Comparison of the effects of a self-supervised home exercise program with a physiotherapist-supervised exercise program on the motor symptoms of Parkinson's disease.
Identifieur interne : 002D18 ( Main/Merge ); précédent : 002D17; suivant : 002D19Comparison of the effects of a self-supervised home exercise program with a physiotherapist-supervised exercise program on the motor symptoms of Parkinson's disease.
Auteurs : Victor Lun [Canada] ; Nancy Pullan ; Nancy Labelle ; Corey Adams ; Oksana SuchowerskySource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2005.
English descriptors
- KwdEn :
- Aged, Disability Evaluation, Exercise Therapy (methods), Exercise Therapy (organization & administration), Female, Humans, Male, Middle Aged, Motor Activity (physiology), Movement Disorders (etiology), Movement Disorders (rehabilitation), Parkinson Disease (complications), Parkinson Disease (rehabilitation), Prospective Studies, Psychomotor Performance (physiology), Single-Blind Method, Treatment Outcome.
- MESH :
- complications : Parkinson Disease.
- etiology : Movement Disorders.
- methods : Exercise Therapy.
- organization & administration : Exercise Therapy.
- physiology : Motor Activity, Psychomotor Performance.
- rehabilitation : Movement Disorders, Parkinson Disease.
- Aged, Disability Evaluation, Female, Humans, Male, Middle Aged, Prospective Studies, Single-Blind Method, Treatment Outcome.
Abstract
The effects of a self-supervised home exercise program and a physiotherapist-supervised exercise program on motor symptoms in Parkinson's disease (PD) patients were compared in a prospective single-blinded clinical trial. Nineteen subjects (6 women, 13 men; mean age, 65 +/- 8 years) with Hoehn and Yahr Stages 2 to 3 were recruited. Subjects were self-selected into an 8-week exercise program that was self-supervised (HOME group) or physiotherapist-supervised (PT group). The primary outcome measurement was the Unified Parkinson's Disease Rating Scale (UPDRS) Motor subsection score (UPDRSm). The secondary outcome measurements were the Berg Balance Scale, Timed Up and Go Test, UPDRS Total score, and the Activities-specific Balance Confidence Scale. All outcomes were assessed at baseline and at 8 and 16 weeks after the start of the study. The investigators were blinded to the subject treatment group. Bonferroni-corrected paired Student's t test was used to evaluate the change in the UPDRSm from baseline to 8 weeks. Ninety-five percent confidence intervals (CI) were calculated for the change in the secondary outcome measurements from baseline to 8 weeks. There was statistically significant and equal decrease in the UPDRSm from baseline to 8 weeks in both treatment groups. There was no difference in the 95% CI in the change of the secondary outcome measurements. A self-supervised exercise program was found to have similar effectiveness as a physiotherapist-supervised exercise program in improving motor symptoms in PD patients. This finding is important in the counseling of PD patients regarding adjunctive treatment of motor symptoms of PD with exercise.
DOI: 10.1002/mds.20475
PubMed: 15838853
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pubmed:15838853Le document en format XML
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uniqKey="Labelle N" first="Nancy" last="Labelle">Nancy Labelle</name></author><author><name sortKey="Adams, Corey" sort="Adams, Corey" uniqKey="Adams C" first="Corey" last="Adams">Corey Adams</name></author><author><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:15838853</idno><idno type="pmid">15838853</idno><idno type="doi">10.1002/mds.20475</idno><idno type="wicri:Area/PubMed/Corpus">001247</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001247</idno><idno type="wicri:Area/PubMed/Curation">001247</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001247</idno><idno type="wicri:Area/PubMed/Checkpoint">001247</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" 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University of Calgary, Calgary, Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation></author><author><name sortKey="Pullan, Nancy" sort="Pullan, Nancy" uniqKey="Pullan N" first="Nancy" last="Pullan">Nancy Pullan</name></author><author><name sortKey="Labelle, Nancy" sort="Labelle, Nancy" uniqKey="Labelle N" first="Nancy" last="Labelle">Nancy Labelle</name></author><author><name sortKey="Adams, Corey" sort="Adams, Corey" uniqKey="Adams C" first="Corey" last="Adams">Corey Adams</name></author><author><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Disability Evaluation</term><term>Exercise Therapy (methods)</term><term>Exercise Therapy (organization & administration)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor Activity (physiology)</term><term>Movement Disorders (etiology)</term><term>Movement Disorders (rehabilitation)</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (rehabilitation)</term><term>Prospective Studies</term><term>Psychomotor Performance (physiology)</term><term>Single-Blind Method</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Movement Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Activity</term><term>Psychomotor Performance</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Single-Blind Method</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The effects of a self-supervised home exercise program and a physiotherapist-supervised exercise program on motor symptoms in Parkinson's disease (PD) patients were compared in a prospective single-blinded clinical trial. Nineteen subjects (6 women, 13 men; mean age, 65 +/- 8 years) with Hoehn and Yahr Stages 2 to 3 were recruited. Subjects were self-selected into an 8-week exercise program that was self-supervised (HOME group) or physiotherapist-supervised (PT group). The primary outcome measurement was the Unified Parkinson's Disease Rating Scale (UPDRS) Motor subsection score (UPDRSm). The secondary outcome measurements were the Berg Balance Scale, Timed Up and Go Test, UPDRS Total score, and the Activities-specific Balance Confidence Scale. All outcomes were assessed at baseline and at 8 and 16 weeks after the start of the study. The investigators were blinded to the subject treatment group. Bonferroni-corrected paired Student's t test was used to evaluate the change in the UPDRSm from baseline to 8 weeks. Ninety-five percent confidence intervals (CI) were calculated for the change in the secondary outcome measurements from baseline to 8 weeks. There was statistically significant and equal decrease in the UPDRSm from baseline to 8 weeks in both treatment groups. There was no difference in the 95% CI in the change of the secondary outcome measurements. A self-supervised exercise program was found to have similar effectiveness as a physiotherapist-supervised exercise program in improving motor symptoms in PD patients. This finding is important in the counseling of PD patients regarding adjunctive treatment of motor symptoms of PD with exercise.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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