Water-based vs. non-water-based physiotherapy for rehabilitation of postural deformities in Parkinson's disease: a randomized controlled pilot study.
Identifieur interne : 000634 ( Main/Corpus ); précédent : 000633; suivant : 000635Water-based vs. non-water-based physiotherapy for rehabilitation of postural deformities in Parkinson's disease: a randomized controlled pilot study.
Auteurs : Daniele Volpe ; Maria Giulia Giantin ; Pilleri Manuela ; Consuelo Filippetto ; Elisa Pelosin ; Giovanni Abbruzzese ; Angelo AntoniniSource :
- Clinical rehabilitation [ 1477-0873 ] ; 2017.
English descriptors
- KwdEn :
- Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Hydrotherapy (methods), Italy (MeSH), Male (MeSH), Middle Aged (MeSH), Parkinson Disease (physiopathology), Parkinson Disease (rehabilitation), Physical Therapy Modalities (MeSH), Pilot Projects (MeSH), Postural Balance (physiology), Quality of Life (MeSH), Range of Motion, Articular (physiology), Risk Assessment (MeSH), Severity of Illness Index (MeSH), Sex Factors (MeSH), Single-Blind Method (MeSH), Treatment Outcome (MeSH).
- MESH :
- methods : Hydrotherapy.
- physiology : Postural Balance, Range of Motion, Articular.
- physiopathology : Parkinson Disease.
- rehabilitation : Parkinson Disease.
- Age Factors, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Italy, Male, Middle Aged, Physical Therapy Modalities, Pilot Projects, Quality of Life, Risk Assessment, Severity of Illness Index, Sex Factors, Single-Blind Method, Treatment Outcome.
Abstract
OBJECTIVE
To compare the efficacy of two physiotherapy protocols (water-based vs. non-water-based) on postural deformities of patients with Parkinson's disease.
DESIGN
A single blind, randomized controlled pilot study.
SETTING
Inpatient (Rehabilitative Department).
PARTICIPANTS
A total of 30 patients with idiopathic Parkinson's disease.
INTERVENTIONS
Participants were randomly assigned to one of two eight-week treatment groups: Water-based ( n = 15) or non-water-based physiotherapy exercises ( n = 15).
OUTCOME MEASURES
Changes in the degree of cervical and dorsal flexion and in the angle of lateral inclination of the trunk (evaluated by means of a posturographic system) were used as primary outcomes. Unified Parkinson Disease Rating Scale section III, Time Up and Go Test, Berg Balance Scale, Activities-specific Balance Confidence, Falls Efficacy Scale and the Parkinson's disease quality of life questionnaire (39 items) were the secondary outcomes. All outcomes were assessed at baseline, at the end of training and eight weeks after treatment. Patients were always tested at the time of their optimal antiparkinsonian medication ('on' phase).
RESULTS
After the treatment, only Parkinson's disease subjects randomized to water-based treatment showed a significant improvement of trunk posture with a significant reduction of cervical flexion (water-based group: -65.2°; non-water-based group: +1.7°) and dorsal flexion (water-based group: -22.5°; non-water-based group: -6.5°) and lateral inclination of the trunk (water-based group: -2.3°; non-water-based group: +0.3°). Both groups presented significant improvements in the secondary clinical outcomes without between-group differences.
CONCLUSION
Our results show that water-based physiotherapy was effective for improving postural deformities in patients with Parkinson's disease.
