Abstract：
BACKGROUND: The COVID-19 pandemic has placed a restriction on physiotherapy clinical visits for supervised exercise. It is important that individuals with Parkinson\'s Disease (PD) continue an exercise regime at home during the pandemic and also in normal situations.
OBJECTIVE: The purpose of this study was to explore the case history of an individual with PD who used a developed home-based exercise programme for one year during the COVID-19 pandemic.
METHODS: A 67 year-old married woman was diagnosed with PD stage 2.5 on the modified Hoehn and Yahr (HY) scale. Gait characteristics and the Movement Disorders Society-Unified Parkinson\'s Disease Rating Scale (MDS-UPDRS) motor scores were assessed at baseline, 10 weeks, and 12 months. The home-based exercise program included breathing exercises, posture correction, stretching exercises, rotation of the axial segments, balance training, and task-specific gait training.
RESULTS: After 12 months, her MDS-UPDRS motor scores decreased when compared to baseline and 10 weeks, and gait characteristics at 12 months showed an increase in the degree of foot rotation, step length, cadence, and gait speed when compared to baseline and 10 weeks.
CONCLUSIONS: This case study showed that improvements in MDS-UPDRS and gait characteristics can continue over a 12 month period as a result of a home-based exercise programme. Therefore, home-based exercise programs should be encouraged with weekly monitoring, especially in individuals with gait disorders which show deterioration.
OBJECTIVE: The purpose of this study was to explore the case history of an individual with PD who used a developed home-based exercise programme for one year during the COVID-19 pandemic.
METHODS: A 67 year-old married woman was diagnosed with PD stage 2.5 on the modified Hoehn and Yahr (HY) scale. Gait characteristics and the Movement Disorders Society-Unified Parkinson\'s Disease Rating Scale (MDS-UPDRS) motor scores were assessed at baseline, 10 weeks, and 12 months. The home-based exercise program included breathing exercises, posture correction, stretching exercises, rotation of the axial segments, balance training, and task-specific gait training.
RESULTS: After 12 months, her MDS-UPDRS motor scores decreased when compared to baseline and 10 weeks, and gait characteristics at 12 months showed an increase in the degree of foot rotation, step length, cadence, and gait speed when compared to baseline and 10 weeks.
CONCLUSIONS: This case study showed that improvements in MDS-UPDRS and gait characteristics can continue over a 12 month period as a result of a home-based exercise programme. Therefore, home-based exercise programs should be encouraged with weekly monitoring, especially in individuals with gait disorders which show deterioration.
摘要：
背景：COVID-19大流行限制了有监督运动的物理治疗临床就诊。在大流行期间以及在正常情况下，帕金森病（PD）患者在家中继续进行锻炼是很重要的。
目的：本研究的目的是探讨在COVID-19大流行期间使用开发的家庭锻炼计划的PD患者的病史。
方法：一名67岁已婚妇女在改良Hoehn和Yahr（HY）量表上被诊断为PD2.5期。步态特征和运动障碍协会统一帕金森病评定量表（MDS-UPDRS）运动评分在基线时进行评估，10周,和12个月。以家庭为基础的锻炼计划包括呼吸锻炼，姿势矫正,伸展运动,轴向段的旋转，平衡训练,和特定任务的步态训练。
结果：12个月后，与基线和10周相比，她的MDS-UPDRS运动评分下降，12个月时的步态特征显示足部旋转程度增加，步长,节奏,与基线和10周相比时的步态速度。
结论：本案例研究表明，由于家庭锻炼计划，MDS-UPDRS和步态特征的改善可以持续12个月。因此,应鼓励家庭锻炼计划，每周监测，尤其是在步态障碍表现出恶化的个体中。
目的：本研究的目的是探讨在COVID-19大流行期间使用开发的家庭锻炼计划的PD患者的病史。
方法：一名67岁已婚妇女在改良Hoehn和Yahr（HY）量表上被诊断为PD2.5期。步态特征和运动障碍协会统一帕金森病评定量表（MDS-UPDRS）运动评分在基线时进行评估，10周,和12个月。以家庭为基础的锻炼计划包括呼吸锻炼，姿势矫正,伸展运动,轴向段的旋转，平衡训练,和特定任务的步态训练。
结果：12个月后，与基线和10周相比，她的MDS-UPDRS运动评分下降，12个月时的步态特征显示足部旋转程度增加，步长,节奏,与基线和10周相比时的步态速度。
结论：本案例研究表明，由于家庭锻炼计划，MDS-UPDRS和步态特征的改善可以持续12个月。因此,应鼓励家庭锻炼计划，每周监测，尤其是在步态障碍表现出恶化的个体中。
