstracts.org/abstract/factors-that-interfere-in-the-functionality-according-to-functional-independence-measure-in-people-with-parkinsons-disease/. Accessed June 14, 2025.« Back to 2019 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/factors-that-interfere-in-the-functionality-according-to-functional-independence-measure-in-people-with-parkinsons-disease/