A Randomized Controlled Trial of Patient-Reported Outcomes With Tai Chi Exercise in Parkinson's Disease
Identifieur interne : 000B41 ( Main/Exploration ); précédent : 000B40; suivant : 000B42A Randomized Controlled Trial of Patient-Reported Outcomes With Tai Chi Exercise in Parkinson's Disease
Auteurs : Fuzhong Li ; Peter Harmer ; Yu Liu ; Elizabeth Eckstrom ; Kathleen Fitzgerald ; Ronald Stock ; Li-Shan ChouSource :
- Movement Disorders [ 0885-3185 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- methods : Exercise Therapy.
- rehabilitation : Parkinson Disease.
- Aged, Female, Humans, Male, Middle Aged, Quality of Life, Questionnaires, Self Report, Tai Ji, Treatment Outcome.
Abstract
A previous randomized, controlled trial of tai chi showed improvements in objectively measured balance and other motor-related outcomes in patients with Parkinson's disease. This study evaluated whether patient-reported outcomes could be improved through exercise interventions and whether improvements were associated with clinical outcomes and exercise adherence. In a secondary analysis of the tai chi trial, patient-reported and clinical outcomes and exercise adherence measures were compared between tai chi and resistance training and between tai chi and stretching exercise. Patient-reported outcome measures were perceptions of health-related benefits resulting from participation, assessed by the Parkinson's Disease Questionnaire (PDQ-8) and Vitality Plus Scale (VPS). Clinical outcome measures included motor symptoms, assessed by a modified Unified Parkinson's Disease Rating Scale–Motor Examination (UPDRS-ME) and a 50-foot speed walk. Information on continuing exercise after the structured interventions were terminated was obtained at a 3-month postintervention follow-up. Tai chi participants reported significantly better improvement in the PDQ-8 (−5.77 points,
Url:
DOI: 10.1002/mds.25787
PubMed: 24375468
PubMed Central: 3976742
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Randomized Controlled Trial of Patient-Reported Outcomes With Tai Chi Exercise in Parkinson's Disease</title><author><name sortKey="Li, Fuzhong" sort="Li, Fuzhong" uniqKey="Li F" first="Fuzhong" last="Li">Fuzhong Li</name><affiliation><nlm:aff id="au1"></nlm:aff></affiliation></author><author><name sortKey="Harmer, Peter" sort="Harmer, Peter" uniqKey="Harmer P" first="Peter" last="Harmer">Peter Harmer</name><affiliation><nlm:aff id="au2"></nlm:aff></affiliation></author><author><name sortKey="Liu, Yu" sort="Liu, Yu" uniqKey="Liu Y" first="Yu" last="Liu">Yu Liu</name><affiliation><nlm:aff id="au3"></nlm:aff></affiliation></author><author><name sortKey="Eckstrom, Elizabeth" sort="Eckstrom, Elizabeth" uniqKey="Eckstrom E" first="Elizabeth" last="Eckstrom">Elizabeth Eckstrom</name><affiliation><nlm:aff id="au4"></nlm:aff></affiliation></author><author><name sortKey="Fitzgerald, Kathleen" sort="Fitzgerald, Kathleen" uniqKey="Fitzgerald K" first="Kathleen" last="Fitzgerald">Kathleen Fitzgerald</name><affiliation><nlm:aff id="au5"></nlm:aff></affiliation></author><author><name sortKey="Stock, Ronald" sort="Stock, Ronald" uniqKey="Stock R" first="Ronald" last="Stock">Ronald Stock</name><affiliation><nlm:aff id="au4"></nlm:aff></affiliation></author><author><name sortKey="Chou, Li Shan" sort="Chou, Li Shan" uniqKey="Chou L" first="Li-Shan" last="Chou">Li-Shan Chou</name><affiliation><nlm:aff id="au6"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24375468</idno><idno type="pmc">3976742</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976742</idno><idno type="RBID">PMC:3976742</idno><idno type="doi">10.1002/mds.25787</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000435</idno><idno type="wicri:Area/Pmc/Curation">000435</idno><idno type="wicri:Area/Pmc/Checkpoint">000146</idno><idno 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sort="Harmer, Peter" uniqKey="Harmer P" first="Peter" last="Harmer">Peter Harmer</name><affiliation><nlm:aff id="au2"></nlm:aff></affiliation></author><author><name sortKey="Liu, Yu" sort="Liu, Yu" uniqKey="Liu Y" first="Yu" last="Liu">Yu Liu</name><affiliation><nlm:aff id="au3"></nlm:aff></affiliation></author><author><name sortKey="Eckstrom, Elizabeth" sort="Eckstrom, Elizabeth" uniqKey="Eckstrom E" first="Elizabeth" last="Eckstrom">Elizabeth Eckstrom</name><affiliation><nlm:aff id="au4"></nlm:aff></affiliation></author><author><name sortKey="Fitzgerald, Kathleen" sort="Fitzgerald, Kathleen" uniqKey="Fitzgerald K" first="Kathleen" last="Fitzgerald">Kathleen Fitzgerald</name><affiliation><nlm:aff id="au5"></nlm:aff></affiliation></author><author><name sortKey="Stock, Ronald" sort="Stock, Ronald" uniqKey="Stock