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Titre : | A High-Intensity Multicomponent Agility Intervention Improves Parkinson Patients Clinical and Motor Symptoms (2018) |
Auteurs : | József Tollár ; Ferenc Nagy ; Norbert Kovács |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 12, 2018) |
Article en page(s) : | p. 2478-2484 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Posture ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Gait ; Démarche ; Quality of life |
Résumé : |
Objective To determine the effects of a high-intensity exercise therapy using sensorimotor and visual stimuli on nondemented Parkinson disease (PD) patients clinical symptoms, mobility, and standing balance. Design Randomized clinical intervention, using a before-after trial design. Setting University hospital setting. Participants A total of 72 PD patients with Hoehn and Yahr stage of 2-3, of whom 64 were randomized, and 55 completed the study. Intervention PD patients were randomly assigned to a no physical intervention control (n=20 of 29 completed, 9 withdrew before baseline testing) or to a high-intensity agility program (15 sessions, 3 weeks, n=35 completed). Main Outcome Measures Primary outcome was the Movement Disorders Society-Unified Parkinson Disease Rating Scale (MDS-UPDRS) motor experiences of daily living (M-EDL). Secondary outcomes were Beck Depression score, Parkinson Disease Questionnaire-39 (PDQ-39), EuroQoL Five-Dimension (EQ5D) Questionnaire visual analog scale, Schwab and England Activities of Daily Living (SE ADL) Scale, timed Up and Go (TUG) test, and 12 measures of static posturography. Results The agility program improved MDS-UPDRS M-EDL by 38% compared with the 2% change in control (group by time interaction, P=.001). Only the intervention group improved in PDQ-39 (6.6 points), depression (18%), EQ5D visual analog scale score (15%), the SE ADL Scale score (15%), the TUG test (39%), and in 8 of 12 posturography measures by 42%-55% (all P<.001 the levodopa equivalent dosage did not change.> Conclusion A high-intensity agility program improved nondemented, stage 2-3 PD patients clinical symptoms, mobility, and standing balance by functionally meaningful margins at short-term follow-up. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318303538 |