@article{Senthil_Parvathi_Senthil Selvam_Radhakrishnan_2019, title={Effect of multi-modal exercises after hemiarthroplasty of hip joint in a 72 year old male Parkinson’s disease participant. A case report}, volume={67}, url={https://www.jgerontology-geriatrics.com/article/view/61}, abstractNote={<p>Background. Parkinson’s disease is a progressive and deteriorating disease which often affects the mobility of<br>individuals of above 60 years. A fall is one of the risk factor and especially the neck of femur fracture was very<br>common among them. In India, the physiotherapy intervention of Parkinson’s patient after hemiarthroplasty<br>was poorly defined when compared to total hip arthroplasty. Thus, we have taken a single case study as an<br>initiative with multi-modal exercise on physical function of Parkinson’s patient after the hemiarthroplasty.<br>Case presentation. A 72-year-old man with symptom of Parkinson’s disease and stage 3 of Hoehn and Yahr<br>classification for past 1 year had a fall and underwent hemiarthroplasty for the left sided neck of femur fracture.<br>After post-operative check x-rays and vital signs are normal, we have started multi-modal exercise with<br>initial bed mobility exercise, breathing exercise and chest percussion technique, balance training in sitting and<br>standing with gutter crutch, proprioceptive training, psychological counselling, progress to resistance exercise<br>to quadriceps and stretching the calf muscle for 12 weeks. We have gradually reduced the gutter crutch to<br>walking stick and gradually without walking aids at the end of 12 week protocol. We have continued the exercise<br>for the patient and follow-up at 24 week also to check the status of physical function of patient. We have<br>assessed the patient at the baseline and post-12 week with post-24 week follow-up using sit to stand and<br>timed up and go test performance as an outcome measures. The physical performance showed significant<br>changes in the post-12 week of patient when compared at baseline values and even continued significance at<br>post-24 week of multi-modal exercise also.<br>Conclusions. Thus, the multi-modal exercises proved to be more beneficial on physical function for the Parkinson’s<br>patient with hemiarthroplasty. Even, we have found that the earlier mobilization had promoted the<br>confident of patient and active participation of progression is faster in this case study.</p&gt;}, number={1}, journal={JOURNAL OF GERONTOLOGY AND GERIATRICS}, author={Senthil, P. and Parvathi, S. and Senthil Selvam, P. and Radhakrishnan, R.}, year={2019}, month={Mar.}, pages={13-15} }