Objective:

To examine the protective potential of laughter yoga and clapping exercise on blood glucose regulation on stress level and motor functions of PD patients with T2DM.

Background: The prevalence of Parkinson’s disease (PD) is relatively high in (T2DM) patients, with have higher risk of altered blood glucose regulation.

Method: Experimental study by using a cross-sectional design, which includes age, family history of PD and T2DM, stress level, exercise status and body mass index, blood glucose levels and glycosylated hemoglobin (HbA1c) were recorded for 64 PD patients who were also diagnosed with T2DM (subject) between 50–75 years old.  A 30-minute fun lecture was followed by 30-minute intense clapping workout (5 times per week) to for those participants who had laughter yoga included in the program for 3 month duration. Age and Unified Parkinson’s Disease Rating Scale (UPDRS) III scores were matched between control and treatment groups, and alterations of UPDRS III scores were compared over 3 months of follow up. Assessments included, motor function, non-motor symptoms, quality of life (PDQ-8) and stress level associated with T2DM and PD risk. A standardized Perceived Stress Scale containing 10 items were used for assessing the level of stress among the subjects.

Results: In present study both laughter yoga and clapping exercise showed significantly (p<0.001), better improvement of UPDRS III scores with improved blood sugar regulations by decrease HbA1c levels after three month follow up in PD patients.  There were a significant changes in motor function and increase the quality of life in the treatment group compared with control group (p<0.005).   There was an association found between the levels of stress among the PD patients with increase hyperglycaemia complications. The present study found that laugher yoga and clapping exercise are an effective complementary therapy to normalize the stress level, improve quality of life with motor functions of PD patients with T2DM.

Conclusion: Our study demonstrated the importance of daily benefits potential for laughter yoga therapy and clapping exercise in PD patients with T2DM.  Therefore, blood glucose regulation in  PD education programme with promotion of laughter yoga therapy and clapping exercise will be future plan for  PD patients.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/protective-potential-of-laughter-yoga-and-clapping-exercise-on-stress-level-and-motor-functions-in-parkinsons-disease-patients-with-type-2-diabetes/