Home based training for dexterity in Parkinson's disease: A randomized controlled trial.
Background: Patients with Parkinson's disease exhibit disturbed manual dexterity. This impairment leads to difficulties in activities of daily living, such as buttoning a shirt or hand-writing. The aim of the present study was to investigate the effectiveness of a home-based dexterity program on fin...
| Publicado en: | Parkinsonism & Related Disorders Vol. 41; pp. 92 - 99 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Aug2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124383824&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124383824 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13538020 JNO jtl: Parkinsonism & Related Disorders issn: 13538020 maglogo: N pubinfo: dt: Aug2017 vid: 41 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 124383824 124383824 NLM28578819 124383824 10.1016/j.parkreldis.2017.05.021 NLM28578819 124383824 ppf: 92 ppct: 7 formats: tig: atl: Home based training for dexterity in Parkinson's disease: A randomized controlled trial. aug: au: Vanbellingen, Tim Nyffeler, Thomas Nigg, Julia Janssens, Jorina Hoppe, Johanna Nef, Tobias Müri, René M. van Wegen, Erwin E.H. Kwakkel, Gert Bohlhalter, Stephan affil: Neurocenter, Luzerner Kantonsspital, Switzerland sug: subj: Psychomotor Disorders Etiology Therapeutic Exercise Methods Psychomotor Disorders Rehabilitation Parkinson Disease Complications Hand Physiology Outcome Assessment Male Aged, 80 and Over Parkinson Disease Psychosocial Factors Middle Age Single-Blind Studies Parkinson Disease Rehabilitation Female Prospective Studies Human Aged Quality of Life Psychosocial Factors Analysis of Variance Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Psychological Tests Questionnaires Aged, 80 & over Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Patients with Parkinson's disease exhibit disturbed manual dexterity. This impairment leads to difficulties in activities of daily living, such as buttoning a shirt or hand-writing. The aim of the present study was to investigate the effectiveness of a home-based dexterity program on fine motor skills in a single-blinded, randomized controlled trial, in patients with Parkinson's disease.Methods: One hundred and three patients with Parkinson's disease (aged between 48 and 80 years, Hoehn & Yahr stage I-IV) were randomized to either a home-based dexterity program (HOMEDEXT) or Thera-band program. All patients trained over a period of 4 weeks, 5 times/week, 30 min for each session. A baseline, post-intervention, and follow-up assessment (12 weeks later, time period without intervention) were done. The primary outcome measure was dexterity as measured with the Nine Hole peg test (9-HPT). Secondary outcome measures included strength, motor parkinsonian symptoms, dexterity-related activities of daily living (ADL) and Health-related Quality of Life (HrQoL).Results: There was a significant difference in favor of the HOMEDEXT group as compared to the Thera-band group on the primary outcome 9-HPT (p = 0.006) and dexterity-related ADL (p = 0.02) at post intervention. No significant differences were found for the other outcomes, nor at follow-up.Conclusion: This is the first randomized controlled trial showing that an intensive, task specific home-based dexterity program significantly improved fine motor skills in Parkinson's disease. The effect generalized to dexterity-related ADL functions. As these improvements did not sustain, the finding suggest that continuous training is required to maintain the benefit. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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