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| Name | Class |
|---|---|
| Tartu University Hospital | OTHER |
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Aim of current study was to evaluate the effect of a 2-month comprehensive physiotherapy intervention on different aspects of functional performance. In addition, progression of PD motor symptoms (using standardized clinical tests for the assesment) was of interest
The aim of current study was to enroll 50 patients with Parkinson's disease (PD) and randomly assign them into intervention and control group. Patients were randomly contacted through the epidemiological database of patients with Parkinson' disease of South-Estonia. 44 participants agreed to come to the baseline assessment including:
Third assessment was assigned one year after (then the same assessment was performed, in addition body composition was analysed using DXA), forth assessment an other year later.
During forth assessment 15 members starting in the intervention group and 10 starting in the control group participated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Comprehensive physical therapy intervention in small groups (3 members), altogether 16 sessions were performed during a period of 8 weeks (twice a week). Each session lasted 1 hour. |
|
| Control group | No Intervention | Control group members did not receive any specific intervention during study period, but if needed, medical treatment (medication, it's dosage etc) of Parkinson Disease was changed during study period. They were assigned to individual therapy after the study period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Comprehensive physical therapy | Other | Each session included exercises for posture, strength, range of motion, balance. In addition, different transfers and gait training was performed. Each session began with exercises in laying position (15 minutes), thereafter exercises in sitting were performed for 10 minutes. Then different exercises in standing position were performed for 15 minutes, followed by 10 minutes of gait training. 10 minutes of exercises for manual dexterity and upper limb function ended the session. |
| Measure | Description | Time Frame |
|---|---|---|
| Gait speed during transitioning from sitting to walking and its change as a result of physiotherapy and change over time | Gait speed was calculated based an the performance of Timed up and Go test | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| Gait speed during transitioning from standing to walking and its change as a result of physiotherapy and change over time | Gait speed was calculated based an the performance of Short Physical Performance Battery gait test | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| "Pure" gait speed and its change as a result of physiotherapy and change over time | Gait speed was calculated based an the performance of 10 m walk test, with excluding the acceleration and deceleration phase (duration of the intermediate 6-meters was measured and based on that gait speed was calculated | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| Measure | Description | Time Frame |
|---|---|---|
| body composition (and changes in it in one year period) | it was assessed with DXA methodology | was assessed twice (during third and fourth assessment), with a timeperiod of one year in between |
| Timed-up-and-go test: its change as a result of physiotherapy and change over time |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life: its change as a result of physiotherapy and change over time | it was assessed with PDQ-39 questionaire | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
Inclusion Criteria:
Exclusion Criteria:
Not meeting the inclusion criteria
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| Name | Affiliation | Role |
|---|---|---|
| Kadri Medijainen, MSc | Junior research fellow in physiotherapy | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38588457 | Derived | Ernst M, Folkerts AK, Gollan R, Lieker E, Caro-Valenzuela J, Adams A, Cryns N, Monsef I, Dresen A, Roheger M, Eggers C, Skoetz N, Kalbe E. Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2024 Apr 8;4(4):CD013856. doi: 10.1002/14651858.CD013856.pub3. | |
| 36602886 |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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|
The duration of Timed up and go test, executed with a turn over both shoulders was used |
| it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| Four square step test: its change as a result of physiotherapy and change over time | The duration of Four square step test,was used | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| Tinetti test: its change as a result of physiotherapy and change over time | The Tinetti test was executed and the score was used | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| Range of motion: its change as a result of physiotherapy and change over time | Range of motion of major joints (shoulder, hip, knee, ankle) were measured goniometrically. Spinal ROM (including neck) was measured with tapemeasure, aswell as the excursion of the ribcage during maximal inspiration and expiration | it was assessed during three assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later |
| Assessment of handwriting:its change as a result of physiotherapy and change over time | To assess the impact of visual cues on handwriting, patients were instructed to write one simple and one complex sentence on white, striped and squared paper. During assessment, the speed of writing was registered. | it was assessed during three assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later |
| prevalence of pain: its change as a result of physiotherapy and change over time |
it was assessed with patient interview |
| it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| patient-specific complaints:its change as a result of physiotherapy and change over time | it was assessed with patient interview | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| difficulties in executing different activities of daily living: its change as a result of physiotherapy and change over time | it was assessed with patient interview | it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later |
| Ernst M, Folkerts AK, Gollan R, Lieker E, Caro-Valenzuela J, Adams A, Cryns N, Monsef I, Dresen A, Roheger M, Eggers C, Skoetz N, Kalbe E. Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 Jan 5;1(1):CD013856. doi: 10.1002/14651858.CD013856.pub2. |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |