scholarly journals Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

Sensors ◽  
2020 ◽  
Vol 20 (9) ◽  
pp. 2482
Author(s):  
Roberto Cano-de-la-Cuerda ◽  
Lydia Vela-Desojo ◽  
Marcos Moreno-Verdú ◽  
María del Rosario Ferreira-Sánchez ◽  
Yolanda Macías-Macías ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Range Of Motion ◽  
Exploratory Study ◽  
Functional Mobility ◽  
Trunk Flexion ◽  
Flexion Extension ◽  
Flexion And Extension

Background: People with Parkinson’s disease (PD) present deficits of the active range of motion (ROM), prominently in their trunk. However, if these deficits are associated with axial rigidity, the functional mobility or health related quality of life (HRQoL), remains unknown. The aim of this paper is to study the relationship between axial ROM and axial rigidity, the functional mobility and HRQoL in patients with mild to moderate PD. Methods: An exploratory study was conducted. Non-probabilistic sampling of consecutive cases was used. Active trunk ROM was assessed by a universal goniometer. A Biodex System isokinetic dynamometer was used to measure the rigidity of the trunk. Functional mobility was determined by the Get Up and Go (GUG) test, and HRQoL was assessed with the PDQ-39 and EuroQol-5D questionnaires. Results: Thirty-six mild to moderate patients with PD were evaluated. Significant correlations were observed between trunk extensors rigidity and trunk flexion and extension ROM. Significant correlations were observed between trunk flexion, extension and rotation ROM and GUG. Moreover, significant correlations were observed between trunk ROM for flexion, extension and rotations (both sides) and PDQ-39 total score. However, these correlations were considered poor. Conclusions: Trunk ROM for flexion and extension movements, measured by a universal goniometer, were correlated with axial extensors rigidity, evaluated by a technological device at 30°/s and 45°/s, and functional mobility. Moreover, trunk ROM for trunk flexion, extension and rotations were correlated with HRQoL in patients with mild to moderate PD.

Home-based dance exercise for adults with moderate Parkinson’s disease: Protocol with a pilot study for a non-randomized clinical trial using video-dances in a DVD format (Preprint)

2022 ◽  
Author(s):  
Manoela de Paula Ferreira ◽  
Adriano Zanardi da Silva ◽  
Bruna Yamaguchi ◽  
Sunita Mathur ◽  
Taina Ribas Melo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Clinical Trial ◽  
Parkinson's Disease ◽  
Cognitive Function ◽  
Pilot Study ◽  
Functional Mobility ◽  
Contemporary Dance ◽  
Home Based

BACKGROUND Many people with Parkinson’s disease (PD) have never received rehabilitation care due to lack of accessibility and transportation and high therapy costs for in-person rehabilitation. Home-based dance exercise is an innovative, low-cost therapy that may reduce accessibility barriers to exercise. Especially since the COVID-19 pandemic, home-exercise programs are a highly relevant, alternative approach for people with PD OBJECTIVE This clinical trial protocol aims to explore the effects of a Home-Based contemporary dance exercise program for people with moderate Parkinson’s Disease (PD), focusing on balance, functional mobility, quality of life (QOL), cognitive function, and depression. METHODS This protocol is for a non-randomized clinical trial for adults with moderate PD divided into control group (CG) and Experimental Group (EG). Participants from the EG will perform video-dances of the contemporary dance, delivered in a DVD format. The video-dances will be executed 16 weeks, three times per week, 30 minutes each day at home, with exercise intensity controlled by the BORG scale. Participants from the CG will not receive any new exercise therapy. As primary outcomes, the signs and symptoms of the PD assessed by the Unified Parkinson’s Disease Rating Scale – UPDRS II and III, Hoehn and Yahr for the PD severity, and health-related quality of life (HRQL), measured by the Parkinson’s Disease Questionnaire – PDQ-39) will be tested. Secondary outcomes include cognitive function by the Montreal Cognitive Assessment – MoCA, balance by the Mini-BESTest, functional mobility by the Timed “Up and Go” test – TUG and depression by the Geriatric Depression Scale – GDS. All outcomes will be assessed in an in-person evaluation by a blinded assessor before and after the 16 weeks of the program. RESULTS This protocol has a pilot study that included 10 participants (5 in each group). It was observed positive results favoring the EG over cognitive function (p = 0.034). In addition, HRQL, balance, and depression were improved after the pilot program in the EG, however, without significant difference. CONCLUSIONS This clinical trial has the potential to be a safe alternative exercise approach under COVID restrictions and travel-free therapy with effects on PD symptoms. CLINICALTRIAL RBR-58T68W (Brazilian Clinical Trials Registry)

Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with meta-analysis

2017 ◽  
Vol 30 (7) ◽  
pp. 727-735 ◽  
Author(s):  
Marcela dos Santos Delabary ◽  
Isabel Giovannini Komeroski ◽  
Elren Passos Monteiro ◽  
Rochelle Rocha Costa ◽  
Aline Nogueira Haas
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Meta Analysis ◽  
Functional Mobility ◽  
Motor Symptoms

Effects of Ai Chi on balance, quality of life, functional mobility, and motor impairment in patients with Parkinson’s disease

2017 ◽  
Vol 40 (7) ◽  
pp. 791-797 ◽  
Author(s):  
Emine Eda Kurt ◽  
Buket Büyükturan ◽  
Öznur Büyükturan ◽  
Hatice Rana Erdem ◽  
Figen Tuncay
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Impairment ◽  
Functional Mobility

scholarly journals The Effects of Yoga on Patients with Parkinson’s Disease: A Meta-Analysis of Randomized Controlled Trials

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Mengke Ban ◽  
Xuejing Yue ◽  
Pengyu Dou ◽  
Ping Zhang
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Function ◽  
Meta Analysis ◽  
Training Group ◽  
Functional Mobility ◽  
Balance Function ◽  
Scale Scores

Background and Purpose. The manifestations of motor and nonmotor dysfunctions in Parkinson’s disease (PD), which are intimately connected, have been shown to reduce quality of life (QoL). It has been demonstrated that yoga could benefit PD patients. However, there was no consensus on the impact of yoga on PD. This meta-analysis is aimed at investigating the effects of yoga intervention on motor function, nonmotor function, and QoL in patients with PD. Methods. A meta-analysis was conducted by systematically searching PubMed, Embase, and Cochrane Library databases till August 2020 for studies published in English. The reference lists of eligible studies were also searched. The motor symptoms (UPDRS-Part III), balance function (BBS and BESTest), functional mobility (TUG), anxiety (HADS and BAI), depression (HADS and BDI), and the quality of life (PDQ-39 and PDQ-8) were the primary evaluation indexes. Results. Ten studies including 359 participants were included in this meta-analysis. The pooled results showed significant difference between the yoga training group and the control group. Patients in the yoga training group had better functional outcomes in terms of motor status ( MD = − 5.64 ; 95% CI, -8.57 to -2.7), balance function ( SMD = 0.42 ; 95% CI, 0.08 to 0.77), functional mobility ( MD = − 1.71 ; 95% CI, -2.58 to -0.84), anxiety scale scores ( SMD = − 0.72 ; 95% CI, -1.01 to -0.43), depression scale scores ( SMD = − 0.92 ; 95% CI, -1.22 to -0.62), and QoL ( SMD = − 0.54 ; 95% CI, -0.97 to -0.11). Conclusion. Our pooled results showed the benefits of yoga in improving motor function, balance, functional mobility, reducing anxiety and depression, and increasing QoL in PD patients.

scholarly journals Does Qigong Practice Have Benefits on the Management of Parkinson’s Disease?

J ◽  
2019 ◽  
Vol 2 (3) ◽  
pp. 352-363
Author(s):  
António Moreira ◽  
Luís Carlos Matos ◽  
Ana Maria Conceição
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cost Effective ◽  
Chronically Ill ◽  
The Elderly ◽  
Functional Mobility ◽  
Cost Effective Treatment ◽  
Hand Eye Coordination

Parkinson’s disease (PD) is a progressive neurological disorder leading to loss of autonomy and a decline in quality of life. Qigong, a practice rooted in traditional Chinese medicine, has been positively reported on a variety of complaints of chronically ill patients and on gait imbalance in the elderly. PubMed and B-On databases were accessed during March 2018 to carry out an inventory of relevant scientific papers relating PD to Qigong. Fifteen articles were found and analyzed allowing us to highlight that: (1) in addition to medication, Qigong shows potential gains in PD management; (2) there is a stabilizing effect of motor symptoms and positive results in several frequent autonomy symptoms; (3) Qigong is highly accepted by patients, and is a cost-effective treatment that can be self-practiced, improving sleep quality, gait speed, functional mobility and quality of life, thus reducing the risk of falling; (4) Qigong improves muscle hardness, functional ability to walk, hand–eye coordination and balance. Despite the promising results, the limitations and the disparity of experimental designs of the included studies do not allow us to have a conclusive answer to the question whether Qigong benefits the management of PD or not.

