Home Physiotherapy in Frailty in Patients With Parkinson's Disease or Secondary Parkinsonism

The aim of this protocol is to evaluate the effects of a home-based therapeutic exercise program applied in patients with PD or secondary parkinsonism to reverse frailty. The design of this study is experimental, prospective, randomized and double blind. The study population that will be part of this study will be men and women with a diagnosis of PD or secondary parkinsonism belonging to the Health Area V of the Health Service of the Principality of Asturias, Spain.

Inclusion Criteria:Men and women, aged 60 years or older, with a diagnosis of PD or secondary parkinsonism.Having frailty or prefrailty according to the Fried scale (1 or 2 prefrailty criteria, 3 or more frailty criteria).Stage 1-3 of the Hoehn and Yahr scale.Patients who have been referred to the Home Rehabilitation Service of the Instituto de Rehabilitación Astur S.A. and/or who belong to the Jovellanos de Gijón Parkinson's Association.Obtaining a score higher than 24 points in the Mini Mental State Examination (MMSE).Signing the informed consent form.Exclusion Criteria:Parkinsonisms plus or atypical (progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, Lewy body disease).Acute disease causing clinical instability.Stage 4 and 5 of the Hoehn and Yahr scale.Receiving individualized outpatient or home physiotherapy treatment for Parkinson's disease or secondary parkinsonism.Patients unable to speak.Patients in terminal phase.Patient with dementia.