Physical Therapy Versus a General Exercise Programme in Patients with Hoehn Yahr Stage II Parkinson’s Disease: A Randomized Controlled Trial

Dipasquale, Savina; Meroni, Roberto; Sasanelli, Francesco; Messineo, Ivan; Piscitelli, Daniele; Perin, C; Cornaggia, C; Cerri, C

doi:10.3233/jpd-161015

Cited by 13 publications

(39 citation statements)

References 25 publications

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“…This study showed that short active motor rehabilitation programs provide substantial functional benefit for patients with PD in improving their quality of life. This supports previously observed positive effects of different rehabilitation methods in PD [ 46 , 47 ]. It was already shown that exercise enhances the efficacy of dopamine substituting compounds, probably as a result of an improved endogenous dopamine release [ 48 ].…”

Section: Discussionsupporting

confidence: 92%

Effectiveness of 6-Week Nordic Walking Training on Functional Performance, Gait Quality, and Quality of Life in Parkinson’s Disease

Szefler-Derela

Arkuszewski²,

Knapik

et al. 2020

Medicina

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Background and objectives: Motor rehabilitation improves physical mobility and quality of life in Parkinson’s disease (PD). As specialized rehabilitation is expensive and resource-consuming, there is a need for simpler, cost-effective methods. The purpose of the study was to determine whether Nordic Walking (NW) training may support the management of motor disability in PD. Materials and Methods: Forty patients (median age 64.0 years, range 50–75 years) with idiopathic PD, Hoehn and Yahr stages II–III, were randomly assigned to NW or standard rehabilitation (SR) programs, comprising twelve rehabilitation sessions conducted bi-weekly throughout the 6-week study period. Results: Median Unified Parkinson’s Disease Rating Scale part III scores were significantly reduced with NW, by 8.5, and with SR, by 6.0 points (both p < 0.001), with significantly greater improvement with NW than with SR (p = 0.047). Gait quality and balance control, measured using the Dynamic Gait Index, improved with NW by a median of 8.0 and with SR by 5.5 points (both p < 0.001), with slightly greater improvement with NW, compared to the SR group (p = 0.064). Quality of life, assessed using the Parkinson’s Disease Questionnaire (PDQ-39), improved with NW by a median of 15 and with SR by 12 points, p = 0.001 and p = 0.008, respectively. Conclusions: The 6-week Nordic Walking program improves functional performance, quality of gait, and quality of life in patients with PD and has comparable effectiveness to standard rehabilitation.

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Section: Discussionsupporting

confidence: 92%

Effectiveness of 6-Week Nordic Walking Training on Functional Performance, Gait Quality, and Quality of Life in Parkinson’s Disease

Szefler-Derela

Arkuszewski²,

Knapik

et al. 2020

Medicina

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“…It was created in 1967 and is still one of the most widely used tools in the evaluation of Parkinson's disease patients Its development was based on the observation of 856. people. It is presented as follows: 1 -unilateral damage without functional impairment, 2 -bilateral or moderate damage without balance disorders, 3 -impaired balance and function not preventing independent living, disability is slight or moderate, 4 -fully developed disease, disability is significant, although the patient is still able to stand up and walk independently, 5 -the patient is in a wheelchair or in bed [37]- [41] To standardize the scale, half-points of 1.5 and 2.5 were introduced (Unified Parkinson's Disease Rating Scale -UPDRS). The described scale, in determining the severity of the disease is directed at assessing the patient's posture, and for this reason, does not reflect other accompanying dysfunctions of the patient (Figure 4.)…”

Section: Resultsmentioning

confidence: 99%

Clinimetric methods for evaluating patients with Parkinson's disease in the context of the latest treatment strategies

