Short‐term effects of behavioral treatment on movement initiation and postural control in Parkinson's disease: A controlled clinical study
Identifieur interne : 001036 ( Istex/Corpus ); précédent : 001035; suivant : 001037Short‐term effects of behavioral treatment on movement initiation and postural control in Parkinson's disease: A controlled clinical study
Auteurs : Viktor Müller ; Mohr ; Regina Rosin ; Friedemann Pulvermüller ; Friedemann Müller ; Niels BirbaumerSource :
- Movement Disorders [ 0885-3185 ] ; 1997-05.
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Abstract
In a controlled clinical study, we investigated the effects of behavioral treatment on postural and gait initiation problems in idiopathic Parkinson's disease (PD). Comparable groups of patients received behavioral therapy (experimental group, n = 15) and nonspecific psychological treatment (control group, n = 14) for 10 weeks. We monitored various variables reflecting properties of posture and gait initiation by using an optoelectronic motion analyzer (electronic movement analysis system, ELITE). A clinical blind to group membership of the patients assessed PD severity with the Unified Parkinson's Disease Rating Scale (UPDRS) before and after the treatment period. ELITE measures of postural stability and movement initiation revealed treatment‐specific effects. In addition, UPDRS motor scores showed significant improvement only after behavioral treatment. We conclude that behavioral treatment in Parkinson's disease may improve motor disabilities in moderately advanced PD patients.
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DOI: 10.1002/mds.870120308
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<titleInfo type="abbreviated" lang="en"><title>BEHAVIORAL TREATMENT IN PARKINSON'S DISEASE</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Short‐term effects of behavioral treatment on movement initiation and postural control in Parkinson's disease: A controlled clinical study</title>
</titleInfo>
<name type="personal"><namePart type="given">Viktor</namePart>
<namePart type="family">Müller</namePart>
<affiliation>Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="termsOfAddress">Dr.</namePart>
<namePart type="family">Mohr</namePart>
<affiliation>Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany</affiliation>
<description>Correspondence: Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Gartenstrasse 29, 72074 Tübingen, Germany</description>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Regina</namePart>
<namePart type="family">Rosin</namePart>
<affiliation>Department of Neurology, University of Tübingen, Tübingen, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Friedemann</namePart>
<namePart type="family">Pulvermüller</namePart>
<affiliation>Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Friedemann</namePart>
<namePart type="family">Müller</namePart>
<affiliation>Department of Neurology, University of Tübingen, Tübingen, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Niels</namePart>
<namePart type="family">Birbaumer</namePart>
<affiliation>Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany</affiliation>
<affiliation>University of Padua, Department of Psychology, Padua, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<typeOfResource>text</typeOfResource>
<genre authority="originalCategForm">article</genre>
<originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<place><placeTerm type="text">Hoboken</placeTerm>
</place>
<dateIssued encoding="w3cdtf">1997-05</dateIssued>
<dateCaptured encoding="w3cdtf">1996-02-02</dateCaptured>
<dateValid encoding="w3cdtf">1996-10-30</dateValid>
<copyrightDate encoding="w3cdtf">1997</copyrightDate>
</originInfo>
<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<physicalDescription><internetMediaType>text/html</internetMediaType>
<extent unit="figures">6</extent>
<extent unit="tables">2</extent>
<extent unit="references">30</extent>
</physicalDescription>
<abstract lang="en">In a controlled clinical study, we investigated the effects of behavioral treatment on postural and gait initiation problems in idiopathic Parkinson's disease (PD). Comparable groups of patients received behavioral therapy (experimental group, n = 15) and nonspecific psychological treatment (control group, n = 14) for 10 weeks. We monitored various variables reflecting properties of posture and gait initiation by using an optoelectronic motion analyzer (electronic movement analysis system, ELITE). A clinical blind to group membership of the patients assessed PD severity with the Unified Parkinson's Disease Rating Scale (UPDRS) before and after the treatment period. ELITE measures of postural stability and movement initiation revealed treatment‐specific effects. In addition, UPDRS motor scores showed significant improvement only after behavioral treatment. We conclude that behavioral treatment in Parkinson's disease may improve motor disabilities in moderately advanced PD patients.</abstract>
<subject lang="en"><genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>Behavioral treatment</topic>
<topic>Optoelectronic movement analysis</topic>
<topic>Gait initiation</topic>
<topic>Posture</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated"><title>Mov. Disord.</title>
</titleInfo>
<subject><genre>article category</genre>
<topic>Article</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>1997</date>
<detail type="volume"><caption>vol.</caption>
<number>12</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>3</number>
</detail>
<extent unit="pages"><start>306</start>
<end>314</end>
<total>9</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">E1338F2A9510A06CED6E5B36529D740BD40F1371</identifier>
<identifier type="DOI">10.1002/mds.870120308</identifier>
<identifier type="ArticleID">MDS870120308</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1997 Movement Disorder Society</accessCondition>
<recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
</recordInfo>
</mods>
</metadata>
<serie></serie>
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