Physiotherapy treatment at home for patients with parkinsonian disorders, effects on disability, pain and gait: a cross-sectional study
Bibliographic record
Abstract
Background Parkinsonian disorders lead to functional impairment that requires appropriate physiotherapy treatment. Home physiotherapy is presented as a possible treatment option.Objectives To describe the sociodemographic and clinical characteristics in patients with parkinsonian disorders referred to a home rehabilitation service. To know the degree of therapeutic adherence. To evaluate how the applied physiotherapy treatment influences pain, functional recovery and walking ability.Methods The medical records of patients with parkinsonian disorders admitted to a home rehabilitation service were retrospectively analysed. The main outcome measures were disability assessed by the Barthel Index (BI), pain with the Visual Analogue Scale and walking ability through Holden’s functional ambulation categories.Results 189 medical records were analysed; 54.5% had idiopathic Parkinson’s disease, 38.1% secondary parkinsonism and 7.4% atypical parkinsonism. 24.42% of the men and 29.13% of the women showed improvements of more than 20% in the BI after the physiotherapy treatment. The therapeutic adherence rate was 94.21%.Conclusions This home-based intervention helps to prevent functional deterioration and reduces the risk of potential complications in the evolution of the disease, such as the risk of falls or those derived from the progressive loss of mobility, with the associated hospital care costs.
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How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Observational | low |
| gpt | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Observational | low |
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".