Exercise to Improve Spinal Flexibility and Function for People with Parkinson's Disease: A Randomized, Controlled Trial

Schenkman, Margaret; Cutson, Toni M.; Kuchibhatla, Maggie; Chandler, Julie; Pieper, Carl F.; Ray, Laurie; Laub, Kathryn Cotter

doi:10.1111/j.1532-5415.1998.tb04535.x

Cited by 190 publications

(141 citation statements)

References 26 publications

(46 reference statements)

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“…105 Examples of possibly useful interventions include the use of cueing, 33,106 teaching of alternative motor strategies to make safer transfers, 107 gait training with external weight support, 108 and the use of exercises to improve stability, spinal flexibility, and general fitness. 64,109 Patients with FOG should be taught not to try and overcome their motor block during walking, as this may increase the risk of a fall. Physiotherapy is best delivered in the domestic situation, as the effects of home treatment exceeded those of hospital-based interventions.…”

Section: Physiotherapymentioning

confidence: 99%

Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena

et al. 2004

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Falls and freezing of gait are two "episodic" phenomena that are common in Parkinson's disease. Both symptoms are often incapacitating for affected patients, as the associated physical and psychosocial consequences have a great impact on the patients' quality of life, and survival is diminished. Furthermore, the resultant loss of independence and the treatment costs of injuries add substantially to the health care expenditures associated with Parkinson's disease. In this clinically oriented review, we summarise recent insights into falls and freezing of gait and highlight their similarities, differences, and links. Topics covered include the clinical presentation, recent ideas about the underlying pathophysiology, and the possibilities for treatment. A review of the literature and the current state-of-the-art suggests that clinicians should not feel deterred by the complex nature of falls and freezing of gait; a careful clinical approach may lead to an individually tailored treatment, which can offer at least partial relief for many affected patients.

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Section: Physiotherapymentioning

confidence: 99%

Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena

et al. 2004

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“…Musculoskeletal exercises are sometimes used concurrently with strategy training in people with PD 53,54 and aim to improve strength, joint range of movement, endurance, and general mobility. No trials have yet been reported on the direct effects of musculoskeletal exercises on freezing of gait in people with PD.…”

Section: Gait Rehabilitation Strategies To Reduce Freezingmentioning

confidence: 99%

Gait festination and freezing in Parkinson's disease: Pathogenesis and rehabilitation

2008

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Freezing and festination during gait are common yet poorly understood motor control deficits in people with Parkinson's disease (PD). As a basis for evidence based clinical decision making during rehabilitation, we explore the underlying factors associated with freezing of gait in PD. It is argued that disorders of motor set and the sequence effect (festination) are associated with freezing, either in isolation or in combination. The contribution of environmental constraints, task related factors, attention, mental status, and prolonged use of PD medications are also investigated. On the basis of these findings, we propose strategies to reduce the frequency and severity of freezing episodes for a range of locomotion tasks.

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“…Although there is increasing evidence that well-focused physiotherapy can improve the patients' quality of life, there is no general consensus on the type of rehabilitation program most useful for patients with PD [5]. Moreover, most clinical trials of physical therapy in PD were based on short-term rehabilitation programs [3,14,17], and usually the improvements were not maintained after the physical therapy phase [3,17].…”

Section: Introductionmentioning

confidence: 99%

Physical therapy in Parkinson?s disease: an open long-term rehabilitation trial

Pellecchia

Grasso

Biancardi

et al. 2004

Journal of Neurology

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The aim of this study was to evaluate the effects of prolonged physical therapy on disability in patients with Parkinson's disease. The study was designed as an open long-term trial over 20 weeks. Twenty slightly to moderately affected parkinsonian patients were included (Hoehn & Yahr stages: 1.5-3). A comprehensive rehabilitation program was applied three times a week in all patients. Pharmacological treatment was kept stable. Evaluations were performed at baseline, at the end of treatment and after 3 months. Following physical rehabilitation, there was a significant improvement in UPDRS (ADL and motor sections) scores, Self-assessment Parkinson's disease Disability Scale, Ten-Meter Walk test and Zung scale for depression. At 3-month follow-up clinical improvements were largely maintained. A sustained improvement of motor skills in PD patients can be achieved with a long-term comprehensive rehabilitation program.

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Exercise to Improve Spinal Flexibility and Function for People with Parkinson's Disease: A Randomized, Controlled Trial

Abstract: Study results demonstrate that improvements in axial mobility and physical performance can be achieved with a 10-week exercise program for people in the early and midstages of PD.

Cited by 190 publications

References 26 publications

Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena

Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena

Gait festination and freezing in Parkinson's disease: Pathogenesis and rehabilitation

Physical therapy in Parkinson?s disease: an open long-term rehabilitation trial

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