{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T15:32:32Z","timestamp":1783438352219,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,11,3]],"date-time":"2019-11-03T00:00:00Z","timestamp":1572739200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Parkinson's Disease"],"published-print":{"date-parts":[[2019,11,3]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Hand functionality and finger dexterity are impaired in patients with Parkinson\u2019s disease (PD). These disturbances lead to a dependency in activities of daily living (ADL) and poor quality of life (QoL). <jats:italic>Objective<\/jats:italic>. We aimed to evaluate whether a specific occupational therapy (OT) program is effective in improving finger and hand dexterity and its impact on ADL in PD patients. <jats:italic>Methods<\/jats:italic>. We retrospectively studied PD patients, hospitalized for a 4-week multidisciplinary intensive rehabilitation treatment (MIRT) between January 2015 and June 2018. All patients underwent 1\u2009h\/day OT treatment, 5 days a week. The primary outcome measure was the O\u2019Connor finger dexterity test; secondary outcome measures were the Minnesota dexterity test, UPDRS II, and Self-Assessment Parkinson\u2019s Disease Disability Scale (SPDDS). These measures were assessed at admission (T0) and discharge (T1). <jats:italic>Results<\/jats:italic>. Based on the Hoehn and Yahr scale (H&amp;Y), patients were divided into two groups: 262 subjects in H&amp;Y stage &lt;3 (early-stage PD patients) and 220 in H&amp;Y stage \u22653 (medium-advanced stage PD patients). As expected, at baseline, all measures were worse in higher H&amp;Y stages. After treatment, both groups experienced significant improvements in all outcomes. Significant differences between early-stage and medium-advanced stage PD patients were observed only for the changes in UPDRS II, with a better improvement in patients in H&amp;Y stage \u22653. <jats:italic>Conclusions<\/jats:italic>. We showed that PD patients who underwent a rehabilitation protocol including OT experienced improvements in finger dexterity and hand functionality. Our results underline the relevance of OT in improving autonomy and QoL in PD patients.<\/jats:p>","DOI":"10.1155\/2019\/4561830","type":"journal-article","created":{"date-parts":[[2019,11,3]],"date-time":"2019-11-03T23:32:27Z","timestamp":1572823947000},"page":"1-7","source":"Crossref","is-referenced-by-count":9,"title":["Occupational Therapy for Parkinsonian Patients: A Retrospective Study"],"prefix":"10.1155","volume":"2019","author":[{"given":"Michele","family":"Franciotta","sequence":"first","affiliation":[{"name":"Department of Parkinson\u2019s Disease, Movement Disorders and Brain Injury Rehabilitation, Moriggia Pelascini\u201d Hospital, Gravedona ed Uniti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2873-0430","authenticated-orcid":true,"given":"Roberto","family":"Maestri","sequence":"additional","affiliation":[{"name":"Istituti Clinici Scientifici Maugeri IRCCS, Department of Biomedical Engineering of the Montescano 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