Effects of Communal Exercise with ‘Parkinson Home Exercise’ Application on Gait Ability for Parkinson's Disease Patients

2018 ◽  
Vol 9 (12) ◽  
pp. 2163
Author(s):  
Yunjin Park ◽  
Jaeho Yu ◽  
Younghwa Song ◽  
Ryng Hwang ◽  
Sungwon Kim ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Home Exercise

scholarly journals The Effects of Group-Based versus Individual-Based Tai Chi Training on Nonmotor Symptoms in Patients with Mild to Moderate Parkinson’s Disease: A Randomized Controlled Pilot Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Jing Hui Yang ◽  
Ya Qun Wang ◽  
Sai Qing Ye ◽  
You Gen Cheng ◽  
Yu Chen ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Tai Chi ◽  
Compliance Rate ◽  
Community Dwelling ◽  
Home Exercise ◽  
Hamilton Depression Scale ◽  
Nonmotor Symptoms ◽  
Randomized Controlled ◽  
Exercise Compliance

Objective. To compare the effects of group-based and individual-based Tai Chi training on nonmotor symptoms in patients with mild to moderate Parkinson’s disease. Design. Randomized controlled pilot study. Methods. 36 community-dwelling patients with Parkinson’s disease (PD) were randomly assigned to either group-based training group (n=19) or individual-based group (n=17). Both groups received same content of Tai Chi training 3 times a week for 13 weeks. Participants were also asked to perform home exercises daily. The Non-Motor Symptoms Scale was used to assess global nonmotor symptoms change. Sleep quality, depression, and cognition were evaluated by Parkinson’s Disease Sleep Scale, Hamilton Depression Scale, and Beijing version-Montreal Cognitive Assessment, respectively. Home exercise compliance was recorded. Results. There was no significant difference between two groups at baseline. After 13 weeks, there were no statistical significance between two groups. However, the within-group effect was different. Participants in group-based and individual-based groups showed a significant improvement on global nonmotor symptoms (P<0.001, P=0.004) and sleep (P<0.001, P<0.001). But only group-based training patients presented a significant improvement in cognitive impairment compared with baseline (P=0.002, P-0.116). For depression, no group gained a significant improvement(P=0.123, P=0.170). Group-based participants had a higher home-exercise compliance rate (HeCR) than individual-based participants did (P=0.019), and HeCR showed a moderate correlation with MoCA-BJ and NMSS scores changes in this study. Conclusion. Group-based Tai Chi training is considered to be a more effective and a more labor-saving method in the clinical settings, and patients tend to have a higher compliance rate in their home exercise program. This study is registered with ChiCTR-IPR-17010388.

scholarly journals Exploring the uptake and implementation of tele-monitored home-exercise programmes in adults with Parkinson’s disease: A mixed-methods pilot study

2018 ◽  
Vol 26 (1-2) ◽  
pp. 53-63 ◽  
Author(s):  
Byron Lai ◽  
Kristina Bond ◽  
Yumi Kim ◽  
Beth Barstow ◽  
Emil Jovanov ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Exercise Training ◽  
Vital Signs ◽  
Exercise Adherence ◽  
Moderate Intensity ◽  
Home Exercise ◽  
Exercise Participation ◽  
Exercise Programmes ◽  
Monitoring Technologies

Background People with Parkinson’s disease experience numerous barriers to exercise participation at fitness facilities. Advances in tele-monitoring technologies create alternative channels for managing and supervising exercise programmes in the home. However, the success of these programmes will depend on participants’ perceptions of using the technology and their exercise adherence. Thus, this pilot explored the uptake and implementation of two common methods of Internet-exercise training in Parkinson’s disease. Methods Twenty adults with Parkinson’s disease were randomized into either: telecoach-assisted exercise (TAE) or self-regulated exercise (SRE) groups. Both groups received the same eight-week exercise prescription (combined strength and aerobic exercise) and telehealth system that streamed and recorded vital signs and exercise data. TAE participants exercised under a telecoach’s supervision via videoconferencing. SRE participants independently managed their exercise training. Quantitative data were described and qualitative data underwent thematic analysis. Results Quantitative results demonstrated that TAE participants achieved strong attendance (99.2%), whereas SRE participants demonstrated 35.9% lower attendance, 48% less total time exercising, and 74.5% less time exercising at moderate intensity. Qualitatively, TAE participants reported overtly favourable programme experiences and that assistance from a telecoach enhanced their exercise motivation. SRE participants noted several challenges that impeded adherence. Conclusion Findings demonstrate that adults with Parkinson’s disease acknowledge benefits of exercising through a telehealth system and are open to utilizing this channel as a means of exercise. However, human-interactive support may be required to overcome unique impediments to participation. Study findings warrant validation in larger trials that can transfer the success of TAE towards more scalable methods of delivery.

scholarly journals Exercícios terapêuticos domiciliares na doença de Parkinson: uma revisão integrativa

