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Zero non-motor symptoms in a martial arts expert
Abstracts / Parkinsonism and Related Disorders 22 (2016) e29ee75
standing and debated question (Mirabella 2015). In a previous study (Modugno et al, 2010), we showed that after three years of theatre therapy Parkinson's patients significantly improved their emotional well-being in comparison to patients undergoing conventional physiotherapy for the same amount of time. The aim of this work was to replicate these findings, improving at the same time the efficacy of the treatment. Methods: We run a randomized, controlled and single-blinded study lasted 1.5 years, on 24 subjects affected by a moderate form of idiopathic Parkinson's disease. Twelve were assigned to a theatre program in which patients underwent an ‘emotional’ training. The other 12 underwent group physiotherapy. Patients of both groups were evaluated at the beginning, and at the end of their treatments, using a battery of 9 clinical scales and 5 neuropsychological scales. Results: We found that the ‘emotional’ theatre was extremely effective and allowed to improve emotional well-being of patients in only 1.5 years time. Conversely, control patients did not exhibit significant such ameliorations. Interestingly, both groups did not show improvements either in motor symptoms or in the cognitive abilities tested by the neuropsychological battery. Conclusions: All in all, we fully replicated our previous results. Importantly we also found a form of theatre-therapy which allows to speed up the appearance of benefits. References: 1. Mirabella. J Altern Complement Med 2015;21:196-199. 2. Modugno et al., The Scientific World Journal 2010;10:2301-2313. P 2.034. BENEFICIAL ROLE OF VOICE INTER-RELATING PROCESS AND OM MANTRA ENCHANTING IN PARKINSON'S DISEASE PATIENTS IN SOUTH DELHI METRO POPULATION Vinod Sharma. Shri Mahamaya Vaishnav Devi Mandir Research Institute, Delhi, India Objectives: According to World Health Organisation, a disease of the middle-aged and elderly, Parkinson's disease has recently escalated in all age groups and is now being identified in young population, especially in high-risk Indian populations living in metro cities. Objective of present study to present new methods of controlling Parkinson's disease complications by “OM Enchanting” and “Brahma Muhurat Awakening” in Parkinson's disease patients in south Delhi metro population. Methods: Using a cross-sectional design, which includes age, family history of Parkinson's disease, exercise status and waist circumference, fasting glucose & insulin, glucose tolerance test (GTT), and glycosylated hemoglobin (HbA1c) were recorded for 45 aging patients (subject) between 60e75 years old at Shri Mahamaya Vaishnav Devi Mandir Research Institute, New Delhi, India. All patients were treated for one hour in Brahma Muhurat Awakening” (time duration of 04:00- 05:00 A.M) early morning with my frequency tuning by voice inter-relating process and aged patients discuss their problem due to diabetes and life style and try to find their problem and provide them with positive corrective measures for one month. Results: Present study by “Brahma Muhurat Awakening” and “OM enchanting” one's physical and inner elements balance and a person is filled with the positive energy which makes him/her active enough to burn the required calories ultimately helping one to be fit without having any physical consumption of chemical salt. This process leads to a balanced energy level which in turn leads to a healthy life. After one month treatment there were significant changes in glucose, insulin and glycosylated haemoglobin levels compare to normal levels with changes in life style and increase concentration for study. Conclusions: In conclusion , adolescents diabetes can be controlled and regulate by treating patients with “OM Enchanting” and “Brahma Muhurat Awakening” in Parkinson's disease without using any harmful drugs.
