Home physical therapy versus telerehabilitation in improving motor function and quality of life in Parkinson's disease: a randomized controlled trial.

IF 3.4 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Ying Ge, Wowa Zhao, Lu Zhang, Xiaoyi Zhao, Xuan Shu, Jiawei Li, Lei Qiao, Ying Liu, Han Wang
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引用次数: 0

Abstract

Background: Over the past few years, the development of telerehabilitation has advanced rapidly. Patients with Parkinson's disease (PwPD) often have difficulty with mobility, making it challenging for them to perform centre-based exercise.This study aims to compare the effectiveness and adherence of home physical therapy (HPT) and telerehabilitation (TR) in mitigating motor symptoms and improving the quality of life in patients with mild to moderate Parkinson's disease.

Methods: This randomized controlled trial included a total of 190 patients who underwent in-person eligibility assessment, with 100 allocated to the HPT group and 90 to the TR group. Both interventions consisted of home-based training sessions lasting 40-60 min and were conducted five times a week for 4 weeks. The primary outcome was the Unified Parkinson's Disease Rating Scale motor section (UPDRS3) score. Secondary outcomes included balance function, assessed using the Berg Balance Scale (BBS); risk of fall, evaluated through the Timed Up-and-Go test (TUG) and the Five Times Sit-to-Stand test (FTSST); gait, measured using the Freezing of Gait Questionnaire (FOGQ) and IDEEA activity monitor; muscle strength, evaluated using the isokinetic dynamometry; motor aspects of experiences of daily living (UPDRS2); and quality of life, assessed by Parkinson's Disease Questionnaire-39 (PDQ-39).

Results: There was a significant difference in the UPDRS3, BBS, TUG, FTSST, FOGQ,step length, step velocity,preswing angle, UPDRS2 and PDQ-39 between baseline and 4 weeks in both groups. The decrease in the UPDRS3 score was significantly greater in the HPT group (-3.38 points) than in the RE group (-1.45 points) in the older age group (P = 0.021), but there was no significant between-group difference in the younger age group (P = 0.416). Similar changes favouring the HPT group were observed in the BBS, TUG, step velocity, and extension average torque. 7 (7%) patients in the HPT group and 12 (13%) patients in the TR group did not complete their daily exercise plan.

Conclusions: Both HPT and TR have demonstrated effectiveness, safety, and feasibility in PwPD. However, the HPT program exhibited greater effectiveness among older patients and higher patient compliance compared to TR.

Trial registration: Chictr.org.cn, ChiCTR2300071648. Registered on 22 May 2023-retrospectively registered, https://www.chictr.org.cn/showproj.html?proj=196313 .

家庭物理治疗与远程康复在改善帕金森病患者运动功能和生活质量方面的比较:随机对照试验。
背景:在过去几年中,远程康复技术发展迅速。本研究旨在比较家庭物理治疗(HPT)和远程康复(TR)在减轻轻度至中度帕金森病患者运动症状和提高生活质量方面的有效性和依从性:这项随机对照试验共有 190 名患者接受了现场资格评估,其中 100 人被分配到 HPT 组,90 人被分配到 TR 组。两种干预措施都包括持续 40-60 分钟的家庭训练课程,每周 5 次,为期 4 周。主要结果是统一帕金森病评定量表运动部分(UPDRS3)得分。次要结果包括:平衡功能,使用伯格平衡量表(BBS)进行评估;跌倒风险,通过定时起立行走测试(TUG)和五次坐立测试(FTSST)进行评估;步态,使用步态冻结问卷(FOGQ)和IDEEA活动监测器进行测量;肌力,使用等速肌力测定法进行评估;日常生活体验的运动部分(UPDRS2);以及生活质量,通过帕金森病问卷-39(PDQ-39)进行评估。结果显示两组患者的UPDRS3、BBS、TUG、FTSST、FOGQ、步长、步速、摆动前角度、UPDRS2和PDQ-39在基线和4周之间均有明显差异。在老年组中,HPT 组 UPDRS3 评分的下降幅度(-3.38 分)明显高于 RE 组(-1.45 分)(P = 0.021),但在年轻组中,组间差异不明显(P = 0.416)。在 BBS、TUG、步速和伸展平均扭矩方面也观察到了有利于 HPT 组的类似变化。HPT组中有7名(7%)患者和TR组中有12名(13%)患者未完成日常锻炼计划:结论:HPT 和 TR 均证明了对残疾人的有效性、安全性和可行性。然而,与 TR 相比,HPT 计划对老年患者更有效,患者的依从性更高:Chictr.org.cn, ChiCTR2300071648.注册日期:2023年5月22日-回顾注册,https://www.chictr.org.cn/showproj.html?proj=196313 。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Geriatrics
BMC Geriatrics GERIATRICS & GERONTOLOGY-
CiteScore
5.70
自引率
7.30%
发文量
873
审稿时长
20 weeks
期刊介绍: BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.
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