R" first="Ronald" last="Stock">Ronald Stock</name><affiliation><nlm:aff id="au4"></nlm:aff></affiliation></author><author><name sortKey="Chou, Li Shan" sort="Chou, Li Shan" uniqKey="Chou L" first="Li-Shan" last="Chou">Li-Shan Chou</name><affiliation><nlm:aff id="au6"></nlm:aff></affiliation></author></analytic><series><title level="j">Movement Disorders</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Exercise Therapy (methods)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (rehabilitation)</term><term>Quality of Life</term><term>Questionnaires</term><term>Self Report</term><term>Tai Ji</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Questionnaires</term><term>Self Report</term><term>Tai Ji</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A previous randomized, controlled trial of tai chi showed improvements in objectively measured balance and other motor-related outcomes in patients with Parkinson's disease. This study evaluated whether patient-reported outcomes could be improved through exercise interventions and whether improvements were associated with clinical outcomes and exercise adherence. In a secondary analysis of the tai chi trial, patient-reported and clinical outcomes and exercise adherence measures were compared between tai chi and resistance training and between tai chi and stretching exercise. Patient-reported outcome measures were perceptions of health-related benefits resulting from participation, assessed by the Parkinson's Disease Questionnaire (PDQ-8) and Vitality Plus Scale (VPS). Clinical outcome measures included motor symptoms, assessed by a modified Unified Parkinson's Disease Rating Scale–Motor Examination (UPDRS-ME) and a 50-foot speed walk. Information on continuing exercise after the structured interventions were terminated was obtained at a 3-month postintervention follow-up. Tai chi participants reported significantly better improvement in the PDQ-8 (−5.77 points, <italic>P</italic> = 0.014) than did resistance training participants and in PDQ-8 (−9.56 points, <italic>P</italic> < 0.001) and VPS (2.80 points, <italic>P</italic> = 0.003) than did stretching participants. For tai chi, patient-reported improvement in the PDQ-8 and VPS was significantly correlated with their clinical outcomes of UPDRS-ME and a 50-foot walk, but these correlations were not statistically different from those shown for resistance training or stretching. However, patient-reported outcomes from tai chi training were associated with greater probability of continued exercise behavior than were either clinical outcomes or patient-reported outcomes from resistance training or stretching. Tai chi improved patient-reported perceptions of health-related benefits, which were found to be associated with a greater probability of exercise adherence. The findings indicate the potential of patient perceptions to drive exercise behavior after structured exercise programs are completed and the value of strengthening such perceptions in any behavioral intervention.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Allen, Ne" uniqKey="Allen N">NE Allen</name></author><author><name sortKey="Sherrington, C" uniqKey="Sherrington C">C Sherrington</name></author><author><name sortKey="Paul, Ss" uniqKey="Paul S">SS Paul</name></author><author><name sortKey="Canning, Cg" uniqKey="Canning C">CG Canning</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goodwin, Va" uniqKey="Goodwin V">VA Goodwin</name></author><author><name sortKey="Richards, Sh" uniqKey="Richards S">SH Richards</name></author><author><name sortKey="Taylor, Rs" uniqKey="Taylor R">RS Taylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosenthal, Ls" 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Glickman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chou, Li Shan" sort="Chou, Li Shan" uniqKey="Chou L" first="Li-Shan" last="Chou">Li-Shan Chou</name><name sortKey="Eckstrom, Elizabeth" sort="Eckstrom, Elizabeth" uniqKey="Eckstrom E" first="Elizabeth" last="Eckstrom">Elizabeth Eckstrom</name><name sortKey="Fitzgerald, Kathleen" sort="Fitzgerald, Kathleen" uniqKey="Fitzgerald K" first="Kathleen" last="Fitzgerald">Kathleen Fitzgerald</name><name sortKey="Harmer, Peter" sort="Harmer, Peter" uniqKey="Harmer P" first="Peter" last="Harmer">Peter Harmer</name><name sortKey="Li, Fuzhong" sort="Li, Fuzhong" uniqKey="Li F" first="Fuzhong" last="Li">Fuzhong Li</name><name sortKey="Liu, Yu" sort="Liu, Yu" uniqKey="Liu Y" first="Yu" last="Liu">Yu Liu</name><name sortKey="Stock, Ronald" sort="Stock, Ronald" uniqKey="Stock R" first="Ronald" last="Stock">Ronald 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