The Effect of Cueing Therapy on Single and Dual-Task Gait in a Drug Naïve Population of People with Parkinson's Disease in Northern Tanzania
Identifieur interne : 000B08 ( PascalFrancis/Corpus ); précédent : 000B07; suivant : 000B09The Effect of Cueing Therapy on Single and Dual-Task Gait in a Drug Naïve Population of People with Parkinson's Disease in Northern Tanzania
Auteurs : Lynn Rochester ; Danny Rafferty ; Catherine Dotchin ; Oliva Msuya ; Victor Minde ; R. W. WalkerSource :
- Movement disorders [ 0885-3185 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
The incidence of Parkinson's disease (PD) in subSaharan Africa (SSA) is greater than thought however, is largely undiagnosed and untreated. This study aimed to evaluate a nonpharmacological approach using cueing therapy to improve gait in drug-naïve PD and the feasibility of delivering rehabilitation in northern Tanzania. In this study, twenty-one people with PD aged 76.4 years (12.9 SD) with varying disease severity participated. They received 9 × 30 min sessions of cueing therapy for gait problems over 3 weeks from a trained therapist delivered in their home environment. Cueing therapy consisted of walking in time to a metronome beat to correct step amplitude and step frequency during a range of functional activities. Gait was recorded on video before and after therapy, and videos were analyzed in the UK by an assessor not involved in data collection. Disease severity (UPDRS) and balance were also measured. Patients were assessed in their nearest clinic. Data were analyzed in Minitab and a P value of 0.05 was considered significant. Cueing therapy significantly improved single and dual task walking speed, step amplitude, and single task step frequency. There was also a significant improvement in motor impairment (UPDRS III) and activities of daily living (UPDRS II). The results provide promising evidence for the role of cueing therapy in PD for symptom management to reduce or delay medication onset. This study also supports the feasibility of rehabilitation in PD in community environments in SSA, which may be applicable to other developing regions.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 10-0288351 INIST |
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ET : | The Effect of Cueing Therapy on Single and Dual-Task Gait in a Drug Naïve Population of People with Parkinson's Disease in Northern Tanzania |
AU : | ROCHESTER (Lynn); RAFFERTY (Danny); DOTCHIN (Catherine); MSUYA (Oliva); MINDE (Victor); WALKER (R. W.) |
AF : | Institute for Ageing and Health, Clinical Ageing Research Unit, Campus for Ageing and Vitality, Newcastle University/Newcastle upon Tyne/Royaume-Uni (1 aut.); School of Health, Community Studies, Northumbria University/Newcastle upon Tyne/Royaume-Uni (1 aut.); HealthQWest, Glasgow Caledonian University/Glasgow/Royaume-Uni (1 aut., 2 aut.); North Tyneside District General Hospital, Rake Lane/North Shields, Tyne and Wear/Royaume-Uni (3 aut., 6 aut.); Kilimanjaro Christian Medical Centre/Moshi/Tanzanie (4 aut., 5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 7; Pp. 906-911; Bibl. 20 ref. |
LA : | Anglais |
EA : | The incidence of Parkinson's disease (PD) in subSaharan Africa (SSA) is greater than thought however, is largely undiagnosed and untreated. This study aimed to evaluate a nonpharmacological approach using cueing therapy to improve gait in drug-naïve PD and the feasibility of delivering rehabilitation in northern Tanzania. In this study, twenty-one people with PD aged 76.4 years (12.9 SD) with varying disease severity participated. They received 9 × 30 min sessions of cueing therapy for gait problems over 3 weeks from a trained therapist delivered in their home environment. Cueing therapy consisted of walking in time to a metronome beat to correct step amplitude and step frequency during a range of functional activities. Gait was recorded on video before and after therapy, and videos were analyzed in the UK by an assessor not involved in data collection. Disease severity (UPDRS) and balance were also measured. Patients were assessed in their nearest clinic. Data were analyzed in Minitab and a P value of 0.05 was considered significant. Cueing therapy significantly improved single and dual task walking speed, step amplitude, and single task step frequency. There was also a significant improvement in motor impairment (UPDRS III) and activities of daily living (UPDRS II). The results provide promising evidence for the role of cueing therapy in PD for symptom management to reduce or delay medication onset. This study also supports the feasibility of rehabilitation in PD in community environments in SSA, which may be applicable to other developing regions. |
CC : | 002B17; 002B17G |
FD : | Maladie de Parkinson; Pathologie du système nerveux; Traitement; Tanzanie |
FG : | Afrique; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central |
ED : | Parkinson disease; Nervous system diseases; Treatment; Tanzania |
