8．パーキンソン病 理学療法診療ガイドライン

1 8 1 521 2 522 3 523 4 531 5 544 545 553 521 1 parkinson s disease 50 60 10 100 150 L- wearing-off on-off

2 2002 Hoehn & Yahr H&Y stage I 1966 2001 EBM randomized control trial: RCT 1990 2010 3 522 2 1 1 1) 2 2, 3) 1 2002 KNGF 1) 2003 2)

3 Plant R, Walton G, Ashburn A, et al.: Guidelines for physiotherapy practice in parkinson s disease . Newcastle, , University of Northumbria, Institute of rehabilitation, 2001. 3) KNGF guidelines for physical therapy in patients with parkinson s disease . Supplement of the Dutch journal of physiotherapy 114(3), 2004. 2 1) PubMed 2) CINAHL 3) PEDro 4) Cochrane Library 5) 523 3 1-4)

4 1 4 190 1990 2010 3 PubMed CINAHL PEDro Cochrane Database of Systematic Reviews 4 parkinson disease effect randomized control trial intervention physical therapy training 116 1 Hoehn & Yahr stage 85 unified parkinson s disease rating scale UPDRS 45 44 36 23 parkinson s disease questionnaire PDQ-39 17 timed up & go test TUG 15 12 11 Berg balance scale BBS 10 H&Y stage UPDRS TUG BBS PDQ-39 524 1 1990 2010 116 1 Hoehn & Yahr stage 85 2 UPDRS 45 3

5 44 4 36 5 23 6 parkinson 's disease questionnaire PDQ-39 17 7 timed up & go TUG 15 8 12 9 11 10 Berg balance scale 10 11 6 8

6 12 10 m 8 13 8 14 5 15 5 16 EuroQol-5D 5 17 Webster rating scale for Parkinsonnian disabilities 4 18 Beck's depression inventory scale 4 19 4

7 20 4 21 functional independence measure FIM 4 22 hospital anxiety and depression scale HADs 4 23 functional reach 4 24 Nottingham extended activities of daily living index 4 25 falls efficacy scale 4 26 4 27 1 3 28 2 3 29 ROM

8 3 30 3 31 SF-36 3 32 3 33 freesing of gait questionnaire FOG 3 34 geriatric depression scale 3 3 525 2 1 2 3 quality of life QOL 1-4) 1) Sarwar AI, Trail M, Lai EC: Assessments and outcome measure for parkinson s disease : Neurorehabilitation in parkinson s disease .

9 (edited by Trail M, Protas EJ, Lai EC), SLACK, Thorof