An application of generalizability theory to study a physical performance measure in Parkinson’s disease

2000 ◽  
Vol 12 (1) ◽  
pp. 29-34
Author(s):  
M. Kuchibhatla ◽  
C. Pieper ◽  
M. Schenkman

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S474-S475
Author(s):  
Dennis W Klima ◽  
Jeremy Stewart ◽  
Frank Freijomil ◽  
Mary DiBartolo

Abstract While considerable research has targeted gait, balance and preventing falls in individuals with Parkinson’s disease (PD), less in known about the ability to rise from the floor in this population. The aims of this study were to 1) Examine the relationship between locomotion and physical performance tests and the timed supine to stand performance measure and to 2) Identify both the time required and predominant motor patterns utilized by persons with PD to complete to floor rise transition. A cross-sectional design was utilized. Twenty community-dwelling older adults with PD (mean age 74.8+/-9.5 years; 13 men) performed a standardized floor rise test and locomotion tests in a structured task circuit. Subject demographic and anthropometric data were also collected. Statistical analyses included descriptive statistics and Pearson Product Moment correlations. Fifteen subjects (75%) demonstrated the crouch kneel pattern and fourteen (70%) used an all-4’s strategy to rise to stand. The mean time to rise from the floor was 14.9 (+/- 7.6) seconds and slower than published norms for persons without PD. Nine subjects required the use of a chair to perform floor recovery. Supine to stand performance time was significantly correlated with the: Dynamic Gait Index (r= - 0.66; p<0.002), Five Times Sit to Stand Test (r=0.78; p<0.001), Timed Up and Go Test (r=0.74; p<0.001), and gait velocity (r= -0.77; p<0.001). Rising from the floor demonstrates concurrent validity with locomotion and physical performance tests. Floor recovery techniques can be incorporated in fall prevention initiatives in conjunction with PD symptom management.



2007 ◽  
Vol 15 (2) ◽  
pp. 139-151 ◽  
Author(s):  
Fuzhong Li ◽  
Peter Harmer ◽  
K. John Fisher ◽  
Junheng Xu ◽  
Kathleen Fitzgerald ◽  
...  

The primary objective of this study was to provide preliminary evaluation of the feasibility, safety, and efficacy of a newly developed Tai Chi-based exercise program for older adults with Parkinson’s disease (PD). Using a one-group pretest-posttest design, 17 community-dwelling adults (mean age 71.51 years) with mild to moderate idiopathic PD (Stage I, II, or III on the Hoehn and Yahr scale) and stable medication use completed a 5-day, 90-min/day Tai Chi exercise-evaluation program. Outcome measures included face-to-face exit interviews on appropriateness and safety and physical performance (i.e., 50-ft speed walk, up-and-go, functional reach). At the end of this brief intervention, exercise adherence was 100% and the program was shown to be safe. Exit interviews indicated that the program was well received by all participants with respect to program appropriateness, participant satisfaction and enjoyment, and intentions to continue. Furthermore, a significant pretest-to-posttest change was observed at the end of the 5-day program in all three physical-performance measures (p< .05). The results of this pilot evaluation suggest that Tai Chi is an appropriate physical activity for older adults with PD and might also be useful as a therapeutic exercise modality for improving and maintaining physical function. These preliminary findings warrant further investigation.



Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e976-e977
Author(s):  
E.L. McGough ◽  
C. Robinson ◽  
M. Nelson ◽  
R. Houle ◽  
G. Fraser ◽  
...  


2008 ◽  
Vol 23 (13) ◽  
pp. 1897-1905 ◽  
Author(s):  
Haruko Tanji ◽  
Ann L. Gruber-Baldini ◽  
Karen E. Anderson ◽  
Ingrid Pretzer-Aboff ◽  
Stephen G. Reich ◽  
...  


2006 ◽  
Vol 48 (07) ◽  
pp. 576 ◽  
Author(s):  
Stephen M Haley ◽  
Maria A Fragala Pinkham ◽  
Helene M Dumas ◽  
Pengsheng Ni ◽  
Alison M Skrinar ◽  
...  


2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Barbara M. Doucet ◽  
Mark Blanchard ◽  
Francine Bienvenu

Importance: People with Parkinson’s disease (PD) experience motor and functional impairment that can negatively affect daily living and participation. Objective: To examine the occupational performance and hand function outcomes of people with PD who participated in a Lee Silverman Voice Treatment (LSVT) BIG® program. Design: Retrospective record review. Setting: Outcomes were extracted from patient charts at a hospital outpatient clinic. Participants: Sixty-six clinic outpatients with PD who completed the LSVT BIG program. Intervention: An occupational therapist and a physical therapist who were certified in LSVT BIG administration delivered the 16-session LSVT BIG program. Outcomes and Measures: The Canadian Occupational Performance Measure (COPM), grip strength, and Minnesota Manual Dexterity Test (MMDT) were administered before and after participation in LSVT BIG training. Results: For participant-identified COPM goals, pre–post changes were significant, ranging from 3 to 6 points for performance and satisfaction (p &lt; .001). Grip strength in both hands showed significant gains; median scores for the right hand increased from 55.0 lb (interquartile range [IQR] 41.0, 70.0) to 64.0 lb (IQR 46.0, 80.0; p &lt; .001) and for the left hand from 52.0 lb (IQR 39.0, 64.0) to 63.0 lb (IQR 44.5, 79.5; p &lt; .001). MMDT median scores for right to left also significantly improved, from 124.0 s (IQR 113.0, 181.0) to 119.5 s (IQR 105.5, 163.5; p = .014). Conclusions and Relevance: Participation in the LSVT BIG program can improve perceived occupational performance and satisfaction and produce gains in hand strength and dexterity for people with PD. What This Article Adds: This study is the first retrospective review of data on occupational performance and hand function outcomes after participation in the LSVT BIG program. The findings of beneficial outcomes support the use of LSVT BIG in occupational therapy services to increase functional abilities among people with PD.





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