In-patient multidisciplinary rehabilitation for Parkinson's disease: A randomized controlled trial

Purpose This study was undertaken to evaluate the effects of an inpatient 2‐month multidisciplinary rehabilitative program of task‐oriented exercises, cognitive–behavioral training, and occupational therapy on motor impairment, activities of daily living, and quality of life (QoL) in subjects with l...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Movement disorders Ročník 30; číslo 8; s. 1050 - 1058
Hlavní autori: Monticone, Marco, Ambrosini, Emilia, Laurini, Alessandro, Rocca, Barbara, Foti, Calogero
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Blackwell Publishing Ltd 01.07.2015
Wiley Subscription Services, Inc
Predmet:
Aged
Aged, 80 and over
Cognitive Therapy - methods
Combined Modality Therapy
Exercise Therapy - methods
Female
Humans
Inpatients
Male
Movement disorders
multidisciplinary care
Occupational Therapy - methods
Outcome Assessment (Health Care) - methods
Parkinson Disease - rehabilitation
Parkinson's disease
randomized controlled trial
rehabilitation
task-oriented exercises
rehabilitation
Parkinson's disease
task-oriented exercises
multidisciplinary care
randomized controlled trial
ISSN:0885-3185, 1531-8257, 1531-8257
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:Purpose This study was undertaken to evaluate the effects of an inpatient 2‐month multidisciplinary rehabilitative program of task‐oriented exercises, cognitive–behavioral training, and occupational therapy on motor impairment, activities of daily living, and quality of life (QoL) in subjects with long‐duration Parkinson's disease (PD). Methods Subjects were randomly selected for an experimental (multidisciplinary rehabilitative care) and a control group (general physiotherapy) and were assessed before treatment, after 8 weeks (post‐treatment), and 12 months after the end of treatment. Medications were not adjusted during training. Outcome measures were the Movement Disorder Society Unified Parkinson's Disease Rating Scale, Part III (primary outcome), the Berg Balance Scale, the Functional Independence Measure, and the 39‐Parkinson's Disease Questionnaire. A linear mixed model for repeated measures was used for each outcome. Results Seventy subjects with PD (46 females; mean age, 74 ± 7 years; mean disease duration,15 ± 3 years, modified Hoehn & Yahr stage, 2.5‐4) were randomized, 64 completed the study (experimental = 32; control = 32). A significant effect of time, group, and time by group interaction were noted for all outcomes. The primary outcome showed a between‐group difference in favor of the experimental group of 25 points after training, which was maintained at follow‐up. After training, the Berg Balance Scale score of the experimental group was greater than 43.5, a value previously identified as a cutoff between fallers and nonfallers for subjects with PD. Conclusion Our findings suggest that multidisciplinary rehabilitative care is useful in changing the course of motor impairment, balance, activities of daily living, and QoL. The effects lasted for at least 1 y after the intervention. © 2015 International Parkinson and Movement Disorder Society
Bibliografia:ark:/67375/WNG-6SV92MBQ-X
ArticleID:MDS26256
istex:43FF968FEEA9630DEDBDCC23EC3F3CC474B01FF6
Full financial disclosures and author roles may be found in the online version of this article.
The study was not supported by any specific grant.
Relevant conflicts of interest/financial disclosures
Funding agencies
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ObjectType-Undefined-3
ISSN:0885-3185
1531-8257
1531-8257
DOI:10.1002/mds.26256