Effect of group virtual exercise on people with Parkinson's disease: A randomized controlled trial.
Background: For people with Parkinson's disease (PwPD), high-intensity exercise in individual or group format can improve function and quality of life (QoL). Individualized virtual exercise programs have been effective for people with PD, but the feasibility and impact of group exercise in the virtu...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 7; pp. 1355 - 1366 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2025
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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=186130332&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186130332 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jul2025 vid: 41 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 186130332 180514713 186130332 186130332 10.1080/09593985.2024.2420015 186130332 ppf: 1355 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effect of group virtual exercise on people with Parkinson's disease: A randomized controlled trial. aug: au: Fishel, Sarah C. Hotchkiss, Megan E. McNamara, Christine A. Sevilla, Kaitlyn M. Brown, Samantha A. affil: Department of Physical Therapy, Ithaca College, Ithaca, NY, USA sug: subj: Parkinson Disease Rehabilitation Group Exercise Methods Telerehabilitation Treatment Outcomes Evaluation Physical Mobility Evaluation Functional Status Quality of Life Evaluation Human Randomized Controlled Trials Male Female Middle Age Aged Functional Assessment Random Assignment Exercise Intensity Heart Rate Wearable Sensors Pretest-Posttest Design Analysis of Variance Nonparametric Statistics Descriptive Statistics Exercise Test Walking Speed Physical Endurance Balance Training, Physical Funding Source Single-Blind Studies Data Analysis Software Scales Questionnaires Wilcoxon Signed Rank Test Confidence Intervals Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: For people with Parkinson's disease (PwPD), high-intensity exercise in individual or group format can improve function and quality of life (QoL). Individualized virtual exercise programs have been effective for people with PD, but the feasibility and impact of group exercise in the virtual format has not been investigated. Purpose: To compare the effect of individual and group virtual exercise on functional mobility and QoL for PwPD. Methods: Twenty PwPD were randomized to individualized (n = 10) or group (n = 10) virtual exercise 2 times per week for 8 weeks. Exercises were multi-dimensional, and intensity was monitored with a wrist-worn heart rate (HR) monitor. Outcomes were assessed before and after the program, including standing balance, gait speed, gait endurance, motor function, QoL, and self-efficacy. Within-and between-group changes were analyzed using a mixed model analysis of variance (ANOVA) and nonparametric tests were used for analysis. Results: Participants attended over 75% of scheduled sessions. Within-group analysis showed statistically significant improvements in Five Times Sit-to-Stand (p <.01), mini-BESTest (p =.03), comfortable (p <.01) and fast gait speeds (p =.02), and gait endurance (p <.01) with large effect sizes (partial eta squared > 0.25). There were no statistically significant differences between groups on any outcomes (p >.09). In more than 70% of sessions, participants reached an exercise intensity ≥ 65% HR maximum. Conclusion: This high-intensity, virtual exercise program was safe and effective at improving balance and functional mobility for community-dwelling PwPD in individual and group format. Virtual exercise programs, either in an individual or group format, can increase access to high-quality programs for PwPD. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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