Dr Sagar Kumar, Dr Syed Abid Mehdi Kazmi, Dr Sumaira Imran Farooqui, Dr Zuhaira Faruqui, Dr Zoha Khan, Dr Yusra Abdul Muhammad
Background: Parkinson Disease (PD) is a growing neurological disorder that affecting nearly 6.2 million individuals worldwide. It is estimated that the number might augment twice by 2040 as compared 2015 from 6.9 million to 14.2 million. This staggering rise in incidence of PD will make Parkinsonism a pandemic that will nearly become a leading cause of disability around the globe. PD is characterized by four typical motor symptoms such as rigidity, in substantial nigra premature neuronal apoptosis leads to tremor, rigidity and bradykinesia. Method: Single blinded qusai experimental study was conducted to investigate the effects of trunk rotation exercises on Physical Performance in grade 3 Parkinson patients. Thirty-two participants with grade 3 Parkinson, presented for treatment at neuro rehabilitation sciences, Ziauddin Hospital, Clifton, Karachi. Included participants were given 12 sessions. Each session lasted for 60 min where participants performed trunk rotation exercises to improve physical performance. The patients assessed before 1st session (baseline assessment) were then assessed on 12th session (post treatment) to see the improvement. Results: The trunk rotation exercises improved physical activity from 9.71±1.02 to 20.75±2.28 on PPT scale after 12 sessions. Conclusion: The results of this study showed significant improvement in physical performance of all thirty-two participants investigated by berg balance scale, MOCA and PPT scale. The substantial improvement in all three parameters after 4 weeks of rehabilitation program concluded that trunk rotation exercises increase independence and physical performance by improving weight shifting, initiation of different movements, coordination, memory and performance of daily activities of life. KEYWORDS: Balance, Cognition, Disability, Motor Function, Physical Performance, Parkinson’s Disease, Rotation Exercises.