The Efficacy of Exercise Programs for Parkinson's Disease: Tai Chi versus Combined Exercise
Identifieur interne : 000085 ( Main/Exploration ); précédent : 000084; suivant : 000086The Efficacy of Exercise Programs for Parkinson's Disease: Tai Chi versus Combined Exercise
Auteurs : Sang-Myung Cheon [Corée du Sud] ; Bo-Kyung Chae [Corée du Sud] ; Hye-Ryun Sung [Corée du Sud] ; Geon Cheol Lee [Corée du Sud] ; Jae Woo Kim [Corée du Sud]Source :
- Journal of Clinical Neurology (Seoul, Korea) [ 1738-6586 ] ; 2013.
Abstract
Exercise is recommended for every patient with Parkinson's disease (PD). The effectiveness of two different forms of exercise for PD, Tai Chi and combined stretching-strengthening exercise, was compared.
Patients with mild-to-moderate PD were recruited to join either the combined stretching-strengthening exercise group (
Both exercise groups yielded better results in their overall functional fitness after the intervention. However, no improvement with exercise was found for parkinsonian symptoms, as evaluated using the Unified Parkinson's Disease Rating Scale. With respect to the domains of QoL, the combined stretching-strengthening exercise group fared better in the social domain of QoL, and the Tai Chi group fared better in the emotional domain, while QoL and depression worsened in the control group. The postintervention QoL was improved relative to the control condition only for the Tai Chi group. Although the exercise interventions did not have any effect on depression, the control group was associated with a significant deterioration.
Exercise improved the functional fitness and QoL of PD patients, with Tai Chi yielding better results in QoL and favorable results in functional fitness. These findings suggest that Tai Chi could be a good exercise strategy for patients with PD.
Url:
DOI: 10.3988/jcn.2013.9.4.237
PubMed: 24285965
PubMed Central: 3840134
Affiliations:
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sortKey="Cheon, Sang Myung" sort="Cheon, Sang Myung" uniqKey="Cheon S" first="Sang-Myung" last="Cheon">Sang-Myung Cheon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Neurology, Dong-A University School of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Dong-A University School of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Chae, Bo Kyung" sort="Chae, Bo Kyung" uniqKey="Chae B" first="Bo-Kyung" last="Chae">Bo-Kyung Chae</name><affiliation wicri:level="1"><nlm:aff id="A2">Division of Sport Science, Pusan National University, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Sport Science, Pusan National University, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Sung, Hye Ryun" sort="Sung, Hye Ryun" uniqKey="Sung H" first="Hye-Ryun" last="Sung">Hye-Ryun Sung</name><affiliation wicri:level="1"><nlm:aff id="A3">School of Physical Education, University of Ulsan, Ulsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>School of Physical Education, University of Ulsan, Ulsan</wicri:regionArea><wicri:noRegion>Ulsan</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Geon Cheol" sort="Lee, Geon Cheol" uniqKey="Lee G" first="Geon Cheol" last="Lee">Geon Cheol Lee</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Physical Therapy, Kyungnam College of Information and Technology, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical Therapy, Kyungnam College of Information and Technology, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Jae Woo" sort="Kim, Jae Woo" uniqKey="Kim J" first="Jae Woo" last="Kim">Jae Woo Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Neurology, Dong-A University School of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Dong-A University School of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical Neurology (Seoul, Korea)</title><idno type="ISSN">1738-6586</idno><idno type="eISSN">2005-5013</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><title>Background and Purpose</title><p>Exercise is recommended for every patient with Parkinson's disease (PD). The effectiveness of two different forms of exercise for PD, Tai Chi and combined stretching-strengthening exercise, was compared.</p></sec><sec><title>Methods</title><p>Patients with mild-to-moderate PD were recruited to join either the combined stretching-strengthening exercise group (<italic>n</italic>=7), the Tai Chi group (<italic>n</italic>=9), or the control (nonintervention) group (<italic>n</italic>=7). Exercise was performed three times a week over a period of 8 weeks. The Tai Chi exercise was led by certified instructors based on a Tai-Chi-for-arthritis program. The combined stretching-strengthening exercise comprised folk dancing, stepping, and elastic-band exercises. The subjects' functional fitness, parkinsonian symptoms, quality of life (QoL), and depression were evaluated.</p></sec><sec><title>Results</title><p>Both exercise groups yielded better results in their overall functional fitness after the intervention. However, no improvement with exercise was found for parkinsonian symptoms, as evaluated using the Unified Parkinson's Disease Rating Scale. With respect to the domains of QoL, the combined stretching-strengthening exercise group fared better in the social domain of QoL, and the Tai Chi group fared better in the emotional domain, while QoL and depression worsened in the control group. The postintervention QoL was improved relative to the control condition only for the Tai Chi group. Although the exercise interventions did not have any effect on depression, the control group was associated with a significant deterioration.</p></sec><sec><title>Conclusions</title><p>Exercise improved the functional fitness and QoL of PD patients, with Tai Chi yielding better results in QoL and favorable results in functional fitness. 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Kyung" sort="Chae, Bo Kyung" uniqKey="Chae B" first="Bo-Kyung" last="Chae">Bo-Kyung Chae</name><name sortKey="Kim, Jae Woo" sort="Kim, Jae Woo" uniqKey="Kim J" first="Jae Woo" last="Kim">Jae Woo Kim</name><name sortKey="Lee, Geon Cheol" sort="Lee, Geon Cheol" uniqKey="Lee G" first="Geon Cheol" last="Lee">Geon Cheol Lee</name><name sortKey="Sung, Hye Ryun" sort="Sung, Hye Ryun" uniqKey="Sung H" first="Hye-Ryun" last="Sung">Hye-Ryun Sung</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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