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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effects of a formal exercise program on Parkinson’s disease: A pilot study using a delayed start design</title><author><name sortKey="Park, A" sort="Park, A" uniqKey="Park A" first="A." last="Park">A. Park</name><affiliation><nlm:aff id="A1">Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Zid, D" sort="Zid, D" uniqKey="Zid D" first="D." last="Zid">D. Zid</name><affiliation><nlm:aff id="A2">Columbus Health Works, Columbus, OH 43212, USA</nlm:aff></affiliation></author><author><name sortKey="Russell, J" sort="Russell, J" uniqKey="Russell J" first="J." last="Russell">J. Russell</name><affiliation><nlm:aff id="A2">Columbus Health Works, Columbus, OH 43212, USA</nlm:aff></affiliation></author><author><name sortKey="Malone, A" sort="Malone, A" uniqKey="Malone A" first="A." last="Malone">A. Malone</name><affiliation><nlm:aff id="A1">Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Rendon, A" sort="Rendon, A" uniqKey="Rendon A" first="A." last="Rendon">A. Rendon</name><affiliation><nlm:aff id="A1">Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Wehr, A" sort="Wehr, A" uniqKey="Wehr A" first="A." last="Wehr">A. Wehr</name><affiliation><nlm:aff id="A3">Center for Biostatistics, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Li, X" sort="Li, X" uniqKey="Li X" first="X." last="Li">X. Li</name><affiliation><nlm:aff id="A3">Center for Biostatistics, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24209458</idno><idno type="pmc">4030674</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4030674</idno><idno type="RBID">PMC:4030674</idno><idno type="doi">10.1016/j.parkreldis.2013.10.003</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000269</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000269</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effects of a formal exercise program on Parkinson’s disease: A pilot study using a delayed start design</title><author><name sortKey="Park, A" sort="Park, A" uniqKey="Park A" first="A." last="Park">A. Park</name><affiliation><nlm:aff id="A1">Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Zid, D" sort="Zid, D" uniqKey="Zid D" first="D." last="Zid">D. Zid</name><affiliation><nlm:aff id="A2">Columbus Health Works, Columbus, OH 43212, USA</nlm:aff></affiliation></author><author><name sortKey="Russell, J" sort="Russell, J" uniqKey="Russell J" first="J." last="Russell">J. Russell</name><affiliation><nlm:aff id="A2">Columbus Health Works, Columbus, OH 43212, USA</nlm:aff></affiliation></author><author><name sortKey="Malone, A" sort="Malone, A" uniqKey="Malone A" first="A." last="Malone">A. Malone</name><affiliation><nlm:aff id="A1">Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Rendon, A" sort="Rendon, A" uniqKey="Rendon A" first="A." last="Rendon">A. Rendon</name><affiliation><nlm:aff id="A1">Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Wehr, A" sort="Wehr, A" uniqKey="Wehr A" first="A." last="Wehr">A. Wehr</name><affiliation><nlm:aff id="A3">Center for Biostatistics, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author><author><name sortKey="Li, X" sort="Li, X" uniqKey="Li X" first="X." last="Li">X. Li</name><affiliation><nlm:aff id="A3">Center for Biostatistics, The Ohio State University, Columbus, OH 43210, USA</nlm:aff></affiliation></author></analytic><series><title level="j">Parkinsonism & related disorders</title><idno type="ISSN">1353-8020</idno><idno type="eISSN">1873-5126</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title><p id="P1">Parkinson’s Disease (PD) is a progressive neurodegenerative disease. Increasing evidence shows that physical exercise is beneficial for motor and non-motor symptoms of PD, and animal models suggest that it may help slow progression of disease.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Using a randomized delayed-start design, 31 patients were randomized to an early start group (ESG) or a delayed start group (DSG) exercise program. The ESG underwent a rigorous formal group exercise program for 1 h, three days/week, for 48 weeks (November 2011–October 2012). The DSG participated in this identical exercise program from weeks 24–48. Outcome measures included the Unified Parkinson’s Disease Rating Scale (UPDRS), Walking Test (get-up-and-go), Tinetti Mobility Test, PDQ-39 Questionnaire, and the Beck Depression Inventory.</p></sec><sec id="S3"><title>Results</title><p id="P3">There was minimal attrition in this study, with only one patient dropping out. Results did not show improvement in total UPDRS scores with early exercise. At week 48, the mean change from baseline total UPDRS score was 6.33 in the ESG versus 5.13 in the DSG (<italic>p</italic> = 0.58). However, patients randomized to the ESG scored significantly better on the Beck Depression Inventory, with a mean improvement of 1.07 points relative to those in the DSG (<italic>p</italic> = 0.04).