MovDisordV3, Ncbi, Checkpoint, bibRecord, 002982

Self-management rehabilitation and health-related quality of life in Parkinson's disease: A randomized controlled trial

Identifieur interne : 002982 ( Ncbi/Checkpoint ); précédent : 002981; suivant : 002983

Self-management rehabilitation and health-related quality of life in Parkinson's disease: A randomized controlled trial

Auteurs : L. Tickle-Degnen ; T. Ellis ; M. H. Saint-Hilaire ; C. A. Thomas ; R. C. Wagenaar

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2010.

RBID : PMC:2831132

English descriptors

KwdEn :
- Aged, Combined Modality Therapy (methods), Disability Evaluation, Exercise Therapy (methods), Female, Follow-Up Studies, Health Status, Humans, Male, Middle Aged, Parkinson Disease (psychology), Parkinson Disease (rehabilitation), Parkinson Disease (therapy), Psychiatric Status Rating Scales, Quality of Life (psychology), Questionnaires, Self Care (methods), Severity of Illness Index, Social Support, Time Factors, Treatment Outcome.
MESH :
- methods : Combined Modality Therapy, Exercise Therapy, Self Care.
- psychology : Parkinson Disease, Quality of Life.
- rehabilitation : Parkinson Disease.
- therapy : Parkinson Disease.
- Aged, Disability Evaluation, Female, Follow-Up Studies, Health Status, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Questionnaires, Severity of Illness Index, Social Support, Time Factors, Treatment Outcome.

Abstract

The purpose of this randomized controlled trial was to determine if increasing hours of self-management rehabilitation had increasing benefits for health-related quality of life (HRQOL) in Parkinson's disease beyond best medical treatment, if effects persisted at two and six months follow-up, and if targeted compared to non-targeted HRQOL domains responded more to rehabilitation. Participants on best medication therapy were randomized to one of three conditions for six weeks intervention: 0 hrs of rehabilitation; 18 hrs of clinic group rehabilitation plus 9 hrs of attention control social sessions; and 27 hrs of rehabilitation, with 18 in clinic group rehabilitation and 9 hrs of rehabilitation designed to transfer clinic training into home and community routines. Results (N = 116) showed that at six weeks there was a beneficial effect of increased rehabilitation hours on HRQOL measured with the Parkinson's Disease Questionnaire-39 summary index (eta = .23, CI = .05 – .40, p =.01). Benefits persisted at follow-up. The difference between 18 and 27 hrs was not significant. Clinically relevant improvement occurred at a greater rate for 18 and 27 hrs (54% improved) than for 0 hrs (18% improved), a significant 36% difference in rates (95% CI = 20% to 52% difference). Effects were largest in two targeted domains: communication and mobility. More concerns with mobility and activities of daily living at baseline predicted more benefit from rehabilitation.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831132

DOI: 10.1002/mds.22940
PubMed: 20077478
PubMed Central: 2831132

Affiliations:

Links to Exploration step

PMC:2831132

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p id="P6">The purpose of this randomized controlled trial was to determine if increasing hours of self-management rehabilitation had increasing benefits for health-related quality of life (HRQOL) in Parkinson's disease beyond best medical treatment, if effects persisted at two and six months follow-up, and if targeted compared to non-targeted HRQOL domains responded more to rehabilitation. Participants on best medication therapy were randomized to one of three conditions for six weeks intervention: 0 hrs of rehabilitation; 18 hrs of clinic group rehabilitation plus 9 hrs of attention control social sessions; and 27 hrs of rehabilitation, with 18 in clinic group rehabilitation and 9 hrs of rehabilitation designed to transfer clinic training into home and community routines. Results (N = 116) showed that at six weeks there was a beneficial effect of increased rehabilitation hours on HRQOL measured with the Parkinson's Disease Questionnaire-39 summary index (<italic>eta</italic>
 = .23, CI = .05 – .40, <italic>p</italic>
 =.01). Benefits persisted at follow-up. The difference between 18 and 27 hrs was not significant. Clinically relevant improvement occurred at a greater rate for 18 and 27 hrs (54% improved) than for 0 hrs (18% improved), a significant 36% difference in rates (95% CI = 20% to 52% difference). Effects were largest in two targeted domains: communication and mobility. More concerns with mobility and activities of daily living at baseline predicted more benefit from rehabilitation.</p>
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Movement Disorders (revue)

Self-management rehabilitation and health-related quality of life in Parkinson's disease: A randomized controlled trial

Self-management rehabilitation and health-related quality of life in Parkinson's disease: A randomized controlled trial

Source :

English descriptors

Abstract

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Links to Exploration step

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	Movement Disorders (revue)
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