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

Pellecchia, Maria Teresa; Grasso, Alberto; Biancardi, Luciano Gaetano; Squillante, Massimo; Bonavita, V.; Barone, Paolo

doi:10.1007/s00415-004-0379-2

Cited by 51 publications

(55 citation statements)

References 18 publications

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“…Cutoff scores for patients with PD have not been established. It appears to have adequate discriminant validity in patients with PD, 144 and has been reported to be sensitive to change, 81,145,146 despite the limitation of yes/no answer options. Similar to the HADS, the use of reverse coding introduces complexity, particularly for patients with PD who may have difficulty in set-shifting.…”

Section: Depression In Pdmentioning

confidence: 99%

Depression rating scales in Parkinson's disease: Critique and recommendations

Schrag¹,

Barone²,

Brown³

et al. 2007

Movement Disorders

572

348

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Depression is a common comorbid condition in Parkinson's disease (PD) and a major contributor to poor quality of life and disability. However, depression can be difficult to assess in patients with PD due to overlapping symptoms and difficulties in the assessment of depression in cognitively impaired patients. As several rating scales have been used to assess depression in PD (dPD), the Movement Disorder Society commissioned a task force to assess their clinimetric properties and make clinical recommendations regarding their use. A systematic literature review was conducted to explore the use of depression scales in PD and determine which scales should be selected for this review. The scales reviewed were the Beck Depression Inventory (BDI), Hamilton Depression Scale (Ham-D), Hospital Anxiety and Depression Scale (HADS), Zung Self-Rating Depression Scale (SDS), Geriatric Depression Scale (GDS), Montgomery-Asberg Depression Rating Scale (MADRS), Unified Parkinson's Disease Rating Scale (UPDRS) Part I, Cornell Scale for the Assessment of Depression in Dementia (CSDD), and the Center for Epidemiologic Studies Depression Scale (CES-D). Seven clinical researchers with clinical and research experience in the assessment of dPD were assigned to review the scales using a structured format. The most appropriate scale is dependent on the clinical or research goal. However, observer-rated scales are preferred if the study or clinical situation permits. For screening purposes, the HAM-D, BDI, HADS, MADRS, and GDS are valid in dPD. The CES-D and CSDD are alternative instruments that need validation in dPD. For measurement of severity of depressive symptoms, the Ham-D, MADRS, BDI, and SDS scales are recommended. Further studies are needed to validate the CSDD, which could be particularly useful for the assessment of severity of dPD in patients with comorbid dementia. To account for overlapping motor and nonmotor symptoms of depression, adjusted instrument cutoff scores may be needed for dPD, and scales to assess severity of motor symptoms (e.g., UPDRS) should also be included to help adjust for confounding factors. The HADS and the GDS include limited motor symptom assessment and may, therefore, be most useful in rating depression severity across a range of PD severity; however, these scales appear insensitive in severe depression. The complex and time-consuming task of developing a new scale to measure depression specifically for patients with PD is currently not warranted.

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Section: Depression In Pdmentioning

confidence: 99%

Depression rating scales in Parkinson's disease: Critique and recommendations

Schrag¹,

Barone²,

Brown³

et al. 2007

Movement Disorders

572

348

View full text Add to dashboard Cite

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“…Besides, one of the effects caused by the immersion in a hydro environment would be the increased dopamine levels in the CNS, which is maintained for a few hours after immersion 13 . Studies that used APT as a physical therapeutic resource to treat for PD focus on the improvement of balance, postural instability and risk of fall [14][15][16] , however, there are only a few studies in literature that measure the repercussion of this treatment in the perception of QOL of patients. Therefore, the objective of this study was to assess the effects of APT in the QOL of patients with PD from mild to moderate stages using the PDQ-39.…”

Section: Introductionmentioning

confidence: 99%

Efeitos da fisioterapia aquática na qualidade de vida de sujeitos com doença de Parkinson

Silva¹,

Nunes²,

Oliveira³

et al. 2013

Fisioter. Pesqui.

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A doença de Parkinson (DP) é uma doença degenerativa e progressiva do sistema nervoso central, e seus sintomas podem proporcionar um declínio da qualidade de vida (QV) dos pacientes, que pode ser influenciada positivamente pela fisioterapia aquática (FA). A FA é um recurso fisioterapêutico que utiliza os efeitos físicos, fisiológicos e cinesiológicos advindos da imersão do corpo em piscina aquecida. O questionário da doença de Parkinson 39 (PDQ-39) é o instrumento mais apropriado para a avaliação da QV do paciente com DP. O objetivo deste estudo foi avaliar os efeitos da FA na QV de pacientes com DP nos estágios de leve a moderado, utilizando-se do PDQ-39. Foram incluídos 13 pacientes com DP, com idade entre 45 e 74 anos, entre os estágios 1 a 3 da doença (Hoehn-Yahr). Os pacientes foram submetidos a 16 sessões de FA, duas vezes por semana, com duração de uma hora, em piscina terapêutica aquecida. A percepção da QV foi mensurada por meio do PDQ-39, antes e depois da FA. Depois da FA, ocorreu uma redução estatisticamente significativa (p<0,0001) tanto no escore total do PDQ-39 quanto em todos os seus domínios (p=0,032). A QV foi mais afetada em maiores estágios da doença. Antes da FA, a QV era pior no estágio mais avançado da doença, e apesar da melhora dos escores de QV depois da FA, o estágio mais avançado continuou apresentando pior percepção da QV. A FA proporcionou uma melhora na qualidade de vida dos pacientes com doença de Parkinson neste estudo.

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“…In the same way, Ellis et al (Ellis, et al, 2005) found out that total scoring within the mental and motor sections was not much different among different groups and that significant differences were only found three months after treatment in the UPDRS section devoted to daily-life activities and its total scoring (Ellis, et al, 2005), observing that PD patients obtain short-term benefits from physiotherapeutic group treatment and long-term advantages in UPDRS total scoring, although significant variations were found among different groups (Ellis, et al, 2005). Therefore, it seems to be evident that sustained improvement in motor skills can be achieved in PD patients through a physiotherapy program within a reasonable long term time-period (Pellecchia, et al, 2004;Ellis, et al, 2005). Therefore, the aim of the present study is to demonstrate the effectiveness of a physiotherapy protocol in PD patients, quantified in terms of improvement in UPDRS scoring within its motor subscale.…”

mentioning

confidence: 94%

“…In order to quantify improvement in patient's motor condition and be able to show variations in his/her quality of life, the use of the Unified Parkinson's Disease Rating Scale (UPDRS) has prevailed (Movement Disorder Society Task Force on Ratio Scales for Parkinson´s Disease, 2003). Pellecchia et al (Pellecchia, et al, 2004) observed that -after a physiotherapy protocol-a significant improvement of UPDRS scoring took place in the section of daily-life activities and the motor section, but also in the Self-rating Scale for PD Incapacity, the 10-metre walking test and Zung Self-rating Depression Scale; after three months such clinic improvements were maintained to a great extent (Pellecchia, et al, 2004). In the same way, Ellis et al (Ellis, et al, 2005) found out that total scoring within the mental and motor sections was not much different among different groups and that significant differences were only found three months after treatment in the UPDRS section devoted to daily-life activities and its total scoring (Ellis, et al, 2005), observing that PD patients obtain short-term benefits from physiotherapeutic group treatment and long-term advantages in UPDRS total scoring, although significant variations were found among different groups (Ellis, et al, 2005).…”

mentioning

confidence: 99%