A Pilot Study of a Minimally Supervised Home Exercise and Walking Program for People With Parkinson’s Disease in Jordan

Khalil, Hanan; Busse, Monica; Quinn, Lori; Nazzal, Mohammad; Batyha, Waleed; Alkhazaleh, Shatha; Alomari, Mahmoud A.

doi:10.2217/nmt-2016-0041

Cited by 22 publications

(48 citation statements)

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“…For instance, Stallibrass et al (2002) using ABCT (44), Goodwin (2011) using an exercise intervention (45), and Sedaghati (2016) (31) using a selective corrective exercise showed improvements in trunk posture alignment. However, Sparrow using 3 months of active balance exercises (46) and Khalil using a homeexercise and walking program (47) revealed no significant differences in posture alignment.…”

Section: Discussionmentioning

confidence: 99%

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

et al. 2018

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Background: Patients with idiopathic Parkinson's disease (PD) have a flexed posture and are at an increased risk of falls. In addition, fear of falling (FOF) is among the main complaints of PD patients. To reduce the risk of falling, complex non-drug interventions are required, involving balance-challenging exercises with proper strength, along with posture alignment through corrective exercise interventions (Alexander techniques), which are often utilized to manage patients with PD and thoracic hyperkyphosis. Objectives: To investigate the effects of Alexander-based corrective techniques (ABCT) on forward flexed posture (thoracic hyperkyphosis and forward head posture), risk of falling, and FOF among idiopathic PD patients. Methods: In this interventional study, 26 male and female patients were randomly assigned to the experimental (n, 13) and control groups (n, 13). The subjects participated in a postural realignment program, consisting of 60-minute sessions over 8 weeks (3 sessions per week). Pre-and posttest evaluations were also carried out. Results:The results of paired t test regarding the effects of ABCT on the thoracic kyphosis angle (TKA), craniovertebral angle (CVA), falls efficacy scale-international (FES-I) score, freezing of gait (FOG), and functional reach test (FRT) score revealed a significant difference between the pre-and posttest stages in the control group (P = 0.05). In addition, the t test results showed a significant difference in the mean changes of TKA, FES-I score, FOG, and FRT score between the groups in the pre-and postintervention stages. The Pearson's correlation test showed that TKA had a significant positive correlation with FES-I and FOG in the groups. On the other hand, the results of Pearson's correlation test showed a significant negative correlation between TKA and FRT. Finally, the Pearson's correlation coefficient showed a significant positive correlation between CVA and FES-I, but not FRT in the groups. Conclusions: The findings of this study indicated that 8 weeks (24 sessions) of ABCT in the experimental group caused considerable improvements in TKA, CVA, FOF, FOG, and risk of fall in patients with PD.

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Section: Discussionmentioning

confidence: 99%

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

et al. 2018

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“…It is widely mentioned in the literature that individual with PD have important barriers in adherence and motivation with regards to maintaining an active lifestyle [3, 5, 6]. However, few studies have sought practical changes to increase individual’s motivation and empowerment, most of which are qualitative [5, 11].…”

Section: Discussionmentioning

confidence: 99%

“…The global benefits of physical therapy in the domains of International Classification of Functioning, Disability and Health (ICF) [1] in activity, participation, and body structure and function for individuals with Parkinson’s disease (PD) have been clearly established in the literature [2, 3]. However, studies have shown that some individuals present with barriers to the practice of physical therapy, decreasing their motivation towards the treatment and consequently decreasing their adherence [4–6]. Among the strategies suggested both by PD individual’s and by the therapists to engage the individuals in the exercise, a joint work seeking to stimulate self-efficacy and confidence, recognizing and respecting their barriers and individual motivations, were considered of utmost importance [7].…”

Section: Introductionmentioning

confidence: 99%

EMPOWER-PD - A physical therapy intervention to empower the individuals with Parkinson’s disease: a study protocol for a feasibility randomized controlled trial

Braga

Gregório

Myra

et al. 2019

Pilot Feasibility Stud

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BackgroundOne of the greatest barriers found by physical therapy treating individuals with Parkinson’s disease (PD) is the adherence to treatment, associated with the lack of motivation to remain active. Therefore, there is a need to change the look given to physical therapy and for the individual, seeking the centralization of the therapy in their preferences. This study aims to present the EMPOWER-PD, a protocol based on individual preferences and its design for feasibility.MethodA 12-week pilot for a randomized clinical trial will assess the feasibility and preliminary effectiveness of the EMPOWER-PD and make comparisons with conventional physical therapy (CPh). Both protocols consist of mobility and locomotion training, and aim at improving motor and non-motor symptoms through different approaches. The EMPOWER-PD aims to provide a source of motivation and empowerment of health through the self-knowledge of the individual’s abilities and limitations, in a protocol that addresses individual preferences. The CPh is based only on physiotherapist decisions, not addressing the individual’s preferences or motivation/empowerment. The target recruitment will be 24 PD individuals, between stages I and III of Hoehn and Yahr (HY), who will be recruited from Brazilian Parkinson’s disease Rehabilitation Initiative (BPaRkI) with allocation ratio 1:1. A computerized block randomization procedure will be implemented by a blinded researcher with the participants blinded to group assignment. The sessions will be conducted in a group setting, twice a week, during 60 min for 8 weeks, followed by 4 weeks of follow-up. The primary outcomes will be the feasibility data (adherence, recruitment rate, and safety). The secondary outcomes will assess the preliminary efficacy on qualitative assessment about individual’s motivation/empowerment and quantitative motor outcomes (Timed Up and Go and Dynamic Gait Index) and non-motor symptoms (6-min walk test and Fatigue Severity Scale). The recommendation to have 6–12 participants per group will be adopted based on the qualitative analysis to the sample size.DiscussionThis study will provide important insights about the physical therapy approach in PD individuals. The EMPOWER-PD is innovative because (1) it proposes an intervention that includes an individual-centered approach with motor control principles; (2) it aims to provide a source of motivation and empowerment of health; (3) assesses the individual in a global view considering motor and non-motor symptoms, using both, qualitative and quantitative metrics.Trial registration RBR-7ZBXQ5 Electronic supplementary materialThe online version of this article (10.1186/s40814-019-0394-9) contains supplementary material, which is available to authorized users.

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“…Details of the exercise DVD and its content are published elsewhere. [ 25 , 26 ] In brief, this DVD focuses on the main components of fitness introduced by an acting lady and a gentleman in 5 main sections. The first section is focused on warm up and flexibility activities; the second, third, and fourth sections focus on strength, flexibility, balance and endurance exercises, and training on performing functional tasks of sit to stand, stepping up onto stairs, and getting on and off the floor; and the fifth section focuses on relaxation, stretching, and breathing techniques.…”

Section: Methodsmentioning

confidence: 99%

The effect of stem cell therapy and comprehensive physical therapy in motor and non-motor symptoms in patients with multiple sclerosis

Alghwiri¹,

Jamali

Aldughmi³

et al. 2020

Medicine

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A Pilot Study of a Minimally Supervised Home Exercise and Walking Program for People With Parkinson’s Disease in Jordan

Abstract: A home exercise program was feasible. Sociocultural barriers specific to Arabic culture may affect the uptake of such an intervention in Parkinson's disease in these countries.

Cited by 22 publications

References 38 publications

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

EMPOWER-PD - A physical therapy intervention to empower the individuals with Parkinson’s disease: a study protocol for a feasibility randomized controlled trial

The effect of stem cell therapy and comprehensive physical therapy in motor and non-motor symptoms in patients with multiple sclerosis

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