COMPARISON OF COGNITIVE MOTOR STRATEGY AND RESISTANCE TRAINING ON FUNCTION AND FALL RISK IN PARKINSON’S

BACKGROUND: Idiopathic Parkinson's disease (IPD) is a neurological condition that worsens with time and is characterised by both motor and non-motor symptoms that lead to problems with balance, mobility, and fall risk. Medication and physical therapy techniques must be used in tandem for effective management. Focussing certain functional impairments, Cognitive Motor Strategy Training (CMST) and Progressive Resistance Training (PRT) may enhance results. AIM: To evaluate how CMST and PRT affect people with IPD's mobility, balance, functional results, and risk of falling. METHODOLOGY: This experimental pre-test and post-test investigation was carried out at KG Hospital in Coimbatore over a period of eight months. Thirty patients between the ages of 50 and 70 who had MMSE scores more than 24 and stage II or III IPD (Modified Hoehn and Yahr Scale) were split into two groups at random. While Group B received PRT together with traditional treatment, Group A received CMST along with traditional physiotherapy. For six weeks, each group received 60-minute sessions four times a week. The Tinetti Performance Orientated Mobility Assessment (POMA), the Berg Balance Scale (BBS), and the Fall Efficacy Scale (FES) were used to measure the results both before and after the intervention. RESULT: Group A showed greater gains (BBS: +8.8, POMA: +3.3, FES: +7.67) compared to Group B (BBS: +4.4, POMA: +2.25, FES: +6.53). Between-group comparisons favoured CMST (p < 0.05). Those two groups showed significant improvements (p < 0.05). CONCLUSION: For improving mobility, balance, and lowering the risk of falls in people with IPD, CMST works better than PRT. CMST may improve functional results when incorporated into rehabilitation regimens. Keywords: Idiopathic Parkinson disease, Cognitive motor strategy training, Progressive resistance training, Berg balance scale, Tinetti performance-oriented mobility test, Short– Fall efficacy scale