scholarly journals Therapeutic Effects of Tai Chi in Patients with Parkinson’s Disease

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Hye-Jung Choi ◽  
Carol Ewing Garber ◽  
Tae-Won Jun ◽  
Young-Soo Jin ◽  
Sun-Ju Chung ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Physical Function ◽  
Significant Interaction ◽  
Tai Chi ◽  
Intervention Group ◽  
Control Group ◽  
Therapeutic Effects ◽  
Positive Effects ◽  
Main Effects

Objective. The purpose of the study was to investigate the effects of a 12-week program of therapeutic Tai Chi on the motor function and physical function of idiopathic Parkinson’s disease patients (PDs). Methods. The participants were 22 clinically stable PDs in Hoehn-Yahr stages 1-2 randomly assigned to a therapeutic Tai Chi group (TTC, N=11) or a control group (CON, N=9). Two subjects in control group did not complete the study for personal reasons. TTC was performed three days a week (60 min/session). Motor symptoms by the UPDRS were assessed, and tests of physical function were administered before and after the 12-week trial. Results. The TTC group, as compared to the CON group, showed changes in the mentation, behavior, mood, and motor scales of the UPDRS (P<0.05, P<0.01, resp.), with no significant main effects on the activities of daily living scale (ADL). However, there was a significant interaction between the time and intervention group on ADL (P<0.05). There were no significant main effects for any of the physical function variables. There were significant interaction effects in balance and agility (P<0.05, resp.). Conclusions. This study showed that TTC training had modest positive effects on the functional status of Parkinson’s disease patients.

scholarly journals Feasibility of a Cognitive Training Game in Parkinson’s Disease: The Randomized Parkin’Play Study

2020 ◽  
Vol 83 (4) ◽  
pp. 426-432 ◽  
Author(s):  
Sjors C.F. van de Weijer ◽  
Annelien A. Duits ◽  
Bastiaan R. Bloem ◽  
Nienke M. de Vries ◽  
Roy P.C. Kessels ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Training ◽  
Controlled Trial ◽  
Intervention Group ◽  
Waiting List ◽  
Control Group ◽  
Positive Effects ◽  
Home Based ◽  
Global Cognition

Cognitive training (CT) shows modest positive effects on cognitive function in patients with Parkinson’s disease (PD). Gamification may enhance adherence to traditional CT, but this has not been studied yet. Here, we investigated the feasibility of a gamified CT. We performed a randomized controlled trial including PD patients with mild cognitive impairment. Participants were randomly allocated to a 12-week home-based gamified CT intervention or waiting-list control group. Assessments were performed at baseline and at weeks 12 and 24. Forty-one patients were included (21 intervention and 20 waiting-list controls). Sixty-three percent of the intervention group trained >50% of the recommended sessions, while 81% voluntarily continued training after 12 weeks. After 24 weeks, 87.5% graded the game to be satisfactory. Global cognition scores improved after 24 weeks. Home-based gamified CT shows acceptable feasibility in patients with PD, and we observed preliminary indications for efficacy. Larger trials are needed to establish this efficacy.

scholarly journals Group-based music intervention in Parkinson’s disease – findings from a mixed-methods study

2020 ◽  
Vol 34 (4) ◽  
pp. 533-544
Author(s):  
Petra Pohl ◽  
Ewa Wressle ◽  
Fredrik Lundin ◽  
Paul Enthoven ◽  
Nil Dizdar
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Freezing Of Gait ◽  
Intervention Group ◽  
Group Differences ◽  
Control Group ◽  
Music Intervention ◽  
Post Intervention

Objective: To evaluate a group-based music intervention in patients with Parkinson’s disease. Design: Parallel group randomized controlled trial with qualitative triangulation. Setting: Neurorehabilitation in primary care. Subjects: Forty-six patients with Parkinson’s disease were randomized into intervention group ( n = 26), which received training with the music-based intervention, and control group ( n = 20) without training. Interventions: The intervention was delivered twice weekly for 12 weeks. Main measures: Primary outcome was Timed-Up-and-Go subtracting serial 7’s (dual-task ability). Secondary outcomes were cognition, balance, concerns about falling, freezing of gait, and quality of life. All outcomes were evaluated at baseline, post-intervention, and three months post-intervention. Focus groups and individual interviews were conducted with the intervention group and with the delivering physiotherapists. Results: No between-group differences were observed for dual-task ability. Between-group differences were observed for Falls Efficacy Scale (mean difference (MD) = 6.5 points; 95% confidence interval (CI) = 3.0 to 10.0, P = 0.001) and for Parkinson Disease Questionnaire-39 items (MD = 8.3; 95% CI = 2.7 to 13.8, P = 0.005) when compared to the control group post-intervention, but these were not maintained at three months post-intervention. Three themes were derived from the interviews: Expectations versus Results, Perspectives on Treatment Contents, and Key Factors for Success. Conclusion: Patient-reported outcomes and interviews suggest that the group-based music intervention adds value to mood, alertness, and quality of life in patients with Parkinson’s disease. The study does not support the efficacy in producing immediate or lasting gains in dual-tasking, cognition, balance, or freezing of gait.

