The Efficacy of Exercise Programs for Parkinson's Disease: Tai Chi versus Combined Exercise
Identifieur interne : 000070 ( Pmc/Checkpoint ); précédent : 000069; suivant : 000071The 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.
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DOI: 10.3988/jcn.2013.9.4.237
PubMed: 24285965
PubMed Central: 3840134
Affiliations:
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<author><name sortKey="Cheon, Sang Myung" sort="Cheon, Sang Myung" uniqKey="Cheon S" first="Sang-Myung" last="Cheon">Sang-Myung Cheon</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Efficacy of Exercise Programs for Parkinson's Disease: Tai Chi versus Combined Exercise</title>
<author><name sortKey="Cheon, Sang Myung" sort="Cheon, Sang Myung" uniqKey="Cheon S" first="Sang-Myung" last="Cheon">Sang-Myung Cheon</name>
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<wicri:regionArea>Department of Neurology, Dong-A University School of Medicine, Busan</wicri:regionArea>
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<author><name sortKey="Chae, Bo Kyung" sort="Chae, Bo Kyung" uniqKey="Chae B" first="Bo-Kyung" last="Chae">Bo-Kyung Chae</name>
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<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. These findings suggest that Tai Chi could be a good exercise strategy for patients with PD.</p>
</sec>
</div>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Neurol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Neurol</journal-id>
<journal-id journal-id-type="publisher-id">JCN</journal-id>
<journal-title-group><journal-title>Journal of Clinical Neurology (Seoul, Korea)</journal-title>
</journal-title-group>
<issn pub-type="ppub">1738-6586</issn>
<issn pub-type="epub">2005-5013</issn>
<publisher><publisher-name>Korean Neurological Association</publisher-name>
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<article-meta><article-id pub-id-type="pmid">24285965</article-id>
<article-id pub-id-type="pmc">3840134</article-id>
<article-id pub-id-type="doi">10.3988/jcn.2013.9.4.237</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Efficacy of Exercise Programs for Parkinson's Disease: Tai Chi versus Combined Exercise</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Cheon</surname>
<given-names>Sang-Myung</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chae</surname>
<given-names>Bo-Kyung</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sung</surname>
<given-names>Hye-Ryun</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Geon Cheol</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Kim</surname>
<given-names>Jae Woo</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>a</label>
Department of Neurology, Dong-A University School of Medicine, Busan, Korea.</aff>
<aff id="A2"><label>b</label>
Division of Sport Science, Pusan National University, Busan, Korea.</aff>
<aff id="A3"><label>c</label>
School of Physical Education, University of Ulsan, Ulsan, Korea.</aff>
<aff id="A4"><label>d</label>
Department of Physical Therapy, Kyungnam College of Information and Technology, Busan, Korea.</aff>
<author-notes><corresp>Correspondence: Jae Woo Kim, MD, PhD. Department of Neurology, School of Medicine, Dong-A University, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. Tel +82-51-240-5266, Fax +82-51-244-8338, <email>jwkim@dau.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>31</day>
<month>10</month>
<year>2013</year>
</pub-date>
<volume>9</volume>
<issue>4</issue>
<fpage>237</fpage>
<lpage>243</lpage>
<history><date date-type="received"><day>14</day>
<month>2</month>
<year>2012</year>
</date>
<date date-type="rev-recd"><day>02</day>
<month>7</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>02</day>
<month>7</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Korean Neurological Association</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><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. These findings suggest that Tai Chi could be a good exercise strategy for patients with PD.</p>
</sec>
</abstract>
<kwd-group><kwd>Parkinson's disease</kwd>
<kwd>exercise</kwd>
<kwd>Tai Chi</kwd>
<kwd>quality of life</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="KR">National Research Foundation of Korea</funding-source>
<award-id>NRF-2008-532-E00024</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label>
<caption><p>Basic and clinical characteristics of patients</p>
</caption>
<graphic xlink:href="jcn-9-237-i001"></graphic>
<table-wrap-foot><fn><p>NS: not significant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label>
<caption><p>Results of functional fitness</p>
</caption>
<graphic xlink:href="jcn-9-237-i002"></graphic>
<table-wrap-foot><fn><p>Post-hoc: presented only when <italic>p</italic>
<0.05/3.</p>
<p>NS: not significant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label>
<caption><p>Results of unified Parkinson's disease rating scale and Schwab and England ADL</p>
</caption>
<graphic xlink:href="jcn-9-237-i003"></graphic>
<table-wrap-foot><fn><p>Post-hoc: presented only when <italic>p</italic>
<0.05/3.</p>
<p>ADL: activities of daily living, NS: not significant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4" orientation="portrait" position="float"><label>Table 4</label>
<caption><p>Results of quality of life scale and Beck's Depression Inventory</p>
</caption>
<graphic xlink:href="jcn-9-237-i004"></graphic>
<table-wrap-foot><fn><p>Post-hoc: presented only when <italic>p</italic>
<0.05/3.</p>
<p>NS: not significant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list><country><li>Corée du Sud</li>
</country>
</list>
<tree><country name="Corée du Sud"><noRegion><name sortKey="Cheon, Sang Myung" sort="Cheon, Sang Myung" uniqKey="Cheon S" first="Sang-Myung" last="Cheon">Sang-Myung Cheon</name>
</noRegion>
<name sortKey="Chae, Bo 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>
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