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The findings demonstrate that long-term, group exercise programs are feasible in the Parkinson’s disease population, with excellent adherence and minimal drop out. While the outcome measures used in our study did not provide strong evidence that exercise has a neuroprotective effect on motor function, earlier participation in a group exercise program had a significant effect on symptoms of depression.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9513583</journal-id><journal-id journal-id-type="pubmed-jr-id">21522</journal-id><journal-id journal-id-type="nlm-ta">Parkinsonism Relat Disord</journal-id><journal-id journal-id-type="iso-abbrev">Parkinsonism Relat. Disord.</journal-id><journal-title-group><journal-title>Parkinsonism & related disorders</journal-title></journal-title-group><issn pub-type="ppub">1353-8020</issn><issn pub-type="epub">1873-5126</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24209458</article-id><article-id pub-id-type="pmc">4030674</article-id><article-id pub-id-type="doi">10.1016/j.parkreldis.2013.10.003</article-id><article-id pub-id-type="manuscript">NIHMS577071</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Effects of a formal exercise program on Parkinson’s disease: A pilot study using a delayed start design</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Park</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref rid="FN1" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Zid</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Russell</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Malone</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Rendon</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Wehr</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Li</surname><given-names>X.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib></contrib-group><aff id="A1"><label>a</label>Department of Neurology, The Ohio State University, Columbus, OH 43210, USA</aff><aff id="A2"><label>b</label>Columbus Health Works, Columbus, OH 43212, USA</aff><aff id="A3"><label>c</label>Center for Biostatistics, The Ohio State University, Columbus, OH 43210, USA</aff><author-notes><corresp id="FN1"><label>*</label>Corresponding author. Madden Center for Parkinson’s Disease and Related Disorders, Wexner Medical Center at The Ohio State University, 395 W. 12th Avenue, Columbus, OH 43210, USA. Tel.: +1 614 293 4969; fax: +1 614 293 6111. <email>ariane.park@osumc.edu</email> (A. Park)</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>30</day><month>4</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>15</day><month>10</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>1</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>22</day><month>5</month><year>2014</year></pub-date><volume>20</volume><issue>1</issue><fpage>106</fpage><lpage>111</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.parkreldis.2013.10.003</pmc-comment>
<permissions><copyright-statement>© 2013 Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Introduction</title><p id="P1">Parkinson’s Disease (PD) is a progressive neurodegenerative disease. Increasing evidence shows that physical exercise is beneficial for motor and non-motor symptoms of PD, and animal models suggest that it may help slow progression of disease.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Using a randomized delayed-start design, 31 patients were randomized to an early start group (ESG) or a delayed start group (DSG) exercise program. The ESG underwent a rigorous formal group exercise program for 1 h, three days/week, for 48 weeks (November 2011–October 2012). The DSG participated in this identical exercise program from weeks 24–48. Outcome measures included the Unified Parkinson’s Disease Rating Scale (UPDRS), Walking Test (get-up-and-go), Tinetti Mobility Test, PDQ-39 Questionnaire, and the Beck Depression Inventory.</p></sec><sec id="S3"><title>Results</title><p id="P3">There was minimal attrition in this study, with only one patient dropping out. Results did not show improvement in total UPDRS scores with early exercise. At week 48, the mean change from baseline total UPDRS score was 6.33 in the ESG versus 5.13 in the DSG (<italic>p</italic> = 0.58). However, patients randomized to the ESG scored significantly better on the Beck Depression Inventory, with a mean improvement of 1.07 points relative to those in the DSG (<italic>p</italic> = 0.04).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The findings demonstrate that long-term, group exercise programs are feasible in the Parkinson’s disease population, with excellent adherence and minimal drop out. While the outcome measures used in our study did not provide strong evidence that exercise has a neuroprotective effect on motor function, earlier participation in a group exercise program had a significant effect on symptoms of depression.</p></sec></abstract><kwd-group><kwd>Parkinson’s disease</kwd><kwd>Exercise</kwd><kwd>Tinetti</kwd><kwd>Neuroprotection</kwd><kwd>Depression</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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