e75
P 2.035. NEW OPPORTUNITIES FOR INNOVATION AND INTERNET TECHNOLOGIES IN REHABILITATION OF PATIENTS WITH PARKINSON'S DISEASE IN THE ARAL SEA REGION OF THE REPUBLIC OF UZBEKISTAN Gulbakhar Izyumova 1, Daniyar Izyumov 2. 1 Dept. of Neurology, Republican Scientific Centre of Emergency Medical Aid, Urgench, Uzbekistan; 2 Regional Multifield Medical Centre, Urgench, Uzbekistan Objectives: As modern means of global network, such as blogs, the Internet encyclopedia, and chats, are suggested to “socialize” a patient and turn him/her into an active subject in recovery process, we did study those innovative approaches and Internet technologies in the rehabilitation of patients with Parkinson's disease (PD). Methods: The study included 38 patients (28 men and 10 women) with PD, of whom 15 persons were in the early stage, and the other 23 individuals in their late stage of rehabilitation. From a practical point, the range of specific techniques, suitable for a particular patient, were determined by the criteria of evidence-based medicine. The effectiveness of rehabilitation has been evaluated according to the results (functional improvements). Social rehabilitation was implemented by using socio-environmental orientation and social adaptation. In order to control motor activity (bradykinesia), the training was applied in 3 training stages: training 1- training on the stand; training 2- training with use of household appliances; and training 3 - work in real conditions at home. Results: In 13 patients, an increase in the volume of active movements was observed. At the stage of early rehabilitation, in which these techniques were applied as a functional approach, the improvements were 88%. In the 23 patients in their late stage of rehabilitation, improvement was 72%. Conclusions: The rapid onset of therapeutic improvements supports the idea to apply innovative Internet technologies in PD patients; these techniques did significantly increase the stability of patients in the upright posture and the maintenance of the position of the body, and did improve the supportive functions of extremities as well as. P 2.036. ZERO NON-MOTOR SYMPTOMS IN A MARTIAL ARTS EXPERT Linda Jaffe. Department of Neurology, Kaiser Permanente, San Diego, United States Objectives: Identified to be at least as distressing as the motor symptoms of PD, the non-motor symptoms of PD can be quantified using the NonMotor Symptoms Scale (NMSS.) This tool was developed in 2007 to quantify the number of some common distressing non-motor symptoms for PD patients. Studies have shown that non-motor symptoms can contribute to patients' quality of life (QOL.) Some reports show that tai chi and other forms of physical activity have positive effects on diminishing PD symptoms, including non-motor symptoms. Other reports did not support this positive effect. I report on one patient whose NMSS remained zero for 3 years. He happened to be a 9th degree karate master. Methods: Patient TS was diagnosed with IPD in 2011, at the age of 56. He responded well to anti-PD medications early on but this needed to be increased during the first year. The 30 item NMSS was administered to the patient at the end of his first year and 2nd and 3rd year on anti-PD treatment. Results: The patient continued to indicate no non-motor symptoms evolution in 1-3 years and he continued to maintain his busy teaching, training, and work-out schedule over this time. Conclusions: For this Martial Arts master, age 56, zero non-motor symptoms evolved in 3 years of follow-up visits using the NMSScale. Though the first few years after PD diagnosis is considered to be the “honeymoon period” with fairly good symptomatic suppression in some people, it remains very unusual to remain free of any non-motor symptoms. It is possible that this was the case for TS because he was a Martial Arts master and more investigations into the potential benefits of martial arts and other physical activity would likely lead to a better understanding of how to minimize non-motor symptoms in Parkinson's disease.
standing and debated question (Mirabella 2015). In a previous study (Modugno et al, 2010), we showed that after three years of theatre therapy Parkinson's patients significantly improved their emotional well-being in comparison to patients undergoing conventional physiotherapy for the same amount of time. The aim of this work was to replicate these findings, improving at the same time the efficacy of the treatment. Methods: We run a randomized, controlled and single-blinded study lasted 1.5 years, on 24 subjects affected by a moderate form of idiopathic Parkinson's disease. Twelve were assigned to a theatre program in which patients underwent an ‘emotional’ training. The other 12 underwent group physiotherapy. Patients of both groups were evaluated at the beginning, and at the end of their treatments, using a battery of 9 clinical scales and 5 neuropsychological scales. Results: We found that the ‘emotional’ theatre was extremely effective and allowed to improve emotional well-being of patients in only 1.5 years time. Conversely, control patients did not exhibit significant such ameliorations. Interestingly, both groups did not show improvements either in motor symptoms or in the cognitive abilities tested by the neuropsychological battery. Conclusions: All in all, we fully replicated our previous results. Importantly we also found a form of theatre-therapy which allows to speed up the appearance of benefits. References: 1. Mirabella. J Altern Complement Med 2015;21:196-199. 2. Modugno et al., The Scientific World Journal 2010;10:2301-2313. P 2.034. BENEFICIAL ROLE OF VOICE INTER-RELATING PROCESS AND OM MANTRA ENCHANTING IN PARKINSON'S DISEASE PATIENTS IN SOUTH DELHI METRO POPULATION Vinod Sharma. Shri Mahamaya Vaishnav Devi Mandir Research Institute, Delhi, India Objectives: According to World Health Organisation, a disease of the middle-aged and elderly, Parkinson's disease has recently escalated in all age groups and is now being identified in young population, especially in high-risk Indian populations living in metro cities. Objective of present study to present new methods of controlling Parkinson's disease complications by “OM Enchanting” and “Brahma Muhurat Awakening” in Parkinson's disease patients in south Delhi metro population. Methods: Using a cross-sectional design, which includes age, family history of Parkinson's disease, exercise status and waist circumference, fasting glucose & insulin, glucose tolerance test (GTT), and glycosylated hemoglobin (HbA1c) were recorded for 45 aging patients (subject) between 60e75 years old at Shri Mahamaya Vaishnav Devi Mandir Research Institute, New Delhi, India. All patients were treated for one hour in Brahma Muhurat Awakening” (time duration of 04:00- 05:00 A.M) early morning with my frequency tuning by voice inter-relating process and aged patients discuss their problem due to diabetes and life style and try to find their problem and provide them with positive corrective measures for one month. Results: Present study by “Brahma Muhurat Awakening” and “OM enchanting” one's physical and inner elements balance and a person is filled with the positive energy which makes him/her active enough to burn the required calories ultimately helping one to be fit without having any physical consumption of chemical salt. This process leads to a balanced energy level which in turn leads to a healthy life. After one month treatment there were significant changes in glucose, insulin and glycosylated haemoglobin levels compare to normal levels with changes in life style and increase concentration for study. Conclusions: In conclusion , adolescents diabetes can be controlled and regulate by treating patients with “OM Enchanting” and “Brahma Muhurat Awakening” in Parkinson's disease without using any harmful drugs.
