Dynamics of balance indicators, activities of daily living, and quality of life of elderly suffering from Parkinson’s disease and frailty after proximal humerus fracture following physiotherapeutic functional training
Authors: Hrytsuliak Bohdan ,   Department of Human and Animal Anatomy and Physiology, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine,   Bohdan Hrytsuliak, Department of Human and Animal Anatomy and Physiology, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine. E-mail: bohdanhrytsuliak@gmail.com, Ostapiak Zinovii ,   Department of Theory and Method of Physical Culture and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Polataiko Yurii ,   Department of Sports-Pedagogical Disciplines, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Herych Roman ,   Department of Physical Therapy and Ergotherapy, Faculty of Physical Education and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Lisovskyi Bogdan ,   Department of Theory and Method of Physical Culture and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Lapkovskyi Eduard ,   Department of Physical Therapy and Ergotherapy, Faculty of Physical Education and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Karpenko Hanna ,   Department of Foreign Languages, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Vojchyshyn Liliia ,   Department of Physical Therapy and Ergotherapy, Faculty of Physical Education and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Zastavna Olha ,   Department of Physical Therapy and Ergotherapy, Faculty of Physical Education and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Sheremeta Lidiia ,   Department of Physical Therapy and Ergotherapy, Faculty of Physical Education and Sports, Vasyl Stefanyk Precarpathian National University, Ivano-Frankivs’k, Ukraine, Berezna Tamara ,   Department of Children’s Diseases, Academic and Research Institute of Postgraduate Education of IFNMU, Ivano-Frankivs’k, Ukraine, Herych Olesia ,   Department of Otorhinolaryngology Head and Neck Surgery, Ivano-Frankivsk National Medical University, Ivano-Frankivs’k, Ukraine
Published: November 2022

Balance dysfunction in elderly patients with Parkinson’s disease (PD) is a high-risk fall precaution, along with sarcopenia and senile asthenia, which leads to traumas, including fractures of the proximal humerus fractures (PHF). The objective of the study was to determine the effectiveness of a functional training as part of a physical therapy program on balance, upper limb (UL) function, daily living activities, and quality of life in elderly patients with PD and frailty, following proximal humerus fractures. We examined 33 elderly patients with PD and frailty in the recovery period after PHF. The control group included individuals who underwent rehabilitation according to the general principles of kinesitherapy. The treatment group consisted of patients engaged in a program of physical therapy directed at improving balance, function of the upper UL, motor stereotype, and activities of daily living. The effectiveness of the program was evaluated using the Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Disability of the Arm, Shoulder and Hand Outcome Measure (DASH), Wrist Dynamometry, Falls efficacy Scale International (FES-I), Barthel Activities of daily living (ADL) Index, Lawton Instrumental activities of daily living (IADL) Scale, PD Questionnaire-39 (PDQ-39). According to all studied indicators, the patients of both groups showed a statistically and significantly better result compared to the initial data (p<0.05), but the treatment group showed better outcomes compared with the control group (p<0.05).