DOI: 10.1177/0269215516664122
PubMed: 27512099
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pubmed:27512099Le document en format XML
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Camillo, Lido Alberoni, Venice, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>3 Department of Physical Medicine and Rehabilitation, Montebelluna, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Pelosin, Elisa" sort="Pelosin, Elisa" uniqKey="Pelosin E" first="Elisa" last="Pelosin">Elisa Pelosin</name><affiliation><nlm:affiliation>4 Department of Neuroscience, University of Genova, Genova, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Abbruzzese, Giovanni" sort="Abbruzzese, Giovanni" uniqKey="Abbruzzese G" first="Giovanni" last="Abbruzzese">Giovanni Abbruzzese</name><affiliation><nlm:affiliation>4 Department of Neuroscience, University of Genova, Genova, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Antonini, Angelo" sort="Antonini, Angelo" uniqKey="Antonini A" first="Angelo" last="Antonini">Angelo Antonini</name><affiliation><nlm:affiliation>2 Parkinson's Centre, IRCCS S. 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Camillo, Lido Alberoni, Venice, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>3 Department of Physical Medicine and Rehabilitation, Montebelluna, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Pelosin, Elisa" sort="Pelosin, Elisa" uniqKey="Pelosin E" first="Elisa" last="Pelosin">Elisa Pelosin</name><affiliation><nlm:affiliation>4 Department of Neuroscience, University of Genova, Genova, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Abbruzzese, Giovanni" sort="Abbruzzese, Giovanni" uniqKey="Abbruzzese G" first="Giovanni" last="Abbruzzese">Giovanni Abbruzzese</name><affiliation><nlm:affiliation>4 Department of Neuroscience, University of Genova, Genova, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Antonini, Angelo" sort="Antonini, Angelo" uniqKey="Antonini A" first="Angelo" last="Antonini">Angelo Antonini</name><affiliation><nlm:affiliation>2 Parkinson's Centre, IRCCS S. Camillo, Lido Alberoni, Venice, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Clinical rehabilitation</title><idno type="eISSN">1477-0873</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Hydrotherapy (methods)</term><term>Italy (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (rehabilitation)</term><term>Physical Therapy Modalities (MeSH)</term><term>Pilot Projects (MeSH)</term><term>Postural Balance (physiology)</term><term>Quality of Life (MeSH)</term><term>Range of Motion, Articular (physiology)</term><term>Risk Assessment (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Sex Factors (MeSH)</term><term>Single-Blind Method (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hydrotherapy</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Range of Motion, Articular</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Italy</term><term>Male</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Pilot Projects</term><term>Quality of Life</term><term>Risk Assessment</term><term>Severity of Illness Index</term><term>Sex Factors</term><term>Single-Blind Method</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To compare the efficacy of two physiotherapy protocols (water-based vs. non-water-based) on postural deformities of patients with Parkinson's disease.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A single blind, randomized controlled pilot study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Inpatient (Rehabilitative Department).</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>A total of 30 patients with idiopathic Parkinson's disease.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>Participants were randomly assigned to one of two eight-week treatment groups: Water-based ( n = 15) or non-water-based physiotherapy exercises ( n = 15).</p></div><div type="abstract" xml:lang="en"><p><b>OUTCOME MEASURES</b></p><p>Changes in the degree of cervical and dorsal flexion and in the angle of lateral inclination of the trunk (evaluated by means of a posturographic system) were used as primary outcomes. Unified Parkinson Disease Rating Scale section III, Time Up and Go Test, Berg Balance Scale, Activities-specific Balance Confidence, Falls Efficacy Scale and the Parkinson's disease quality of life questionnaire (39 items) were the secondary outcomes. All outcomes were assessed at baseline, at the end of training and eight weeks after treatment. Patients were always tested at the time of their optimal antiparkinsonian medication ('on' phase).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>After the treatment, only Parkinson's disease subjects randomized to water-based treatment showed a significant improvement of trunk posture with a significant reduction of cervical flexion (water-based group: -65.2°; non-water-based group: +1.7°) and dorsal flexion (water-based group: -22.5°; non-water-based group: -6.5°) and lateral inclination of the trunk (water-based group: -2.3°; non-water-based group: +0.3°). Both groups presented significant improvements in the secondary clinical outcomes without between-group differences.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Our results show that water-based physiotherapy was effective for improving postural deformities in patients with Parkinson's disease.