scholarly journals The Therapeutic Effect of Nordic Walking on Freezing of Gait in Parkinson’s Disease: A Pilot Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Agata Wróblewska ◽  
Agata Gajos ◽  
Urszula Smyczyńska ◽  
Andrzej Bogucki
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Research Question ◽  
Freezing Of Gait ◽  
Intervention Group ◽  
Future Research ◽  
Control Group ◽  
Nordic Walking ◽  
Provocative Test ◽  
Step Initiation

Introduction. The effectiveness of the currently utilized therapies for FoG is limited. Several studies demonstrated a beneficial impact of Nordic walking (NW) on several gait parameters in Parkinson’s disease, but only one paper reported reduction of freezing. Research Question. In the present study, the question is whether NW is an effective therapeutic intervention in FoG. Methods. Twenty PD subjects trained NW for 12 weeks, with a frequency of twice per week. Each session lasted about 60 minutes. Twenty patients in the control group did not use any form of physiotherapy (no-intervention group). Freezing of Gait Questionnaire (FOGQ), the Timed Up and Go (TUG) test, and the Provocative Test for Freezing and Motor Blocks (PTFMB) were performed at baseline, immediately after the end of NW program, and three months later. Results. The results of FOGQ, TUG, and total PTFMB revealed significant improvement after completing the exercise program, and this effect persisted at follow-up. The results of the PTFMB subtests showed a different effect of NW on particular subtypes of FoG. Start hesitation, sudden transient blocks that interrupt gait, and blocks on turning improved considerably, while motor blocks, when walking through narrow space and on reaching the target, did not respond to NW training. Significance. The results show, for the first time, that FoG during turning and step initiation, two most common forms of this gait disorder, has been significantly reduced by NW training. Different responses of particular subtypes of FoG to NW probably reflect their different pathophysiologies. Conclusions. The present study showed that NW training had a beneficial effect on FOG in PD and that the achieved improvement is long-lasting. Future research should clarify whether the observed improvement limited to FoG triggered by only some circumstances reflects different pathomechanisms of FoG subtypes.

scholarly journals A Qualitative Study on the Impact of First Steps—A Peer-led Educational Intervention for People Newly Diagnosed with Parkinson’s Disease

2019 ◽  
Vol 9 (10) ◽  
pp. 107 ◽  
Author(s):  
Andrew Soundy ◽  
Johnny Collett ◽  
Sophie Lawrie ◽  
Shelly Coe ◽  
Helen Roberts ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Qualitative Study ◽  
Active Control ◽  
Educational Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Newly Diagnosed ◽  
Active Control Group ◽  
The Impact

Aim: The dual aim of this research was to consider the impact of providing the First Steps program on the stories of people with Parkinson’s Disease (PD) and to investigate the psychosocial and emotional mechanisms which may explain this impact. Methods: A qualitative study using a subtle realist paradigm and hermeneutic phenomenological methodology was undertaken. A single semi-structured interview was used to consider the impact and experiences of people with PD who completed either the intervention (2-day peer-led behavior intervention using storytelling 6–8 weeks apart) or received telephone support calls as part of the active control group. Descriptive statistics and a narrative analysis were undertaken on the results. Results: Forty-two participants were invited to participate, forty of whom completed the interview. This included 18 from the intervention group and 22 from the active control group. The intervention group identified the value of the program as worth-while, demonstrating improved exercise behavior and coping mechanisms following the intervention. Three major stories (the affirmed, the validated and the transformed story) identified the impact of the intervention. Three internal mechanisms (perceived control, hope and action, and the individual’s mind set) alongside three social mechanisms (social comparison, social control and the first opportunity to share with peers) appeared to explain this impact. Conclusion: This study provides exciting and novel evidence of the impact of a peer-led psycho-educational intervention for people newly diagnosed with PD. Further research is needed to consider the impact of stories-based approaches on participants and consider a critical evaluation of the mechanisms which may explain changes in stories and self-reported behaviour.

scholarly journals The Influence of Preparatory Boxing Exercises on the Postural Stability and Hands Psychomotor Ability in Patients with Parkinson`s Disease

