Movement Disorders (revue)

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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 : 000B09

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

Auteurs : Lynn Rochester ; Danny Rafferty ; Catherine Dotchin ; Oliva Msuya ; Victor Minde ; R. W. Walker

Source :

RBID : Pascal:10-0288351

Descripteurs français

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 25
A06       @2 7
A08 01  1  ENG  @1 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
A11 01  1    @1 ROCHESTER (Lynn)
A11 02  1    @1 RAFFERTY (Danny)
A11 03  1    @1 DOTCHIN (Catherine)
A11 04  1    @1 MSUYA (Oliva)
A11 05  1    @1 MINDE (Victor)
A11 06  1    @1 WALKER (R. W.)
A14 01      @1 Institute for Ageing and Health, Clinical Ageing Research Unit, Campus for Ageing and Vitality, Newcastle University @2 Newcastle upon Tyne @3 GBR @Z 1 aut.
A14 02      @1 School of Health, Community Studies, Northumbria University @2 Newcastle upon Tyne @3 GBR @Z 1 aut.
A14 03      @1 HealthQWest, Glasgow Caledonian University @2 Glasgow @3 GBR @Z 1 aut. @Z 2 aut.
A14 04      @1 North Tyneside District General Hospital, Rake Lane @2 North Shields, Tyne and Wear @3 GBR @Z 3 aut. @Z 6 aut.
A14 05      @1 Kilimanjaro Christian Medical Centre @2 Moshi @3 TZA @Z 4 aut. @Z 5 aut.
A20       @1 906-911
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000193040220130
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 10-0288351
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Traitement @5 09
C03 03  X  ENG  @0 Treatment @5 09
C03 03  X  SPA  @0 Tratamiento @5 09
C03 04  X  FRE  @0 Tanzanie @2 NG @5 10
C03 04  X  ENG  @0 Tanzania @2 NG @5 10
C03 04  X  SPA  @0 Tanzania @2 NG @5 10
C07 01  X  FRE  @0 Afrique @2 NG
C07 01  X  ENG  @0 Africa @2 NG
C07 01  X  SPA  @0 Africa @2 NG
C07 02  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 02  X  ENG  @0 Cerebral disorder @5 37
C07 02  X  SPA  @0 Encéfalo patología @5 37
C07 03  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 03  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 03  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 04  X  FRE  @0 Maladie dégénérative @5 39
C07 04  X  ENG  @0 Degenerative disease @5 39
C07 04  X  SPA  @0 Enfermedad degenerativa @5 39
C07 05  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 05  X  ENG  @0 Central nervous system disease @5 40
C07 05  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 186
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0288351 INIST
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

Links to Exploration step

Pascal:10-0288351

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<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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<s5>09</s5>
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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s5>39</s5>
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<s5>39</s5>
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<fC07 i1="05" i2="X" l="FRE">
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<s5>40</s5>
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<s5>40</s5>
</fC07>
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<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
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<s1>186</s1>
</fN21>
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<NO>PASCAL 10-0288351 INIST</NO>
<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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