Effects of home exercises on motor performance in patients with Parkinson's disease

Çağlar, Aslıcan; Gürses, Hülya Nilgün; Mutluay, Fatma; Kızıltan, Güneş

doi:10.1191/0269215505cr924oa

Cited by 58 publications

(56 citation statements)

References 15 publications

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“…This overall motor improvement may have acted as a confounder in the relationship between sensory cues and gait improvement. Prior studies have also shown nonpharmacological improvement in overall motor performance, such as home-based rehabilitation programs [29], and with other sensory stimulation, such as music [30]. This is also highlighted by the discrepancy often found during routine clinic assessments whereby patients perform better (e.g., less freezing) than what they report to experience in their homes, possibly because of the heightened attention and expectation during the increased scrutiny of clinic visits.…”

Section: Limitations Of This Studymentioning

confidence: 83%

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

Espay¹,

Baram²,

Dwivedi³

et al. 2010

JRRD

133

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Abstract-Shuffling and freezing while walking can impair function in patients with Parkinson disease (PD). Open-loop devices that provide fixed-velocity visual or auditory cues can improve gait but may be unreliable or exacerbate freezing of gait in some patients. We examined the efficacy of a closedloop, accelerometer-driven, wearable, visual-auditory cueing device in 13 patients with PD with off-state gait impairment at baseline and after 2 weeks of twice daily (30 minute duration) at-home use. We measured gait velocity, stride length, and cadence using a validated electronic gait-analysis system. Subjects underwent standard motor assessment and completed a self-administered Freezing of Gait Questionnaire (FOGQ) (range 0-24; lower is better). After training, device use enhanced walking velocity (61.6 ± 20.1 cm/s to 72.6 ± 26.5 cm/s, p = 0.006) and stride length (74.3 ± 16.4 cm to 84.0 ± 18.5 cm, p = 0.004). Upon device removal, walking velocity (64.5 ± 21.4 cm/s to 75.4 ± 21.5 cm/s, p < 0.001) and stride length (79.0 ± 20.3 cm to 88.8 ± 17.7 cm, p = 0.003) exhibited a greater magnitude of change, suggesting immediate residual benefits. Also upon device removal, nearly 70 percent of subjects improved by at least 20 percent in either walking velocity, stride length, or both. An overall improvement in gait was measured by the FOGQ (14.2 ±1.9 to 12.4 ± 2.5, p = 0.02). Although issues related to compliance and response variability render a definitive interpretation of study outcome difficult, devices using closed-loop sensory feedback appear to be effective and desirable nonpharmacologic interventions to improve walking in selected individuals with PD.

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Section: Limitations Of This Studymentioning

confidence: 83%

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

Espay¹,

Baram²,

Dwivedi³

et al. 2010

JRRD

133

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“…While a previous exercise study also demonstrated improvements in 9HPT performance, that program included movement exercises for the upper extremities and hands. 49 As there are no specific hand movements practiced with tango dancing, we propose that improved 9HPT performance may be reflective of a global impact of exercise on bradykinesia. This is supported by the improvements in MDS-UPDRS-3 bradykinesia scores and is in keeping with the suggestion that participation in exercise may have disease modifying effects.…”

Section: Physical Functionmentioning

confidence: 99%

Randomized Controlled Trial of Community-Based Dancing to Modify Disease Progression in Parkinson Disease

Duncan

Earhart

2011

Neurorehabil Neural Repair

289

386

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“…Os estudos divergem: Figueredo et al 17 optaram por reavaliar a adesão aos exercícios propostos a pacientes ambulatoriais submetidos à aplicação de toxina botulínica pós-trinta dias. Já Caglar et al 27 reavaliaram pacientes com doença de Parkinson após dois meses da instrução dos exercícios domiciliares. Esse último, no entanto, apresentou intuito diferente deste estudo, pois buscou avaliar a melhora funcional e não a adesão aos exercícios orientados.…”

Section: Discussionunclassified

Elaboração de um manual ilustrado de exercícios domiciliares para pacientes com hemiparesia secundária ao acidente vascular encefálico (AVE)

Santos¹,

Oliveira

Piemonte³

2012

Fisioter. Pesqui.

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A realização de exercícios físicos para pacientes com sequelas motoras pós-acidente vascular encefálico (AVE) é essencial para a recuperação funcional. Programas educacionais podem facilitar a repetição dos exercícios em casa e contribuir para o tratamento. Este trabalho teve como objetivo elaborar e aplicar um manual de exercícios domiciliares para pacientes com AVE. O estudo consistiu em duas etapas: na primeira foi elaborado um manual de exercícios domiciliares (piloto) com fotos e textos simples para facilitar a compreensão. Foi realizada uma avaliação funcional de cada paciente e selecionados os exercícios mais adequados, que deveriam ser feitos em casa. Esse manual foi aplicado a 17 pacientes, 70% crônicos e 30% agudos. Após 15 dias, o paciente retornava e era solicitado que reproduzisse os exercícios e informasse o nível de compreensão das fotos e do texto do manual e se sentia dor ao realizá-los. As fotos e os exercícios referidos como difíceis foram revistos, e criada a versão teste que foi aplicada em outros 23 pacientes, dando origem à versão final do manual. A avaliação do manual piloto foi insatisfatória, sendo que apenas 56% referiram aprovação das fotos e 87% do texto. Após a reformulação, a compreensão das fotos e do texto alcançou valores acima de 98%. Foi possível obter um manual ilustrado de exercícios domiciliares, de fácil aplicação e compreensão, específico e individualizado, para pacientes com AVE e adaptável aos diferentes quadros motores.

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Effects of home exercises on motor performance in patients with Parkinson's disease

Abstract: A home-based rehabilitation programme for patients with Parkinson's disease helped to improve motor performance compared to patients who did not take advantage of a regular, professionally designed exercise programme.

Cited by 58 publications

References 15 publications

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

At-home training with closed-loop augmented-reality cueing device for improving gait in patients with Parkinson disease

Randomized Controlled Trial of Community-Based Dancing to Modify Disease Progression in Parkinson Disease

Elaboração de um manual ilustrado de exercícios domiciliares para pacientes com hemiparesia secundária ao acidente vascular encefálico (AVE)

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