2019 ◽  
Vol 2 (17) ◽  
Author(s):  
Ugnė Brusokaitė ◽  
Eglė Lendraitienė ◽  
Vidas Bružas
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Physical Therapy ◽  
Postural Stability ◽  
Intervention Group ◽  
Control Group ◽  
Statistical Parameters ◽  
Balance System ◽  
Psychomotor Ability ◽  
And Control

Research background. Parkinson’s disease is the second most common neurodegenerative disease. As the incidence of Parkinson’s disease is increasing, more and more new and exciting physical therapy methods are being sought to help reduce the symptoms of the disease. Currently, training sessions for preparatory boxing exercises are becoming increasingly popular. The aim. In this study our goal was to determine the influence of preparatory boxing exercises in physical therapy on the postural stability and hands psychomotor ability in patients with Parkinson’s disease. Methods. 22 volunteers with Parkinson’s disease participated in this research. Patients were divided into 2 groups: intervention group (n = 11) and control group (n = 11). Intervention group had preparatory boxing exercise for twice every week, for four months. No intervention was applied for control group. The Biodex Balance System was chosen to evaluate the postural stability and the RA-1 Reactiometer was used to assess the hand psychomotor reaction. Results. The four-month preparatory boxing exercises in physical therapy have signifcantly improved the statistical parameters of postural stability and hand psychomotor reaction in people with Parkinson’s disease (p < 0.05). In subjects with Parkinson’s disease, the indicators in the non-attendance program did not change. Conclusions. According to the results, along with the knowledge that all volunteers had completed the research, we can state that preparatory boxing exercise in physiotherapy is safe and effective for patients with Parkinson’s disease, thus the inclusion of boxing excercise to be included in the physical therapy course is recommended.Keywords: Parkinson’s disease, preparatory boxing exercises, postural stability, hand psychomotor reaction.

scholarly journals Individualized guidance and telephone monitoring in a self-supervised home-based physiotherapeutic program in Parkinson

2017 ◽  
Vol 30 (3) ◽  
pp. 559-568
Author(s):  
Ihana Thaís Guerra de Oliveira Gondim ◽  
Carla Cabral dos Santos Accioly Lins ◽  
Nadja Maria Jorge Asano ◽  
Amdore Guescel C Asano ◽  
Etenildo Dantas Cabral ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Randomized Clinical Trials ◽  
Rating Scale ◽  
Physical Therapist ◽  
Well Being ◽  
Control Group ◽  
Positive Effects ◽  
Therapeutic Exercises ◽  
Experimental Group

Abstract Introduction: Home therapeutic exercises have been a target of interest in the treatment of the Parkinson's disease (PD). The way that the physical therapist guides and monitors these exercises can impact the success of therapy. Objective: To evaluate the effects of individualized orientation and monitoring by telephone in a self-supervised home therapeutic exercise program on signs and symptoms of PD and quality of life (QoL). Methods: Single-blind randomized clinical trials with 28 people with PD (Hoehn and Yahr 1 to 3). Patients were randomized into two groups: experimental and control. The experimental group had a meeting with individualized guidance about physiotherapy exercises present in a manual, received the manual to guide their activities at home and obtained subsequent weekly monitoring by telephone. The control group received the usual cares by the service. Both were orientated to carry out exercises three times a week during 12 weeks. Was evaluated: (1) activities of daily living (ADL) and motor examination sections of the Unified Parkinson's Disease Rating Scale (UPDRS) and QoL by the Parkinson Disease Questionnaire 39 (PDQ-39). The analysis between groups was performed by the Mann-Whitney test and intragroup through the Wilcoxon (p < 0.05). Results: Significant improvement in ADL (p= 0.001) and motor examination (p= 0.0008) of the UPDRS, PDQ-39 total (p = 0.027) and dimensions mobility (p = 0.027), emotional well-being (p= 0.021) and bodily discomfort (p = 0.027) in the experimental group compared to the control group. Conclusion: The individualized guidance and weekly monitoring by telephone in a self-supervised home therapeutic exercises program promoted positive effects on ADL, motor examination and QoL of people in early stages of PD.

scholarly journals Group Education with Personal Rehabilitation for Idiopathic Parkinson's Disease

2009 ◽  
Vol 36 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Liping Guo ◽  
Yuping Jiang ◽  
Hiroshi Yatsuya ◽  
Yoshitoku Yoshida ◽  
Junichi Sakamoto
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Idiopathic Parkinson’S Disease ◽  
Term Care ◽  
Group Education ◽  
Idiopathic Parkinson's Disease ◽  
The Impact