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27512099</PMID><DateCompleted><Year>2018</Year><Month>05</Month><Day>22</Day></DateCompleted><DateRevised><Year>2018</Year><Month>05</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1477-0873</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>8</Issue><PubDate><Year>2017</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Clinical rehabilitation</Title><ISOAbbreviation>Clin Rehabil</ISOAbbreviation></Journal><ArticleTitle>Water-based vs. non-water-based physiotherapy for rehabilitation of postural deformities in Parkinson's disease: a randomized controlled pilot study.</ArticleTitle><Pagination><MedlinePgn>1107-1115</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0269215516664122</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the efficacy of two physiotherapy protocols (water-based vs. non-water-based) on postural deformities of patients with Parkinson's disease.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A single blind, randomized controlled pilot study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Inpatient (Rehabilitative Department).</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">A total of 30 patients with idiopathic Parkinson's disease.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Participants were randomly assigned to one of two eight-week treatment groups: Water-based ( n = 15) or non-water-based physiotherapy exercises ( n = 15).</AbstractText><AbstractText Label="OUTCOME MEASURES" NlmCategory="METHODS">Changes in the degree of cervical and dorsal flexion and in the angle of lateral inclination of the trunk (evaluated by means of a posturographic system) were used as primary outcomes. Unified Parkinson Disease Rating Scale section III, Time Up and Go Test, Berg Balance Scale, Activities-specific Balance Confidence, Falls Efficacy Scale and the Parkinson's disease quality of life questionnaire (39 items) were the secondary outcomes. All outcomes were assessed at baseline, at the end of training and eight weeks after treatment. Patients were always tested at the time of their optimal antiparkinsonian medication ('on' phase).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">After the treatment, only Parkinson's disease subjects randomized to water-based treatment showed a significant improvement of trunk posture with a significant reduction of cervical flexion (water-based group: -65.2°; non-water-based group: +1.7°) and dorsal flexion (water-based group: -22.5°; non-water-based group: -6.5°) and lateral inclination of the trunk (water-based group: -2.3°; non-water-based group: +0.3°). Both groups presented significant improvements in the secondary clinical outcomes without between-group differences.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our results show that water-based physiotherapy was effective for improving postural deformities in patients with Parkinson's disease.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Volpe</LastName><ForeName>Daniele</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>1 Department of Physical Medicine and Rehabilitation, Casa di Cura "Villa Margherita", Vicenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giantin</LastName><ForeName>Maria Giulia</ForeName><Initials>MG</Initials><AffiliationInfo><Affiliation>1 Department of Physical Medicine and Rehabilitation, Casa di Cura "Villa Margherita", Vicenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manuela</LastName><ForeName>Pilleri</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>1 Department of Physical Medicine and Rehabilitation, Casa di Cura "Villa Margherita", Vicenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Filippetto</LastName><ForeName>Consuelo</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>2 Parkinson's Centre, IRCCS S. Camillo, Lido Alberoni, Venice, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>3 Department of Physical Medicine and Rehabilitation, Montebelluna, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pelosin</LastName><ForeName>Elisa</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>4 Department of Neuroscience, University of Genova, Genova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abbruzzese</LastName><ForeName>Giovanni</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>4 Department of Neuroscience, University of Genova, Genova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Antonini</LastName><ForeName>Angelo</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>2 Parkinson's Centre, IRCCS S. Camillo, Lido Alberoni, Venice, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>08</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Rehabil</MedlineTA><NlmUniqueID>8802181</NlmUniqueID><ISSNLinking>0269-2155</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006875" MajorTopicYN="N">Hydrotherapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007558" MajorTopicYN="N">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016059" MajorTopicYN="N">Range of Motion, Articular</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016037" MajorTopicYN="N">Single-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Parkinson’s disease</Keyword><Keyword MajorTopicYN="N">postural deformities</Keyword><Keyword MajorTopicYN="N">rehabilitation</Keyword><Keyword MajorTopicYN="N">water-based physiotherapy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>5</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27512099</ArticleId><ArticleId IdType="pii">0269215516664122</ArticleId><ArticleId IdType="doi">10.1177/0269215516664122</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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