Aquatic Dual-Task Training and Its Relation to Motor Functions, Activities of Daily Living, and Quality of Life of Individuals With Parkinson's Disease: A Randomized Clinical Trial.

Objectives: Parkinson's disease (PD) is a neurodegenerative disorder that impacts the dopaminergic neurons of the substantia nigra, leading to motor and non-motor symptoms, as well as changes in activities of daily living (ADL) and quality of life (QoL). Aquatic physical exercises and dual-task phys...

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Publicado en:Health Services Insights pp. 1 - 10
Autores principales: da Silva, Adriano Zanardi, Iucksch, Dielise Debona, Israel, Vera Lúcia
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. 6/12/2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/12/2023
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/11786329231180768
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        atl: Aquatic Dual-Task Training and Its Relation to Motor Functions, Activities of Daily Living, and Quality of Life of Individuals With Parkinson's Disease: A Randomized Clinical Trial.
      aug:
        au:
          da Silva, Adriano Zanardi
          Iucksch, Dielise Debona
          Israel, Vera Lúcia
        affil: Graduate Program of Physical Education, Federal University of Paraná, Curitiba, Paraná, Brazil
      sug:
        subj:
          Parkinson Disease
          Aquatic Exercises
          Psychomotor Performance Evaluation
          Activities of Daily Living
          Quality of Life
          Task Performance and Analysis
          Human
          Randomized Controlled Trials
          Male
          Female
          Middle Age
          Aged
          Psychosocial Functioning
          Exercise Physiology
          Pretest-Posttest Design
          Random Assignment
          Scales
          Questionnaires
          Comparative Studies
          Post Hoc Analysis
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives: Parkinson's disease (PD) is a neurodegenerative disorder that impacts the dopaminergic neurons of the substantia nigra, leading to motor and non-motor symptoms, as well as changes in activities of daily living (ADL) and quality of life (QoL). Aquatic physical exercises and dual-task physical exercises have been used to manage PD symptoms. The aim of this study was to investigate the effects of a dual-task aquatic exercise program on the ADL, motor symptoms, and QoL of individuals with PD. Methods: A randomized controlled trial with a parallel group design was employed, and participants were randomized into 2 groups: a control group and an experimental group. The intervention was a 10-week program consisting of twice-weekly 40-minute aquatic dual-task exercises. Pre-intervention evaluations of ADL, motor function, and QoL were conducted at baseline (AS1), immediately after the intervention (AS2), and 3 months post-intervention (follow-up—AS3). The Unified Parkinson's Disease Rating Scale (UPDRS) II and III sections and the Parkinson's Disease Questionnaire 39 (PDQ-39) were utilized for outcome measures. Results: A total of 25 individuals completed the study. The experimental group showed significant improvements in both the UPDRS II (ADL) and III (motor function) sections (P 's <.05), but there was no significant difference in PDQ-39 scores. Additionally, significant differences were observed in the experimental group between the AS2 and AS3 time periods (P <.05) for both UPDRS II and III scores (P <.05). Conclusions: Aquatic dual-task training may be effective in improving both ADL and motor functions in individuals with PD. Furthermore, the combination of aquatic environment and dual-task exercises may represent a promising approach to maintaining and improving the functionality of individuals with PD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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