Objective:To evaluate the effect of a group education program with personal rehabilitation for idiopathic Parkinson's disease (IPD).Methods:A single-blind, randomized, controlled clinical trial, with a pre-test/post-test quasi-experimental design. Fortyfour stable, non-demented patients with IPD were randomly assigned to an intervention group (n=23) and control group (n=21). Three group lectures on health education specific to IPD were delivered to the intervention group. The theme of lectures was “Not a lonely journey, as your friend, we—experts specializing in IPD— would love to join with you.” Three domains of the management of IPD were mentioned: “How to manage your routine Meal, Moving and Mood after suffering from IPD” Each lecture was scheduled for 45 minutes (excluding breaks), and designed as an interactive dialogue rather than a traditional lecture. To strengthen the impact of the lectures, relevant information was published on a website: http://www.parkinsonism.cn/. Following the group lecture, individualized and tailored rehabilitation made up of 24 half-hour sessions over eight weeks were provided for the intervention group.Results:The program ran smoothly and IPD patients were satisfied with this program. After only eight weeks, the health-related quality of life (HR-QOL) in the intervention group improved significantly (p<0.001). Patients and their caregivers in this group also reported their mood elevations following the program.Conclusion:Group education combined with personal rehabilitation program appears to be a beneficial and practical intervention, not only complementing the medical treatment for IPD patients but also meeting the growing demand for long-term care.

scholarly journals The Lee Silverman Voice Treatment Improves Vocal Loudness in Early Persian-speaking Patients With Parkinson’s Disease

2021 ◽  
Vol 19 (1) ◽  
pp. 75-84
Author(s):  
Younes Amiri Shavaki ◽  
◽  
Arezoo Saffarian ◽  
Gholam Ali Shahidi ◽  
Mohammad Reza Keyhani ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Intervention Group ◽  
Speech Disorders ◽  
Control Group ◽  
Maximum Phonation Time ◽  
Lee Silverman Voice Treatment ◽  
Early Stages ◽  
Voice Treatment ◽  
Significant Impairment

Objectives: In the early stages, most Parkinson’s patients display some degrees of voice and speech disorders. Speech disorders can negatively affect individuals’ social interactions and life; thus, treatment plans for the disorders in the early stages might be further beneficial than the late stages. Therefore, we aimed to investigate the effects of an intervention on Persian-speaking patients with early mild Parkinson’s Disease (PD). The intervention was the Lee Silverman Voice Treatment (LSVT). Methods: This was an interventional study and included 23 patients with PD. The study participants were randomly assigned into one of two groups; 13 patients in the intervention group (PD-I), and 10 in No-Intervention (PD-NI) group. Normal Persons (NP) or the control group included 13 healthy participants who were neurologically normal and presented no speech and voice disorders. Besides, they were matched with the PD-I group concerning education, age, gender. Results: There was a significant impairment in Maximum Phonation Time (MPT), vocal loudness in vowel /a/, in reading, and during a monologue speech in the PD group, compared with the NP group (P≤0.001). The LSVT resulted in a significant improvement in all measures in the PD-I group (P≤0.001); however, no significant change was observed between the PD-I and PD-NI groups’ scores in first assessment (P≥0.201). In contrast, the PD-NI group’s results in all measurements of final assessment were significantly lower than those in the PD-I (P≤0.001) and NP (P≤0.001) groups. The MPT also exhibited a considerable improvement in the PD-I group, compared with the controls. Discussion: The LSVT, as a therapeutic technique based on the motor learning theory was beneficial in improving the vocal loudness of Persian-speaking patients with PD in the early stages of their disease.

scholarly journals The effect of resistance training on the anxiety symptoms and quality of life in elderly people with Parkinson's disease: a randomized controlled trial

2018 ◽  
Vol 76 (8) ◽  
pp. 499-506 ◽  
Author(s):  
Renilson Moraes Ferreira ◽  
Wilson Mateus Gomes da Costa Alves ◽  
Tiago Alencar de Lima ◽  
Thiago Goçalves Gibson Alves ◽  
Pedro Artur Madureira Alves Filho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Resistance Training ◽  
Elderly People ◽  
Intervention Group ◽  
Anxiety Symptoms ◽  
Control Group ◽  
Resistance Training Program

ABSTRACT Objective: To assess the effects of resistance training on the anxiety symptoms and quality of life in patients with Parkinson's disease. Methods: Thirty-five elderly patients were randomly divided into two groups: 17 patients in the control group and 18 in the intervention group. All patients maintained standard pharmacological treatment for Parkinson's disease, but the intervention group participated in a 24-week resistance training program. The anxiety symptoms were assessed through the Beck's Anxiety Inventory, and quality of life by the Parkinson's Disease Questionnaire–39. Results: There was a significant reduction in anxiety level and increase in quality of life after 24 weeks of resistance training. Conclusion: The results of the present study indicate that resistance training is an effective intervention in the reduction of anxiety symptoms and improves the quality of life in elderly people with Parkinson's disease.

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