Effect Of Deep Braın Stımulatıon Of Subthalamıc Nucleus And Physiotherapy Approaches On Pulmonary Functıon Tests And Exercise Capacity In Patıents Wıth Parkınson’S Dısease: The Short Term Results

Thesis Type: Doctorate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey

Approval Date: 2019

Thesis Language: Turkish


Supervisor: Deran Oskay


The aim of this study was to descibe the effects of DBS STN on exercise capacity, respiratory functions, respiratory muscle strength, peripheral muscle strength and hand grip strength in patients with idiopathic Parkinson’s disease in early term. In study program; without any other neurological disorders except Parkinson ten patients who underwent DBS STN were assessed at before and seventh day, at first month, and at third month after surgery. Time Up and Go test (TUG) and 6 Minute Walking Test (6MWT) were used to assess functionality and mobility. Spirometry was also used to evaluate pulmonary functions. Minimal inspiratory pressure (MIP) and minimal expiratory pressure (MEP) was applied to measure respiratory muscle strength score. Digital dynamometer was applied to define peripheral muscle strength. To desribe the stage of Parkinson’s Disease, the Modified Hoehn-Yahr Scale was also used (average 2,5 and 3). The average age of the patients (7 males and 3 females) was 60, 90 ±8, 90 years. However, individualized physiotherapy program was planned during the evaluation and a home program was given to the patient. The results of this study showed that all the patients’ functionality, mobility ability and exercise capasity improved after surgery significantly (p<0.05). Pulmonary functions test scores were also found similar with before surgery scores. There were also increases in peripheral muscle strength, MIP and MEP scores after surgery but not significant (p<0.05). The results indicate that the STN DBS is an effective treatment to improve exercise capacity, mobility,and respiratory muscle strength in patients with Parkinson’s disease, it did not show any at least negative effect on pulmonary functions in these patients and suggest that these functions may be improved in the future

Key Words

: Parkinson, Deep Brain Stimulation, Subthalamic Nucleus, Respiratory Functions, Exercise Capacity