Movement Disorders (revue)

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

Identifieur interne : 000079 ( Pmc/Corpus ); précédent : 000078; suivant : 000080

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 :

RBID : PMC:2831132

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

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