Movement Disorders (revue)

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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 : 001037

Short‐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 Birbaumer

Source :

RBID : ISTEX:E1338F2A9510A06CED6E5B36529D740BD40F1371

English descriptors

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.

Url:
DOI: 10.1002/mds.870120308

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ISTEX:E1338F2A9510A06CED6E5B36529D740BD40F1371

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<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>
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