Reliability of Impairment and Physical Performance Measures for Persons With Parkinson's Disease

Schenkman, Margaret; Cutson, Toni M.; Kuchibhatla, Maggie; Chandler, Julie; Pieper, Carl F.

doi:10.1093/ptj/77.1.19

Cited by 128 publications

(102 citation statements)

References 15 publications

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“…25,28,34 The patients in this study also walked more slowly in the Ten Meter Walk Test, where the average time taken to complete the test was between 10-11sec, compared to 8.8sec previously reported reported in the study by Schenkman et al 28 This may be due to differences in disease severity, however this is difficult to assess, as data pertaining to disease stage was not available for analysis in the current study. Balance is one of many elements that may contribute to walking performance in PD.…”

Section: Discussioncontrasting

confidence: 49%

“…These tools have been previously validated to assess balance, 13,19,20,24 and walking performance 25,26 and their utility has been demonstrated in patients with PD. 10,21,[23][24][25]27,28 The patient's demographics, PD history and falls history were also documented collected from patients and their medical charts. Statistical analysis was undertaken in This information was collected for all patients who met the study criteria by undertaking a retrospective chart analysis and entering the data into a Microsoft Excel spreadsheet.…”

Section: All Identified Patients Referred To the Outpatient Rehabilitmentioning

confidence: 99%

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Evaluation of a Circuit Training Program for People with Parkinson’s Disease: A Pilot Study

Lan¹,

Goodwin²,

Bew³

2018

HPMIJ

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Objective: The 3 objectives of this study were to determine if a circuit group exercise program targeting balance was effective and feasible for patients with Parkinson's disease; to determine if any improvements were sustained at 6 months post-intervention and to evaluate patients' quality of life pre-and post-intervention.Design: A pre and post observational clinical study.Subjects: Participants were community-dwelling patients with PD referred outpatient rehabilitation at metropolitan hospital. Methods:The intervention involved a weekly 1-hour circuit training class conducted for 8 weeks. Clinical measures of balance, mobility and quality of life were taken on commencement of the program, on completion of the program and at six months post completion.Results: There were significant improvements in some aspects of balance following completion of the program however these were not sustained at 6-months postintervention. Self-rated health status was generally poor, but program satisfaction was high. Conclusion:For this group of patient circuit balance classes were feasible and safe. Further studies are required to better examine the effects of this treatment approach for people with Parkinson's disease. The 3 objectives were to determine if a groupbased exercise program targeting balance was effective in patients with Parkinson's disease (PD); determine the sustainability of any improvements at 6 months postintervention and evaluate quality of life (QoL) pre-and post-intervention. Participants are community-dwelling patients with PD and balance impairment attending circuit balance classes between 2007 and 2010 (N=19). The intervention involves a weekly 1-hour group-based circuit training exercise class over 8 weeks. The outcome measures were: Timed Up and Go, Functional Reach, Step Test, and EQ-5D Health Questionnaire etc. There was a significant improvement in performance on the Step Test after the intervention. This was not sustained at 6-months post-intervention. Selfrated health status was generally poor, but program satisfaction was high. Circuit balance classes result in a short-term improvement in balance in patients with PD, but do not appear to alter QoL. The exercise intervention may offer additional benefits.

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Section: Discussioncontrasting

confidence: 49%

Section: All Identified Patients Referred To the Outpatient Rehabilitmentioning

confidence: 99%

Evaluation of a Circuit Training Program for People with Parkinson’s Disease: A Pilot Study

Lan¹,

Goodwin²,

Bew³

2018

HPMIJ

View full text Add to dashboard Cite

show abstract

“…For each subject, the mean of the 3 trials was obtained for the spatiotemporal data. In other studies, 15,16 good repeatability of 3 trials of normal walking has been reported. The selected kinematic and kinetic gait parameters used in the analyses were determined on the routine protocol of the gait analysis laboratory of the Pellenberg University Hospital, Leuven, Belgium.…”

Section: Instrumentation and Proceduresmentioning

confidence: 62%

Quantitative Gait Analysis in Parkinson’s Disease: Comparison With a Healthy Control Group

