| Titel | Efficacy of a physical therapy program in patients with Parkinson's disease: a randomized controlled trial |
|---|---|
| Auteur | Ellis, T.; Goede, de C.J.T.; Feldman, R.G.; Wolters, E.C.M.J.; Kwakkel, G.; Wagenaar, R.C. |
| Datum | 2005 |
| Type | artikel |
| Samenvatting | OBJECTIVE: To investigate the effects of a physical therapy (PT) program in groups of people with Parkinson's disease (PD). DESIGN: Randomized controlled trial with a crossover design. SETTING: Two outpatient rehabilitation clinics in Boston and Amsterdam, respectively. PARTICIPANTS: Sixty-eight subjects diagnosed with typical, idiopathic PD, Hoehn and Yahr stage II or III, and stable medication use. INTERVENTION: Group A received PT and medication therapy (MT) for the first 6 weeks, followed by MT only for the second 6 weeks. Group B received only MT for the first 6 weeks and PT and MT for the second 6 weeks. MAIN OUTCOME MEASURES: The Sickness Impact Profile (SIP-68), the mobility portion of the SIP-68, the Unified Parkinson's Disease Rating Scale (UPDRS), and comfortable walking speed (CWS) at baseline, 6-week, 12-week, and 3-month follow-up. RESULTS: At 6 weeks, differences between groups were significant for the SIP mobility ( P =.015; effect size [ES]=.55), for CWS ( P =.012; ES=.49), for the activities of daily living (ADL) section of the UPDRS ( P =.014; ES=.45), and for the total UPDRS ( P =.007; ES=.56). The total SIP and the mentation and motor sections of the UPDRS did not differ significantly between groups. Significant differences were found at 3 months compared with baseline for CWS, the UPDRS ADL, and total scores. CONCLUSIONS: People with PD derive benefits in the short term from PT group treatment, in addition to their MT, for quality of life related to mobility, CWS, and ADLs; long-term benefits were found in CWS, UPDRS ADL, and total scores but varied between groups |
| Publicatie | http://hdl.handle.net/1871/30790 |
| OpenURL | Zoek deze publicatie in (uw) bibliotheek |
| Persistent Identifier | urn:NBN:nl:ui:31-1871/30790 |
| Metadata | XML |
| Repository | Vrije Universiteit Amsterdam |
Omhoog
Ga terug naar de inhoud
Ga terug naar de site navigatie