The effectiveness of Tai Chi for patients with Parkinson’s disease: study protocol for a randomized controlled trial
Identifieur interne : 000003 ( Main/Exploration ); précédent : 000002; suivant : 000004The effectiveness of Tai Chi for patients with Parkinson’s disease: study protocol for a randomized controlled trial
Auteurs : Yan Yang ; Yan-Lei Hao ; Wen-Jing Tian ; Li Gong ; Kui Zhang ; Qi-Guang Shi ; Da-Fang Sun ; Cui-Lan Li ; Zhi-Ling ZhaoSource :
- Trials [ 1745-6215 ] ; 2015.
Abstract
Parkinson’s disease (PD) is a common degenerative neurological disorder that causes loss of independence and decreased quality of life. The prevalence of PD tends to increase with age. In China, the morbidity rate of PD among people aged more than 65 years old is 1.70%. As an important component of traditional Chinese
A single-blind, parallel randomized controlled trial will be conducted. One hundred and forty-two patients with PD will be randomly assigned to a Tai Chi group (n = 71) or routine exercise group (n = 71). Subjects will participate in supervised study programs 3 times per week for 2 months and will be followed for an additional 6 months after formal training stops. The primary outcome measures include Berg Balance Scale, Timed Up and Go Test and Six-Minute Walk Test, which are known to be valid and reliable clinical instruments. The Unified Parkinson’s Disease Rating Scale Motor Section and Parkinson’s Disease Questionnaire-39 will be used as the secondary outcome measure. All outcomes will be measured at baseline, 2 and 8 months. The sample for this trial (N = 142) will provide relevant information to detect the improvement of balance, gait and quality of life in either of the 2 exercise groups.
Findings from this study will provide insights into the effects of Tai Chi in people with PD. The information gained from this project has the potential to influence the clinical decisions of Chinese doctors, and will provide clear evidence as to whether Tai Chi should be advocated in people with PD.
The trial was registered at (
Url:
DOI: 10.1186/s13063-015-0639-8
PubMed: 25873334
PubMed Central: 4377011
Affiliations:
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last="Tian">Wen-Jing Tian</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Gong, Li" sort="Gong, Li" uniqKey="Gong L" first="Li" last="Gong">Li Gong</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Zhang, Kui" sort="Zhang, Kui" uniqKey="Zhang K" first="Kui" last="Zhang">Kui Zhang</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Shi, Qi Guang" sort="Shi, Qi Guang" uniqKey="Shi Q" first="Qi-Guang" last="Shi">Qi-Guang Shi</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Sun, Da Fang" sort="Sun, Da Fang" uniqKey="Sun D" first="Da-Fang" last="Sun">Da-Fang Sun</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Li, Cui Lan" sort="Li, Cui Lan" uniqKey="Li C" first="Cui-Lan" last="Li">Cui-Lan Li</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Zhao, Zhi Ling" sort="Zhao, Zhi Ling" uniqKey="Zhao Z" first="Zhi-Ling" last="Zhao">Zhi-Ling Zhao</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25873334</idno><idno type="pmc">4377011</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377011</idno><idno type="RBID">PMC:4377011</idno><idno type="doi">10.1186/s13063-015-0639-8</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000036</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000036</idno><idno type="wicri:Area/Pmc/Curation">000036</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000036</idno><idno type="wicri:Area/Pmc/Checkpoint">000003</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000003</idno><idno type="wicri:Area/Ncbi/Merge">000212</idno><idno type="wicri:Area/Ncbi/Curation">000212</idno><idno type="wicri:Area/Ncbi/Checkpoint">000212</idno><idno type="wicri:Area/Main/Merge">000003</idno><idno type="wicri:Area/Main/Curation">000003</idno><idno type="wicri:Area/Main/Exploration">000003</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effectiveness of Tai Chi for patients with Parkinson’s disease: study protocol for a randomized controlled trial</title><author><name sortKey="Yang, Yan" sort="Yang, Yan" uniqKey="Yang Y" first="Yan" last="Yang">Yan Yang</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Hao, Yan Lei" sort="Hao, Yan Lei" uniqKey="Hao Y" first="Yan-Lei" last="Hao">Yan-Lei Hao</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Tian, Wen Jing" sort="Tian, Wen Jing" uniqKey="Tian W" first="Wen-Jing" last="Tian">Wen-Jing Tian</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Gong, Li" sort="Gong, Li" uniqKey="Gong L" first="Li" last="Gong">Li Gong</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Zhang, Kui" sort="Zhang, Kui" uniqKey="Zhang K" first="Kui" last="Zhang">Kui