Pawłowski

Ziętara

Orzechowska

et al. 2023

J Educ Health Sport

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Background: Parkinson's disease is a neurodegenerative disease involving the deposition of alpha-synuclein deposits in dopaminergic neurons of the black matter, resulting in a decrease in dopamine levels in the central nervous system and the development of motor and non-motor symptoms. Aim of the study: This study aims to identify clinimetric methods for evaluating patients with Parkinson's disease in the context of contemporary therapies. Material and methods: English-language scientific literature from 2012 - 2022 from databases such as PubMed, SCOPUS, Web of Science, Google Scholar was reviewed. Searches were conducted according to keywords: Parkinson's disease, clinical evaluation, and treatment methods. 69 items of literature were qualified for analysis. Results and conclusions: The diagnosis of Parkinson's disease is a diagnosis by exclusion, there are no available and inexpensive methods to diagnose the disease with certainty. The clinimetric assessment of the patient is therefore the basis not only for diagnosis but also for effective, tailored treatment. There are many assessment tools dedicated to patients with this disease entity, and these are the ones recommended for this process. Contemporary treatment methods, especially for those in whom the effectiveness of pharmacological treatment is unsatisfactory, include deep brain stimulation, enteral infusion of DuoDopa®, and subcutaneous infusion/injections of apomorphine. The inclusion of the techniques depends mainly on the assessed condition of the patient.

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“…Many studies have focused on the improvement of motor symptoms in patients with PD. For example, Dipasquale et al (2017) randomly allocated 40 patients with PD of HY stage 2 to the following two groups: one followed a general exercise (GE) program, and one followed a physical therapy (PT) program. Outcome indicators included the Functional Independence Measure, Hamilton Rating Scale, Timed Up & Go test, and Unified Parkinson’s Disease Rating Scale (UPDRS) score, which were all significantly better for the PT group when compared with the GE group at the end of treatment.…”

Section: Discussionmentioning

confidence: 99%

Effects of Baduanjin Exercise on Rehabilitation of Patients With Mild to Moderate Parkinson’s Disease

et al. 2022

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ObjectivesRehabilitation, aerobic exercise, and many traditional Chinese exercises are known to significantly improve balance in patients with Parkinson’s disease. Baduanjin, a traditional physical and mental exercise, has long been practiced for health care as it regulates organs, the nervous and motor systems.MethodsWe recruited 31 eligible participants. Patients underwent a 3-week Baduanjin program, including 35-min exercise daily. Scores on the Modified Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), Non-motor Symptoms Scale (NMSS), and gait and balance tests were compared before and after the Baduanjin program.ResultsMDS-UPDRS-total (t = 4.669, P ≤ 0.001), MDS-UPDRS part-I (t = 5.805, P ≤ 0.001), MDS-UPDRS part-II (t = 5.234, P ≤ 0.001), MDS-UPDRS part-III (t = 3.274, P = 0.003), and NMSS (t = 4.815, P ≤ 0.001) scores significantly decreased after the 3-week intervention. Gait parameters like step (t = 2.289, P = 0.030) and cycle (t = 2.181, P = 0.038) durations also significantly improved, while Balance-check® indicators, including the total score (t = −2.147, P = 0.041) and grade (t = 3.432, P = 0.002) significantly differed before and after exercise.ConclusionBaduanjin exercise shows beneficial effects for non-motor symptoms, balance, gait, and daily activities in patients with Parkinson’s disease. Baduanjin can be included in the patients’ family exercise, which is conducive to their rehabilitation, as well as for obtaining important social and economic benefits.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [ChiCTR-IPR-17011875].

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Physical Therapy Versus a General Exercise Programme in Patients with Hoehn Yahr Stage II Parkinson’s Disease: A Randomized Controlled Trial

Abstract: Physiotherapy seems to be more effective than a generic exercise programme in patients with Hoehn Yahr stage II PD.

Cited by 13 publications

References 25 publications

Effectiveness of 6-Week Nordic Walking Training on Functional Performance, Gait Quality, and Quality of Life in Parkinson’s Disease

Effectiveness of 6-Week Nordic Walking Training on Functional Performance, Gait Quality, and Quality of Life in Parkinson’s Disease

Clinimetric methods for evaluating patients with Parkinson's disease in the context of the latest treatment strategies

Effects of Baduanjin Exercise on Rehabilitation of Patients With Mild to Moderate Parkinson’s Disease

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