SDCA Journal of Physical Therapy

Abstract

Background and Purpose: Parkinson’s disease is a progressive neurodegenerative disorder caused by a deficiency of dopamine in the substantia nigra. Although there was no known etiology, environmental and genetic factors can contribute to the development of the disease. Parkinson’s disease is considered a rare movement disorder in the Philippines. The purpose of this case report is to describe the conservative management, including the electrotherapy and therapeutic exercises, to improve the quality of life and optimize the function of an adult patient with Hoehn & Yahr Stage 1 Parkinson’s Disease. Case Description: The patient was a 58-year-old male office worker diagnosed with Parkinson’s disease. Two years before the consult, the patient felt numbness and resting tremors on right hand and slurring of speech during work. The patient was prescribed with dopaminergic medications and was referred to undergo physical therapy. Due to financial constraint, home health physical therapy was delayed by two years. Outcomes: After four months of rehabilitation, the patient reported significant improvement in muscle strength, limb girth, and ambulation. Discussion: The results of this case report suggest that conservative management appears to be beneficial in addressing motor impairments in Stage 1 Parkinson’s disease.

Keywords: Conservative management, patient, Parkinson’s disease, motor function.