Effectiveness of MIRT on Hand and Finger Dexterity in PD Patients
Effectiveness of MIRT on Hand and Finger Dexterity in PD Patients
Aims of the study are (1) to evaluate the effectiveness of a specific OT treatment aimed to
 enhance finger and hand dexterity and (2) its impact on daily living autonomy of PD patients.
Reduction in hand functionality and finger dexterity are significant, but often overlooked,
 symptoms of Parkinson's Disease (PD). They are strictly correlated with loss of patient's
 autonomy, due to their significant impact on Activities of Daily Living (ADL) and,
 consequently in patient's Quality of life (QoL). No studies investigated the effectiveness of
 a specific and functional-based Occupational Therapy (OT) treatment in improving hand
 functionality and finger dexterity in PD patients.

 Aims of tthe study are to evaluate the effectiveness of a specific OT treatment aimed to
 enhance finger and hand dexterity and its impact on daily living autonomy of PD patients.

 Retrospectively, 482 PD patients, hospitalized for a 4-week Multidisciplinary Intensive
 Rehabilitation Treatment (MIRT) between January 2015 and January 2018 were identified. All
 patients underwent 1h/day OT treatment. The outcome measure was the O'Connor finger dexterity
 test; secondary outcome measures were Minnesota dexterity test, UPDRS II and SPDDS scale.
 These measures were assessed at admission (T0) and discharge (T1).
Inclusion Criteria:

 -  diagnosis of Parkinson's Disease

 Exclusion Criteria:

 -  other neurological disease

 -  psychosis

 -  auditive or visual deficit