Document Type

Scholarship Project

Publication Date

Summer 2024

College/Unit

School of Medicine

Department/Program/Center

Occupational Therapy

Abstract

The functional presentation of those with Parkinson's disease (PD) are complex, varying depending on cognition, physiological deficits, and support network. This study assesses the perceptions of fatigue across individuals with Parkinson's disease with different clinical presentations to guide clinicians in their selection of evidence-based interventions to facilitate greater functional outcomes. A mixed-methods design was used to collect data on the mental and physiological perceptions of fatigue, utilizing surveys and physiological measures such as heart rate. Participants were recruited from a community group targeting those with PD with inclusion criteria being a diagnosis of PD. Results for both heart rate and perceived exertion demonstrated an individualized response and perception related to any given activity regardless of discipline or physiological basis. Results for qualitative data yielded tiring events and caregiver support as primary themes and were determined to be factors contributing to fluctuating fatigue levels on a weekly basis. The individualized nature of Parkinson’s disease requires clinicians to be mindful when tailoring interventions to one’s specific needs, especially with consideration of fatigue levels. Understanding activity responses can help clinics account for the overall demands of activity when designing a treatment group or program.

Keywords: capacity, fatigue, multidisciplinary, neurodegenerative, neuromuscular

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