2016 ◽  
Vol 19 (2) ◽  
pp. 349-364 ◽  
Author(s):  
Ihana Thaís Guerra de Oliveira Gondim ◽  
Carla Cabral dos Santos Accioly Lins ◽  
Maria das Graças Wanderley de Sales Coriolano
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Critical Appraisal ◽  
Home Exercise ◽  
Critical Appraisal Skill Programme

Resumo Exercícios terapêuticos domiciliares vêm assumindo importância em estudos recentes como estratégia do cuidado para o controle de sinais e sintomas da doença de Parkinson (DP). Essa revisão integrativa da literatura objetivou reunir estudos publicados entre o período de 2010 e 2014, disponibilizados em português, inglês ou espanhol sobre a utilização de exercícios terapêuticos domiciliares como estratégia do cuidado fisioterapêutico na DP. Realizou-se levantamento de artigos nas bases de dados LILACS, PEDro, PubMed e Cochrane, mediante as combinações: Fisioterapia AND doença de Parkinson ou Home Exercise AND Parkinson's Disease. Para análise da qualidade metodológica, os instrumentos utilizados foram o Critical Appraisal Skill Programme (CASP) adaptado e o Agency for Healthcare and Research and Quality (AHRQ). Os benefícios da cinesioterapia foram: estímulo ao autocuidado; ganho de força e amplitude de movimento; redução do número de queixas e do medo de cair; melhora de sintomas motores relacionados ao Parkinson e à qualidade de vida. Com relação aos benefícios da reabilitação com realidade virtual houve: melhora na marcha, na capacidade funcional e no equilíbrio, além de boa aceitação e aspecto motivacional.

scholarly journals A pilot study of a minimally supervised home exercise and walking program for people with Parkinson's disease in Jordan

2017 ◽  
Vol 7 (1) ◽  
pp. 73-84 ◽  
Author(s):  
Hanan Khalil ◽  
Monica Busse ◽  
Lori Quinn ◽  
Mohammad Nazzal ◽  
Waleed Batyha ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pilot Study ◽  
Home Exercise ◽  
Walking Program ◽  
Minimally Supervised

scholarly journals Walking with Music Is a Safe and Viable Tool for Gait Training in Parkinson's Disease: The Effect of a 13-Week Feasibility Study on Single and Dual Task Walking

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Natalie de Bruin ◽  
Jon B. Doan ◽  
George Turnbull ◽  
Oksana Suchowersky ◽  
Stephan Bonfield ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Gait Training ◽  
Experimental Music ◽  
Motor Symptom ◽  
Gait Velocity ◽  
Home Exercise ◽  
Music Listening ◽  
Walking Intervention ◽  
Gait Score

This study explored the viability and efficacy of integrating cadence-matched, salient music into a walking intervention for patients with Parkinson's disease (PD). Twenty-two people with PD were randomised to a control (CTRL,n=11) or experimental (MUSIC,n=11) group. MUSIC subjects walked with an individualised music playlist three times a week for the intervention period. Playlists were designed to meet subject's musical preferences. In addition, the tempo of the music closely matched (±10–15 bpm) the subject's preferred cadence. CTRL subjects continued with their regular activities during the intervention. The effects of training accompanied by “walking songs” were evaluated using objective measures of gait score. The MUSIC group improved gait velocity, stride time, cadence, and motor symptom severity following the intervention. This is the first study to demonstrate that music listening can be safely implemented amongst PD patients during home exercise.

scholarly journals Impact of Mézières Rehabilitative Method in Patients with Parkinson’s Disease: A Randomized Controlled Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-11
Author(s):  
Teresa Paolucci ◽  
Federico Zangrando ◽  
Giulia Piccinini ◽  
Laura Deidda ◽  
Rossella Basile ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rating Scale ◽  
Controlled Trial ◽  
Group Home ◽  
Berg Balance Scale ◽  
Home Exercise ◽  
Control Group ◽  
Trunk Flexion ◽  
Trunk Flexibility

The aim of this study was to assess the efficacy of Mézières method in improving trunk flexibility of the back muscles and balance in patients with Parkinson’s disease (PD). Materials and Methods. Thirty-six patients were randomized into 2 groups: the Mézières treatment group and the control group (home exercise group). The primary outcome was the improvement in balance per the Berg Balance Scale (BBS) and the trunk flexibility of the back for the anterior flexion trunk test. Also, we evaluated pain, gait balance for the Functional Gait Assessment (FGA), disease-related disability for the Modified Parkinson’s Activity Scale and the Unified Parkinson’s Disease Rating Scale (UPDRS), the quality of life, and the functional exercise capacity. All the measures were evaluated at baseline (T0), at the end of the rehabilitative program (T1), and at the 12-week follow-up (T2). Results. In the Mézières group, the BBS (p<.001) and trunk flexion test (p<.001) improved significantly at T1 and remained the same at T2. Between groups, significant changes were reported in FGA (p=.027) and UPDRS Total (p=.007) at T1 and in FGA (p=.03) at T2. Conclusion. The Mézières approach is efficacious in improving the flexibility of the trunk and balance in PD patients.

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