Exercise-Induced Functional Changes in People with Parkinson's Disease following External Cueing and Task-Based Intervention.

IF 1.5 Q3 REHABILITATION
Rehabilitation Research and Practice Pub Date : 2024-01-19 eCollection Date: 2024-01-01 DOI:10.1155/2024/6188546
Christine M Clarkin, Christie L Ward-Ritacco, Leslie Mahler
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引用次数: 0

Abstract

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.

帕金森病患者在外部提示和任务型干预后运动引起的功能变化
简介本研究旨在评估九名帕金森病(PwPD)患者在完成李-西尔弗曼嗓音治疗 BIG(LSVT-BIG)(一种基于外部提示和任务的干预方法)后在运动功能、步速、动态平衡、平衡自信心和生活质量(QoL)方面的变化。尽管这种疗法被认为对帕金森病患者具有疗效,但对与外部提示和任务型干预相关的结果指标中具有临床意义的变化的研究却很有限:这是一个病例系列,包括 9 名完成 LSVT-BIG 方案的 PwPD(年龄在 64-76 岁之间,55% 为男性)。病程从 1 年到 17 年不等,所有参与者的病情均为中度(Hoehn and Yahr = 2 或 3)。结果测量包括运动功能(MDS-UPDRS 第三部分运动)、步速、动态平衡(MiniBEST)、特定活动平衡信心(ABC)和 39 型帕金森病生活质量汇总指数(PDQ-SI)。评估分别在基线(BASE)、治疗结束(EOT)和治疗结束后 4 周(EOT+4)完成:结果:在EOT和EOT+4时,9名参与者中有8名在运动功能(67%,78%)、步速(78%,67%)、平衡信心(44%,33%)、生活质量(44%,78%)和动态平衡(22%,22%)领域的一项或多项结果测量中观察到最小可检测变化(MDC)或最小临床重要差异(MCID)。讨论在这个病例系列中,9 名参与者中有 8 人在多个功能领域出现了 MDC 或 MCID 变化。在治疗后即刻(EOT)和治疗后四周(EOT+4)都观察到了改善,这表明 LSVT-BIG 对功能变化的影响具有时间性。未来的研究应包括临床试验,以检查额外的外部提示和基于任务的干预效果,并考虑不同疾病严重程度的强度、频率和实施方式。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
16
审稿时长
19 weeks
期刊介绍: Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.
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