Effect of Early Pre-Ambulatory Training on Functional Mobility Skill and Quality of Life In Low Paraplegia: A Research Protocol

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)

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Single-event multilevel surgery for crouching cerebral palsy children: Correlations with quality of life and functional mobility

Journal of Musculoskeletal Surgery and Research ◽

10.4103/jmsr.jmsr_48_18 ◽

2018 ◽

Vol 2 (4) ◽

pp. 148 ◽

Cited By ~ 2

Author(s):

John Amen ◽

TamerA El-Sobky ◽

Mohamed ElGebeily ◽

DaliaM. E. El.Mikkawy ◽

AhmedH Yousry

Keyword(s):

Quality Of Life ◽

Cerebral Palsy ◽

Functional Mobility ◽

Single Event ◽

Multilevel Surgery

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Locomotor economy

10.1093/med/9780199232482.003.0021 ◽

2013 ◽

Cited By ~ 1

Author(s):

Don W. Morgan

Keyword(s):

Quality Of Life ◽

Athletic Performance ◽

Functional Mobility ◽

Future Research ◽

Research Directions ◽

Research Findings ◽

Future Research Directions ◽

Physically Challenged

Chapter 21 presents and synthesizes research findings related to various aspects of locomotor economy during the childhood and adolescent years. Because the majority of research has been conducted on walking and running, the material presented in this chapter will focus exclusively on these modes of gait. It concludes by proposing future research directions to guide sport scientists, coaches, and clinicians in their quest to understand the factors responsible for efficient locomotion in children, improve the athletic performance of youngsters, and enhance the functional mobility and quality of life of physically challenged youth.

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Mobility Changes in Older Adults: Implications for Practitioners

Journal of Aging and Physical Activity ◽

10.1123/japa.4.2.105 ◽

1996 ◽

Vol 4 (2) ◽

pp. 105-118 ◽

Cited By ~ 7

Author(s):

Linda C. Campanelli

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Program Development ◽

Physical Functioning ◽

Recent Literature ◽

Functional Independence ◽

Functional Mobility ◽

Major Contributor ◽

Bed Mobility

Functional mobility is generally considered a major contributor to maintaining quality of life at any age. There are several overviews of physiological aging relative to physical functioning and/or mobility in the recent literature. This paper reiterates the need for continued exercise (at all levels) throughout one’s lifetime, specifically to enhance quality of life and functional independence. Implications for professionals and program development are included. Tailored exercises for both ambulatory and nonambulatory older adults to maintain flexibility, gait, and bed mobility are described.

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