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

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 exercis...

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Publicado en:Physiotherapy Research International Vol. 27; no. 4; pp. 1 - 12
Autores principales: Khobkhun, Fuengfa, Hollands, Mark, Tretriluxana, Jarugool, Srivanitchapoom, Prachaya, Richards, Jim, Ajjimaporn, Amornpan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1002/pri.1963
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        atl: Benefits of task‐specific movement program on en bloc turning in Parkinson's disease: A randomized controlled trial.
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        au:
          Khobkhun, Fuengfa
          Hollands, Mark
          Tretriluxana, Jarugool
          Srivanitchapoom, Prachaya
          Richards, Jim
          Ajjimaporn, Amornpan
        affil: College of Sports Science and Technology, Mahidol University, Nakhon Pathom, Thailand
      sug:
        subj:
          Parkinson Disease
          Rotation
          Exercise
          Task Performance and Analysis
          Outcomes (Health Care) Evaluation
          Human
          Randomized Controlled Trials
          Exercise Physiology
          Middle Age
          Aged
          Random Assignment
          Rehabilitation
          Kinematics
          Scales
          Clinical Assessment Tools
          Exercise Test Methods
          Functional Assessment
          Accidental Falls Risk Factors
          Fear
          Accidental Falls Prevention and Control
          Multivariate Analysis of Variance
          Paired T-Tests
          Post Hoc Analysis
          Data Analysis Software
          Descriptive Statistics
          Male
          Female
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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