e75
P 2.035. NEW OPPORTUNITIES FOR INNOVATION AND INTERNET TECHNOLOGIES IN REHABILITATION OF PATIENTS WITH PARKINSON'S DISEASE IN THE ARAL SEA REGION OF THE REPUBLIC OF UZBEKISTAN Gulbakhar Izyumova 1, Daniyar Izyumov 2. 1 Dept. of Neurology, Republican Scientific Centre of Emergency Medical Aid, Urgench, Uzbekistan; 2 Regional Multifield Medical Centre, Urgench, Uzbekistan Objectives: As modern means of global network, such as blogs, the Internet encyclopedia, and chats, are suggested to “socialize” a patient and turn him/her into an active subject in recovery process, we did study those innovative approaches and Internet technologies in the rehabilitation of patients with Parkinson's disease (PD). Methods: The study included 38 patients (28 men and 10 women) with PD, of whom 15 persons were in the early stage, and the other 23 individuals in their late stage of rehabilitation. From a practical point, the range of specific techniques, suitable for a particular patient, were determined by the criteria of evidence-based medicine. The effectiveness of rehabilitation has been evaluated according to the results (functional improvements). Social rehabilitation was implemented by using socio-environmental orientation and social adaptation. In order to control motor activity (bradykinesia), the training was applied in 3 training stages: training 1- training on the stand; training 2- training with use of household appliances; and training 3 - work in real conditions at home. Results: In 13 patients, an increase in the volume of active movements was observed. At the stage of early rehabilitation, in which these techniques were applied as a functional approach, the improvements were 88%. In the 23 patients in their late stage of rehabilitation, improvement was 72%. Conclusions: The rapid onset of therapeutic improvements supports the idea to apply innovative Internet technologies in PD patients; these techniques did significantly increase the stability of patients in the upright posture and the maintenance of the position of the body, and did improve the supportive functions of extremities as well as. P 2.036. ZERO NON-MOTOR SYMPTOMS IN A MARTIAL ARTS EXPERT Linda Jaffe. Department of Neurology, Kaiser Permanente, San Diego, United States Objectives: Identified to be at least as distressing as the motor symptoms of PD, the non-motor symptoms of PD can be quantified using the NonMotor Symptoms Scale (NMSS.) This tool was developed in 2007 to quantify the number of some common distressing non-motor symptoms for PD patients. Studies have shown that non-motor symptoms can contribute to patients' quality of life (QOL.) Some reports show that tai chi and other forms of physical activity have positive effects on diminishing PD symptoms, including non-motor symptoms. Other reports did not support this positive effect. I report on one patient whose NMSS remained zero for 3 years. He happened to be a 9th degree karate master. Methods: Patient TS was diagnosed with IPD in 2011, at the age of 56. He responded well to anti-PD medications early on but this needed to be increased during the first year. The 30 item NMSS was administered to the patient at the end of his first year and 2nd and 3rd year on anti-PD treatment. Results: The patient continued to indicate no non-motor symptoms evolution in 1-3 years and he continued to maintain his busy teaching, training, and work-out schedule over this time. Conclusions: For this Martial Arts master, age 56, zero non-motor symptoms evolved in 3 years of follow-up visits using the NMSScale. Though the first few years after PD diagnosis is considered to be the “honeymoon period” with fairly good symptomatic suppression in some people, it remains very unusual to remain free of any non-motor symptoms. It is possible that this was the case for TS because he was a Martial Arts master and more investigations into the potential benefits of martial arts and other physical activity would likely lead to a better understanding of how to minimize non-motor symptoms in Parkinson's disease.