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A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease.
Mov Disord. 2009 Jan 15; 24(1):64-71.MD

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.

Authors+Show Affiliations

School of Physiotherapy, The University of Melbourne, Australia. m.morris@unimelb.edu.auNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18942100

Citation

Morris, Meg E., et al. "A Randomized Controlled Trial of Movement Strategies Compared With Exercise for People With Parkinson's Disease." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 24, no. 1, 2009, pp. 64-71.
Morris ME, Iansek R, Kirkwood B. A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease. Mov Disord. 2009;24(1):64-71.
Morris, M. E., Iansek, R., & Kirkwood, B. (2009). A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease. Movement Disorders : Official Journal of the Movement Disorder Society, 24(1), 64-71. https://doi.org/10.1002/mds.22295
Morris ME, Iansek R, Kirkwood B. A Randomized Controlled Trial of Movement Strategies Compared With Exercise for People With Parkinson's Disease. Mov Disord. 2009 Jan 15;24(1):64-71. PubMed PMID: 18942100.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease. AU - Morris,Meg E, AU - Iansek,Robert, AU - Kirkwood,Beth, PY - 2008/10/23/pubmed PY - 2009/6/6/medline PY - 2008/10/23/entrez SP - 64 EP - 71 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 24 IS - 1 N2 - 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. SN - 1531-8257 UR - https://www.unboundmedicine.com/medline/citation/18942100/A_randomized_controlled_trial_of_movement_strategies_compared_with_exercise_for_people_with_Parkinson's_disease_ L2 - https://doi.org/10.1002/mds.22295 DB - PRIME DP - Unbound Medicine ER -