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“Clinical Effectiveness of an Integrated Advanced Physiotherapy Protocol for Motor and Functional Rehabilitation in Parkinson’s Disease: A Clinical Trial Study”
Corresponding Author(s) : Krina Ved
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 14 No. 4 (2026): 2026 Volume 14-Issue 4
Abstract
Background: Parkinson’s disease (PD) is a progressive neurodegenerative disorder associated with motor dysfunction, impaired balance, gait disturbances, and reduced functional independence. Physiotherapy supports mobility and functional performance. This study compared outcomes following clinic-based integrated multimodal physiotherapy (IPT) and home-based conventional physiotherapy (HPT) in person with Parkinson’s.
Methods: This retrospective comparative study reviewed clinical records from Physiotattva physiotherapy clinics in Bengaluru, India, between January to September 2026. 81 participants completed 4 weeks of physiotherapy, and complete baseline and discharge assessments were included. Participants received either IPT incorporating LSVT-BIG training, aerobic and dual-task training, robotic-assisted therapy, virtual reality, and sensor-based feedback or HPT involving strengthening, proprioceptive neuromuscular facilitation, MAT exercises, balance, gait, and functional training. Balance and Upper-extremity function were assessed using BBS and UEFS. Non-parametric tests evaluated within-group and between-group differences.
Results: Both IPT and HPT groups demonstrated statistically significant improvements in BBS and UEFS scores following treatment (p<0.001). Post-intervention comparisons revealed no statistically significant between-group differences in either outcome. Changes in BBS scores did not differ significantly between groups (p>0.05). However, UEFS change scores demonstrated a statistically significant between-group difference (p=0.005), favouring HPT. Baseline age differences between groups warrant cautious interpretation of these findings.
Conclusion: Both clinic-based integrated and home-based conventional physiotherapy were associated with improved balance and upper extremity function in individuals with PD. The findings support clinical value of both approaches. Further prospective studies using baseline-adjusted analyses, standardised intervention protocols, and functional outcomes are needed to establish comparative effectiveness and guide individualised rehabilitation planning.