Benefits of task-specific movement program on en bloc turning in Parkinson's disease: A randomized controlled trial.

Autor: Khobkhun F; College of Sports Science and Technology, Mahidol University, Nakhon Pathom, Thailand.; Brain and Behaviour Lab, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand., Hollands M; Brain and Behaviour Lab, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK., Tretriluxana J; Motor Control and Neural Plasticity Laboratory, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand., Srivanitchapoom P; Division of Neurology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand., Richards J; Allied Health Research Unit, School of Sport and Health Sciences, University of Central Lancashire, Preston, UK., Ajjimaporn A; College of Sports Science and Technology, Mahidol University, Nakhon Pathom, Thailand.
Jazyk: angličtina
Zdroj: Physiotherapy research international : the journal for researchers and clinicians in physical therapy [Physiother Res Int] 2022 Oct; Vol. 27 (4), pp. e1963. Date of Electronic Publication: 2022 Jun 19.
DOI: 10.1002/pri.1963
Abstrakt: Introduction: En bloc turning highlights a lack of rotational intersegmental coordination, which commonly impacts turning ability in people with Parkinson's disease (PD). Whilst this turning deficit responds fairly well to medical treatment, it may be further mitigated by performing specific exercise training. Thus, the present study aimed to examine the effects of a 4-week exercise program, which focused on task-specific movements (TSM program) on turning ability and clinical outcomes in people with PD.
Methods: Twenty-two adults (67 ± 6 years) with early-to-mid-stage idiopathic PD were randomly assigned to an experimental group (EG; n = 11) or a control group (CG; n = 11). The exercise group (EG) group received a 60-min per session TSM program for 4 weeks (a total of 15 sessions), while the CG group performed their routine rehabilitation program (a total of 12 sessions). Inertial measurement units were used to measure turning kinematics including; onset latency of body segments and stepping characteristics. Clinical outcomes included the Unified Parkinson's Disease Rating Scale (UPDRS), functional reach test (FRT), and fall efficacy scale international (FES-I). Assessments were conducted at baseline and after 4 weeks.
Results: In the EG, turning kinematics, UPDRS scores, FRT, and FES-I scale, were improved at the end of the 4-week program compared with the CG (all p < 0.05).
Impact Statement: A 4-week TSM program could be a promising alternative rehabilitation program for improving "en bloc" turns and clinical outcomes in PD patients.
(© 2022 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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