Zhang</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Shi, Qi Guang" sort="Shi, Qi Guang" uniqKey="Shi Q" first="Qi-Guang" last="Shi">Qi-Guang Shi</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Sun, Da Fang" sort="Sun, Da Fang" uniqKey="Sun D" first="Da-Fang" last="Sun">Da-Fang Sun</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Li, Cui Lan" sort="Li, Cui Lan" uniqKey="Li C" first="Cui-Lan" last="Li">Cui-Lan Li</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author><author><name sortKey="Zhao, Zhi Ling" sort="Zhao, Zhi Ling" uniqKey="Zhao Z" first="Zhi-Ling" last="Zhao">Zhi-Ling Zhao</name><affiliation><nlm:aff id="Aff1">Department of Neurology, Affiliated Hospital of Jining Medical University, 79 Guhuai Rd, Jining, Shandong China</nlm:aff><wicri:noCountry code="subfield">Shandong China</wicri:noCountry></affiliation></author></analytic><series><title level="j">Trials</title><idno type="eISSN">1745-6215</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Parkinson’s disease (PD) is a common degenerative neurological disorder that causes loss of independence and decreased quality of life. The prevalence of PD tends to increase with age. In China, the morbidity rate of PD among people aged more than 65 years old is 1.70%. As an important component of traditional Chinese <italic>Qigong</italic> exercises, Tai Chi is a popular and safe exercise, especially for older adults in China. And it may result in promising gains for PD patients. However, current evidence is insufficient to inform the use of Tai Chi in the management of PD. Therefore, the aim of this trial is to systematically evaluate the effect of Tai Chi on PD and determine whether Tai Chi is an eligible exercise program for Chinese PD patients.</p></sec><sec><title>Methods/Design</title><p>A single-blind, parallel randomized controlled trial will be conducted. One hundred and forty-two patients with PD will be randomly assigned to a Tai Chi group (n = 71) or routine exercise group (n = 71). Subjects will participate in supervised study programs 3 times per week for 2 months and will be followed for an additional 6 months after formal training stops. The primary outcome measures include Berg Balance Scale, Timed Up and Go Test and Six-Minute Walk Test, which are known to be valid and reliable clinical instruments. The Unified Parkinson’s Disease Rating Scale Motor Section and Parkinson’s Disease Questionnaire-39 will be used as the secondary outcome measure. All outcomes will be measured at baseline, 2 and 8 months. The sample for this trial (N = 142) will provide relevant information to detect the improvement of balance, gait and quality of life in either of the 2 exercise groups.</p></sec><sec><title>Discussion</title><p>Findings from this study will provide insights into the effects of Tai Chi in people with PD. The information gained from this project has the potential to influence the clinical decisions of Chinese doctors, and will provide clear evidence as to whether Tai Chi should be advocated in people with PD.</p></sec><sec><title>Trial registration</title><p>The trial was registered at (<ext-link ext-link-type="uri" xlink:href="http://www.chictr.org/cn/proj/show.aspx?proj=7778">ChiCTR-TRC-14004549</ext-link>) on 22 April 2014.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jankovic, J" uniqKey="Jankovic J">J Jankovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dorsey, Er" uniqKey="Dorsey E">ER Dorsey</name></author><author><name sortKey="Constantinescu, R" uniqKey="Constantinescu R">R Constantinescu</name></author><author><name sortKey="Thompson, Jp" uniqKey="Thompson J">JP Thompson</name></author><author><name sortKey="Biglan, Km" uniqKey="Biglan K">KM 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sort="Gong, Li" uniqKey="Gong L" first="Li" last="Gong">Li Gong</name><name sortKey="Hao, Yan Lei" sort="Hao, Yan Lei" uniqKey="Hao Y" first="Yan-Lei" last="Hao">Yan-Lei Hao</name><name sortKey="Li, Cui Lan" sort="Li, Cui Lan" uniqKey="Li C" first="Cui-Lan" last="Li">Cui-Lan Li</name><name sortKey="Shi, Qi Guang" sort="Shi, Qi Guang" uniqKey="Shi Q" first="Qi-Guang" last="Shi">Qi-Guang Shi</name><name sortKey="Sun, Da Fang" sort="Sun, Da Fang" uniqKey="Sun D" first="Da-Fang" last="Sun">Da-Fang Sun</name><name sortKey="Tian, Wen Jing" sort="Tian, Wen Jing" uniqKey="Tian W" first="Wen-Jing" last="Tian">Wen-Jing Tian</name><name sortKey="Yang, Yan" sort="Yang, Yan" uniqKey="Yang Y" first="Yan" last="Yang">Yan Yang</name><name sortKey="Zhang, Kui" sort="Zhang, Kui" uniqKey="Zhang K" first="Kui" last="Zhang">Kui Zhang</name><name sortKey="Zhao, Zhi Ling" sort="Zhao, Zhi Ling" uniqKey="Zhao Z" first="Zhi-Ling" last="Zhao">Zhi-Ling Zhao</name></noCountry></tree></affiliations></record>Pour 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