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| Research article summary (published 13 Jan 2009): |
A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease.
Full Abstract
This randomized controlled clinical trial was conducted to compare the effects of movement rehabilitation strategies and exercise therapy in hospitalized patients with idiopathic Parkinson's disease. Participants were randomly assigned to a group that received movement strategy training or musculoskeletal exercises during 2 consecutive weeks of hospitalization. The primary outcome was disability as measured by the Unified Parkinson's Disease Rating Scale, UPDRS (motor and ADL components). Secondary outcomes were balance, walking speed, endurance, and quality of life. Assessments were carried out by blinded testers at baseline, after the 2 weeks of treatment and 3 months after discharge. The movement strategy group showed improvements on several outcome measures from admission to discharge, including the UPDRS, 10 m walk, 2 minute walk, balance, and PDQ39. However, from discharge to follow up there was significant regression in performance on the 2 minute walk and PDQ39. For the exercise group, quality of life improved significantly during inpatient hospitalization and this was retained at follow-up. Inpatient rehabilitation produces short term reductions in disability and improvements in quality of life in people with Parkinson's disease.
Author information
Author/s: Morris, Meg E (ME); Iansek, Robert (R); Kirkwood, Beth (B);
Affiliation: School of Physiotherapy, The University of Melbourne, Australia. m.morris(-atsign-)unimelb.edu.au
Journal and publication information
Publication Type: Comparative Study; Journal Article; Randomized Controlled Trial
Journal: Movement disorders : official journal of the Movement Disorder Society (Mov Disord), published in United States. (Language: eng)
Reference: 2009-Jan; vol 24 (issue 1) : pp 64-71
Dates: Created 2009/02/02; Completed 2009/06/04;
PMID: 18942100, status: MEDLINE (last retrieval date: 6/4/2009, IMS Date: 04 Jun 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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