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Faculty of Medical Sciences

Cognitive Movement Strategies and Cues in Advanced Parkinson's Disease for improving transfers: Four Case Studies

Goettsch, T.M. (2015) Cognitive Movement Strategies and Cues in Advanced Parkinson's Disease for improving transfers: Four Case Studies. thesis, Human Movement Sciences.

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Abstract

In Parkinson's disease (PD) the most frequently reported symptoms are difficulties concerning mobility during daily tasks. Sit to stand transfers and movements related to bed mobility are part of these common limitations. Previous research proved that the use of cues and cognitive movement strategies (CMS) are beneficial in transfer execution of PD patients. However, the emphasis of these studies was on the early stages of the disease. Therefore, the present study investigated whether the implementation of cues and CMS, either separately or in combination, can be effective for transfer execution in advanced PD patients. In order to explore this, two nurses were instructed to implement cues and CMS when assisting patients in transfer execution at a nursing home. After this intervention, it appeared that, even in advanced stages of PD, it is possible to enhance the physical independence of patients by use of CMS. No conclusions can be drawn regarding cues, since these were barely applied by the nursing. Largest effects were found during moving from supine to sitting. For STS transfers, no changes were observed. No reduction in major difficulties was found. Results were patient and nurse specific. The latter was probably due to a lack of confidence of nurse A regarding the intervention effectiveness. Future research should pay more attention to the information phase of the project to convince the nursing of the expected intervention effects. Keywords: Advanced Parkinson's disease (PD), Cognitive Movement Strategies, Cues, Transfers, Bed mobility, Sit To Stand (STS).

Item Type: Thesis (UNSPECIFIED)
Supervisor name: Kamsma, dr. Y.P.T. and Ottens, drs. N. and Westmaas, drs. M.
Faculty: Medical Sciences
Date Deposited: 08 Apr 2022 13:44
Last Modified: 08 Apr 2022 13:44
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/3082

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