Exercise-Induced Functional Changes in People with Parkinson's Disease following External Cueing and Task-Based Intervention.
Introduction. The purpose of this study was to evaluate change in motor function, gait speed, dynamic balance, balance confidence, and quality of life (QoL) in nine participants with Parkinson's disease (PwPD) completing Lee Silverman Voice Treatment BIG (LSVT-BIG), an external cueing and task-based...
| Publicado en: | Rehabilitation Research & Practice pp. 1 - 14 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
1/19/2024
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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=174952110&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174952110 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20902867 B6DY jtl: Rehabilitation Research & Practice issn: 20902867 maglogo: N pubinfo: dt: 1/19/2024 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 174952110 174952110 174952110 10.1155/2024/6188546 174952110 ppf: 1 ppct: 13 formats: tig: atl: Exercise-Induced Functional Changes in People with Parkinson's Disease following External Cueing and Task-Based Intervention. aug: au: Clarkin, Christine M. Ward-Ritacco, Christie L. Mahler, Leslie affil: Physical Therapy Department, University of Rhode Island, Kingston, Rhode Island, USA sug: subj: Parkinson Disease Rehabilitation Voice Therapy Methods Cues Task Performance and Analysis Motor Skills Walking Speed Balance, Postural Confidence Quality of Life Human Male Female Middle Age Aged Interviews Comorbidity Scales Questionnaires Clinical Assessment Tools Cognition Disorders Physical Activity Patient Compliance Descriptive Statistics Comparative Studies Severity of Illness Indices Patient Classification Outcome Assessment Patient Satisfaction Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction. The purpose of this study was to evaluate change in motor function, gait speed, dynamic balance, balance confidence, and quality of life (QoL) in nine participants with Parkinson's disease (PwPD) completing Lee Silverman Voice Treatment BIG (LSVT-BIG), an external cueing and task-based intervention. Although supported as an efficacious treatment in PwPD, there is limited research examining clinically meaningful change in outcome measures related to external cueing and task-based interventions. Materials and Methods. This was a case series of nine PwPD (age range 64-76 years, 55% male) who completed the LSVT-BIG protocol. Disease duration ranged from 1 to 17 years and was classified as moderate in all participants (Hoehn and Yahr = 2 or 3). Outcome measures included motor function (MDS-UPDRS Part III Motor), gait speed, dynamic balance (MiniBEST), Activities-specific Balance Confidence (ABC), and Summary Index for PD Quality of Life 39 (PDQ-SI). Assessments were completed at baseline (BASE), end of treatment (EOT), and 4 weeks after EOT (EOT+4). Results. Minimal detectable change (MDC) or minimal clinical important difference (MCID) was observed in one or more outcome measures in 8 of 9 participants at EOT and EOT+4 across domains of motor function (67%, 78%), gait speed (78%, 67%), balance confidence (44%, 33%), quality of life (44%, 78%), and dynamic balance (22%, 22%). Discussion. In this case series, 8 of 9 participants showed MDC or MCID changes across multiple functional domains. Improvements were observed immediately post (EOT) and 4-week post-treatment (EOT+4) suggesting a temporal component of the LSVT-BIG impact on functional change. Future research should include clinical trials to examine additional external cueing and task-based intervention efficacy with consideration of intensity, frequency, and mode of delivery across disease severity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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