Sofuwa

Nieuwboer

Desloovere

et al. 2005

Archives of Physical Medicine and Rehabilitation

296

179

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Objective: To compare gait parameters in Parkinson's disease (PD) during the on-phase of medication cycle with those of healthy elderly control subjects.Design: A group-comparison study. Setting: Gait analysis laboratory of a university hospital. Participants: Fifteen patients with PD and 9 healthy elderly controls.Interventions: Not applicable. Main Outcome Measures: Spatiotemporal, kinematic, and kinetic gait parameters.Results: The PD spatiotemporal results showed a significant reduction in step length and walking velocity compared with controls. In the kinematics, the major feature of the PD group was a markedly reduced ankle plantarflexion excursion (at 50%-60% of the gait cycle). Most important, the kinetics showed reduced ankle push-off power and hip pull-off power. Unlike the control subjects, the patients with PD did not show any correlation between ankle generation (push-off) power and stride length (rϭ.19) or with gait speed (rϭ.29). Correction for walking velocity did not result in significant changes in the kinetics between the groups.Conclusions: Reduced ankle (push-off) power generation and reduced hip flexion (pull-off) power persisted in PD gait despite being tested in the on-phase of the medication cycle. Lack of a correlation between ankle and hip power generation and walking velocity suggests that peripheral and central factors contribute to lack of forward progression. Patients with PD may benefit from intervention strategies that correct the kinematic and the kinetic gait components.

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“…Few studies reported walking capacity during the 6MWT in people with PD 8,27,28 . Our results demonstrated that those patients who were able to walk shorter distances also had a worse perception of their QoL.…”

Section: Discussionmentioning

confidence: 99%

Impact of changes in balance and walking capacity on the quality of life in patients with Parkinson's disease

Scalzo

Flores

Marques

et al. 2012

Arq. Neuro-Psiquiatr.

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Parkinson' s disease (PD) is the second most common neurodegenerative disorder and it affects 0.3% of the population at large 1 . Pathologically, PD is characterized by the loss of the dopaminergic neurons from the substantia nigra pars compacta, causing the reduction of the striatal dopamine levels 2 . Clinically, PD is marked by the presence of tremors at rest, rigidity and bradykinesia 2 . With the PD progression, other impairments occur, such as postural instability 3 and gait dysfunctions 4 . These impairments result in a greater propensity to falls [5][6][7] , as well as a reduced capacity to walk 8 , and lead to progressive functional restraints. These physical aspects contribute to worsen the quality of life (QoL) in patients with PD 9-13 .QoL is a multidimensional concept that refers to an individual' s subjective perception concerning their life and other aspects, such as familial relationships, the patient' s own health, financial issues, housing, social life and leisure ABSTRACTParkinson's disease (PD) is characterized by motor symptoms that cause the decline of functional capacity and affect the quality of life (QoL). Objective: To evaluate the impact of changes in balance and walking capacity on the PD. Methods: The instruments used were: Unified Parkinson's Disease Rating Scale (UPDRS), modified Hoehn and Yahr Scale (HY), Schwab and England scale (SE), quality of life questionnaire (PDQ-39), Berg balance Scale (BBS) and six-minute walk test (6MWT). Results: Thirty-six patients with mean disease duration of 7.3 years were assessed. Lower scores on the BBS and shorter distances walked during the 6MWT correlated with a poorer perception of QoL. This correlation occurred at the expense of the mobility and daily living activities domains. Conclusion: Our results indicated that the impairment in balance while performing functional activities and the reduction in walking capacity are important factors that negatively affect the perception of QoL in PD patients.Key words: Parkinson's disease, quality of life, postural balance. RESUMOA doença de Parkinson (DP) é caracterizada por sintomas motores que causam declínio da capacidade funcional e afetam a qualidade de vida (QV). Objetivo: Avaliar o impacto das mudanças no equilíbrio e na capacidade de marcha em doentes com DP. Métodos: Foram utilizados instrumentos específicos para avaliação clínica da DP: Escala Unificada de Avaliação da Doença de Parkinson (UPDRS), Escala de Hoehn e Yahr (HY) modificada, Escala de Schwab e England (SE), questionário de qualidade de vida (PDQ-39), Escala de Equilíbrio de Berg (EEB) e teste de caminhada de seis minutos (TC6M). Resultados: Foram avaliados 36 pacientes, com duração média da doença de 7,3 anos. Menores pontuações na EEB e menores distâncias percorridas durante o TC6M mostraram correlação com pior percepção da QV. Essa correlação ocorreu em detrimento dos domínios de mobilidade e atividades de vida diária. Conclusão: Nossos resultados indicaram que o prejuízo no equilíbrio durante a realização de atividades funcio...

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Reliability of Impairment and Physical Performance Measures for Persons With Parkinson's Disease

Abstract: The results suggest that in the early and middle stages of PD, many of the measures of impairment and physical performance are relatively stable.

Cited by 128 publications

References 15 publications

Evaluation of a Circuit Training Program for People with Parkinson’s Disease: A Pilot Study

Evaluation of a Circuit Training Program for People with Parkinson’s Disease: A Pilot Study

Quantitative Gait Analysis in Parkinson’s Disease: Comparison With a Healthy Control Group

Impact of changes in balance and walking capacity on the quality of life in patients with Parkinson's disease

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