Effects of binary and quaternary rhythms on motor and non-motor symptoms of individuals with Parkinson's disease: protocol for a randomized trial (Preprint)

2019 ◽  
Author(s):  
Jéssica Moratelli ◽  
Kettlyn Hames Alexandre ◽  
Alessandra Swarowsky ◽  
Clynton Lourenço Corrêa ◽  
Ana Cristina Tillmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Functional Mobility ◽  
Main Stage ◽  
Motor Symptoms ◽  
Post Intervention ◽  
Specific Protocol ◽  
Non Motor Symptoms

BACKGROUND People with Parkinson's disease constantly have low levels of physical activity, so dancing has become increasingly important for the treatment of the disease and can help improve balance, gait, reduce falls, and improve quality of life. However, there has been no research on the effects of binary and quaternary rhythms on the symptoms of people living with Parkinson's disease, so the study may provide a new treatment option for this population. OBJECTIVE To propose a 12-week protocol of binary and quaternary rhythms for individuals with Parkinson’s disease and to evaluate their effectiveness on motor (balance, gait, functional mobility), and non-motor symptoms (quality of life, sleep, sleepiness during daytime, fatigue) through a randomized clinical trial. METHODS Sixty individuals with idiopathic Parkinson’s disease, will be enrolled in the study. The participants will be allocated to either the intervention arm (binary rhythm (dance) or quaternary rhythm (dance) 2x/week for 12 weeks). The binary and quaternary rhythm dance classes will be divided into three stages: warm-up and stretching; the main stage and relaxation. Measurements of study outcomes will take place at baseline and post-intervention. RESULTS The primary outcome is balance measured by a balance test score (Mini-Bestest). Secondary outcomes include gait, functional mobility, quality of life, sleep, sleepiness during daytime and fatigue. CONCLUSIONS Considering the high prevalence of individuals with Parkinson's disease, implementing a specific protocol for binary and quaternary rhythms is important considering the need to improve the quality of life, motor and non-motor symptoms of your life. The study will provide critical information on the efficacy and effects of binary-rhythm interventions on motor and non-motor symptoms of individuals with Parkinson's disease in order to help guide and plan future studies. This is an innovative protocol, being an important tool for the reduction of motor and non-motor symptoms in individuals with Parkinson’s disease. CLINICALTRIAL The trial was registered on Clinical Trials number: NCT03235453.

Critical issues of the biopsychosocial treatment of Parkinson’s disease

2015 ◽  
Vol 156 (12) ◽  
pp. 472-478 ◽  
Author(s):  
Péter Kincses ◽  
Norbert Kovács ◽  
Kázmér Karádi ◽  
János Kállai
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Psychological Health ◽  
Interdisciplinary Approach ◽  
Cognitive Status ◽  
Psychological Burden ◽  
Her Family ◽  
Critical Issues

This paper is a summary report on the basic questions of the biopsychosocial approach to Parkinson’s disease. It deals with cognitive, affective and psychological health issues which significantly influence the outcome of the physical rehabilitation. In spite of the unchanged cognitive status, the psychological burden of the changes in the quality of life, the obstruction, the change in the affective tone, and the shrinking ability to fulfil social roles decrease the patient’s quality of life. An interdisciplinary approach is best suited for mitigating these effects. Not only the patient but also his/her family and environment is seriously affected by the disease and its consequences. Treatment and rehabilitation options for increasing or maintaining the quality of life of the affected patients are diverse, and significantly depend on the features of the health care system. The authors believe that the following review emphasizing health psychological principles may contribute to the work of professionals working in clinical and rehabilitational fields and through them may increase the quality of life of patients and their family. Orv. Hetil., 2015, 156(12), 472–478.

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