Exploring Outcome Measures for Exercise Intervention in People with Parkinson’s Disease

King, Laurie A.; Salarian, A.; Mancini, Martina; Priest, Kelsey C.; Nutt, John G.; Serdar, Andrea; Wilhelm, Jennifer; Schlimgen, Jeff; Smith, M E Beth; Horak, Fay B.

doi:10.1155/2013/572134

Cited by 48 publications

(55 citation statements)

References 30 publications

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“…They concluded that changes in the velocity of movements at a single joint are not a good reflection of the overall clinical state of patients with PD. King et al (2013) were interested in which outcome measures are sensitive to exercise intervention and explored the effects of two different exercise programmes for improving mobility in patients with PD. Thirty-nine participants were randomized into either the Agility Boot Camp (ABC) or treadmill training; 4x/week for 4 weeks.…”

Section: Introductionmentioning

confidence: 99%

Motor assessment in Parkinson`s disease

Opara

Małecki

Małecka

et al. 2017

Ann Agric Environ Med.

178

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Parkinson's disease (PD) is one of most disabling disorders of the central nervous system. The motor symptoms of Parkinson's disease: shaking, rigidity, slowness of movement, postural instability and difficulty with walking and gait, are difficult to measure. When disease symptoms become more pronounced, the patient experiences difficulties with hand function and walking, and is prone to falls. Baseline motor impairment and cognitive impairment are probable predictors of more rapid motor decline and disability. An additional difficulty is the variability of the symptoms caused by adverse effects of drugs, especially levodopa.

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Section: Introductionmentioning

confidence: 99%

Motor assessment in Parkinson`s disease

Opara

Małecki

Małecka

et al. 2017

Ann Agric Environ Med.

178

View full text Add to dashboard Cite

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“…Additionally, studies almost always compare an intervention protocol with a placebo intervention or no intervention at all (29). Due to ethical considerations and the fact it is a progressive neurodegenerative disease, we opted not to establish a control group since the assignment of patients to this group would harm their clinical progress, considering that the benefits of physical therapy for PD patients are well-established in the literature.…”

Section: Discussionmentioning

confidence: 99%

Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease

et al. 2017

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Introduction: Gait impairments are one of the earliest signs reported by patients with Parkinson's disease (PD) and cause an increased number of falls and decreased quality of life among these patients. Objective: To compare the effectiveness of three physical therapy interventions using Rhythmic Cues (RC), Swiss Ball (SB) and Dual Task (DT), with an emphasis on gait treatment (step and stride length, duration and velocity), in individuals with PD. Methods: Quasi-randomized clinical trial addressing a sample composed of 45 individuals assigned to three groups. The individuals were assessed before and after the intervention protocol using the following: Modified Hoehn and Yahr Scale (HY), Unified Parkinson's Disease Rating Scale (UPDRS), Footprint analysis, Video Gait analysis, and Timed Up and Go Test (TUG). The groups were homogeneous concerning age, HY and UPDRS. Statistical analysis was performed using SPSS, version 20.0. Results: Statistically significant differences were found in all the variables analyzed in the RC and SB groups when compared in the pre-and post-intervention. With the exception of the TUG variable, the DT group presented statistically significant differences in all the remaining variables. Conclusion: The three interventions were effective for the outcomes under study, but the SB group presented the greatest magnitude of

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“…A Norwegian translation is in progress (Master's thesis, University of Oslo, 2015). The Mini-BESTest has been found to have good concurrent validity [5,8,9], and has satisfactory predictive validity in identifying future recurrent fallers in patients with PD, especially during the first 6 months following assessment [10].…”

Section: Introductionmentioning

confidence: 99%

Pragmatic Evaluation of Aspects Concerning Validity and Feasibility of the Mini Balance Evaluation System Test in a Specialized Rehabilitation Hospital

Roaldsen¹,

Wakefield²,

Opheim³

2015

Int J Phys Ther Rehab

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Background: To evaluate aspects of validity and feasibility of the Mini Balance Evaluation Systems Test (Mini-BESTest), for use in a specialized rehabilitation facility on a regular basis. Design: Descriptive cross-sectional study. Methods: A total of 29 physiotherapists (PT) tested 38 male and 21 female patients 20-76 years of age with spinal cord injury (n=20), traumatic brain injury (n=17), acquired brain injury (n=9), multiple trauma (n=6) and other neurological diagnosis (n=7). Dynamic balance was assessed with the MiniBESTest. Fall history, fear of falling (single-item question), fall concerns (FES-I) and PT's evaluation of the Mini-BESTtest were surveyed by structured questionnaires. Pearson's correlation coefficient (Pearson's r) was used to determine the correlation between the total score for the Mini-BESTest and the total score for the FES-I. Results: The median score on the Mini-BESTest was 22 (1-28) points. There were no differences in MiniBESTest score between fallers and non-fallers, between subjects with high or low fall concerns or between diagnostic groups. Patients with independent walking had a significantly better dynamic balance than those in need of assistance. The correlation between dynamic balance and fall concerns was low (r=-0.388). The PTs experienced that the MiniBESTest was feasible for use in the rehabilitation setting. However, two testers should be present when testing patients with severe physical and /or cognitive impairments and the results should be supplemented with fall history, fall-related concerns, diagnosisspecific information, and data on activity limitations and participation restrictions. Conclusion:The Mini-BESTest proved to be a feasible clinical tool for assessing dynamic balance in specialized neurological rehabilitation with some precautions. The results apply primarily for patients with moderately impaired balance control.

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Exploring Outcome Measures for Exercise Intervention in People with Parkinson’s Disease

Cited by 48 publications

References 30 publications

Motor assessment in Parkinson`s disease

Motor assessment in Parkinson`s disease

Comparison of three physical therapy interventions with an emphasis on the gait of individuals with Parkinson’s disease

Pragmatic Evaluation of Aspects Concerning Validity and Feasibility of the Mini Balance Evaluation System Test in a Specialized Rehabilitation Hospital

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