EG : | Africa; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
SD : | Parkinson enfermedad; Sistema nervioso patología; Tratamiento; Tanzania |
LO : | INIST-20953.354000193040220130 |
ID : | 10-0288351 |
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Pascal:10-0288351Le document en format XML
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<front><div type="abstract" xml:lang="en">The incidence of Parkinson's disease (PD) in subSaharan Africa (SSA) is greater than thought however, is largely undiagnosed and untreated. This study aimed to evaluate a nonpharmacological approach using cueing therapy to improve gait in drug-naïve PD and the feasibility of delivering rehabilitation in northern Tanzania. In this study, twenty-one people with PD aged 76.4 years (12.9 SD) with varying disease severity participated. They received 9 × 30 min sessions of cueing therapy for gait problems over 3 weeks from a trained therapist delivered in their home environment. Cueing therapy consisted of walking in time to a metronome beat to correct step amplitude and step frequency during a range of functional activities. Gait was recorded on video before and after therapy, and videos were analyzed in the UK by an assessor not involved in data collection. Disease severity (UPDRS) and balance were also measured. Patients were assessed in their nearest clinic. Data were analyzed in Minitab and a P value of 0.05 was considered significant. Cueing therapy significantly improved single and dual task walking speed, step amplitude, and single task step frequency. There was also a significant improvement in motor impairment (UPDRS III) and activities of daily living (UPDRS II). The results provide promising evidence for the role of cueing therapy in PD for symptom management to reduce or delay medication onset. This study also supports the feasibility of rehabilitation in PD in community environments in SSA, which may be applicable to other developing regions.</div>
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<ET>The Effect of Cueing Therapy on Single and Dual-Task Gait in a Drug Naïve Population of People with Parkinson's Disease in Northern Tanzania</ET>
<AU>ROCHESTER (Lynn); RAFFERTY (Danny); DOTCHIN (Catherine); MSUYA (Oliva); MINDE (Victor); WALKER (R. W.)</AU>
<AF>Institute for Ageing and Health, Clinical Ageing Research Unit, Campus for Ageing and Vitality, Newcastle University/Newcastle upon Tyne/Royaume-Uni (1 aut.); School of Health, Community Studies, Northumbria University/Newcastle upon Tyne/Royaume-Uni (1 aut.); HealthQWest, Glasgow Caledonian University/Glasgow/Royaume-Uni (1 aut., 2 aut.); North Tyneside District General Hospital, Rake Lane/North Shields, Tyne and Wear/Royaume-Uni (3 aut., 6 aut.); Kilimanjaro Christian Medical Centre/Moshi/Tanzanie (4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 7; Pp. 906-911; Bibl. 20 ref.</SO>
<LA>Anglais</LA>
<EA>The incidence of Parkinson's disease (PD) in subSaharan Africa (SSA) is greater than thought however, is largely undiagnosed and untreated. This study aimed to evaluate a nonpharmacological approach using cueing therapy to improve gait in drug-naïve PD and the feasibility of delivering rehabilitation in northern Tanzania. In this study, twenty-one people with PD aged 76.4 years (12.9 SD) with varying disease severity participated. They received 9 × 30 min sessions of cueing therapy for gait problems over 3 weeks from a trained therapist delivered in their home environment. Cueing therapy consisted of walking in time to a metronome beat to correct step amplitude and step frequency during a range of functional activities. Gait was recorded on video before and after therapy, and videos were analyzed in the UK by an assessor not involved in data collection. Disease severity (UPDRS) and balance were also measured. Patients were assessed in their nearest clinic. Data were analyzed in Minitab and a P value of 0.05 was considered significant. Cueing therapy significantly improved single and dual task walking speed, step amplitude, and single task step frequency. There was also a significant improvement in motor impairment (UPDRS III) and activities of daily living (UPDRS II). The results provide promising evidence for the role of cueing therapy in PD for symptom management to reduce or delay medication onset. This study also supports the feasibility of rehabilitation in PD in community environments in SSA, which may be applicable to other developing regions.</EA>
<CC>002B17; 002B17G</CC>
<FD>Maladie de Parkinson; Pathologie du système nerveux; Traitement; Tanzanie</FD>
<FG>Afrique; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Parkinson disease; Nervous system diseases; Treatment; Tanzania</ED>
<EG>Africa; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Parkinson enfermedad; Sistema nervioso patología; Tratamiento; Tanzania</SD>
<LO>INIST-20953.354000193040220130</LO>
<ID>10-0288351</ID>
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