Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Neuromuscular and Neurosurgery

Background: Cognitive impairments associated with parkinson are mainly related to the executive functions with deficits in attention, planning, concept formation, and working memory, which in many cases impair everyday motor functioning. A successful treatment is yet to be found. Several techniques have been proposed in the last decades. Purpose: to investigate the extent to which the use of motor imagery training with augmented cues of motor learning on Parkinson patients experiencing cognitive dysfunctions. Subjects: thirty referred medically and radiologically diagnosed idiopathic Parkinson patients from both genders experiencing cognitive dysfunction. Methods: Patients were randomly assigned to equal two groups; A study group and control group. The study group received motor imagery training combined with augmented cues of motor learning and selected designed physical therapy program CRT and control group received selected physical therapy designed program including cognitive remediation Therapy (CRT) including: Restorative reminiscence therapy exercises,2-compensatory complex task training, both groups received treatment program for six weeks every other day 3 sessions/ week and each session for 1 hour. All patients were evaluated with Reha Com device programs, The mini{u2013}mental state examination (MMSE) scale and Time up and go (TUG) test pre and post treatment. Results: There was a high significant difference between study and control groups as p-value was (0.0001) which indicated that study group shows improvement in cognitive functions more than control group, and there was correlation between reha com, MMSE and performance motor test TUG

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