Progressive muscle-strength protocol for the functionality of upper limbs and quality of life in individuals with Parkinson’s disease: Pilot study

2020 ◽  
Vol 52 ◽  
pp. 102432
Author(s):  
Thais Vianna Correa ◽  
Thiago da Silva Rocha Paz ◽  
Silvana Allodi ◽  
Vera Lúcia Santos de Britto ◽  
Clynton Lourenço Correa
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pilot Study ◽  
Muscle Strength ◽  
Upper Limbs

Home-based dance exercise for adults with moderate Parkinson’s disease: Protocol with a pilot study for a non-randomized clinical trial using video-dances in a DVD format (Preprint)

2022 ◽  
Author(s):  
Manoela de Paula Ferreira ◽  
Adriano Zanardi da Silva ◽  
Bruna Yamaguchi ◽  
Sunita Mathur ◽  
Taina Ribas Melo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Clinical Trial ◽  
Parkinson's Disease ◽  
Cognitive Function ◽  
Pilot Study ◽  
Functional Mobility ◽  
Contemporary Dance ◽  
Home Based

BACKGROUND Many people with Parkinson’s disease (PD) have never received rehabilitation care due to lack of accessibility and transportation and high therapy costs for in-person rehabilitation. Home-based dance exercise is an innovative, low-cost therapy that may reduce accessibility barriers to exercise. Especially since the COVID-19 pandemic, home-exercise programs are a highly relevant, alternative approach for people with PD OBJECTIVE This clinical trial protocol aims to explore the effects of a Home-Based contemporary dance exercise program for people with moderate Parkinson’s Disease (PD), focusing on balance, functional mobility, quality of life (QOL), cognitive function, and depression. METHODS This protocol is for a non-randomized clinical trial for adults with moderate PD divided into control group (CG) and Experimental Group (EG). Participants from the EG will perform video-dances of the contemporary dance, delivered in a DVD format. The video-dances will be executed 16 weeks, three times per week, 30 minutes each day at home, with exercise intensity controlled by the BORG scale. Participants from the CG will not receive any new exercise therapy. As primary outcomes, the signs and symptoms of the PD assessed by the Unified Parkinson’s Disease Rating Scale – UPDRS II and III, Hoehn and Yahr for the PD severity, and health-related quality of life (HRQL), measured by the Parkinson’s Disease Questionnaire – PDQ-39) will be tested. Secondary outcomes include cognitive function by the Montreal Cognitive Assessment – MoCA, balance by the Mini-BESTest, functional mobility by the Timed “Up and Go” test – TUG and depression by the Geriatric Depression Scale – GDS. All outcomes will be assessed in an in-person evaluation by a blinded assessor before and after the 16 weeks of the program. RESULTS This protocol has a pilot study that included 10 participants (5 in each group). It was observed positive results favoring the EG over cognitive function (p = 0.034). In addition, HRQL, balance, and depression were improved after the pilot program in the EG, however, without significant difference. CONCLUSIONS This clinical trial has the potential to be a safe alternative exercise approach under COVID restrictions and travel-free therapy with effects on PD symptoms. CLINICALTRIAL RBR-58T68W (Brazilian Clinical Trials Registry)

scholarly journals Respiratory muscle strength and lung function in the stages of Parkinson’s disease

2019 ◽  
Vol 45 (6) ◽  
Author(s):  
Rejane Barreto dos Santos ◽  
Anderson Santos Fraga ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
Bruna Ferreira Tiburtino ◽  
Otávio Gomes Lins ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Muscle Strength ◽  
Lung Function ◽  
Motor Function ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
And Control

ABSTRACT Objective: To investigate parameters of lung function and respiratory muscle strength in different stages of Parkinson’s disease (PD), as well as to determine their correlation with motor function and quality of life. Methods: This was a cross-sectional study conducted at a referral center for PD in the city of Recife, Brazil. Respiratory muscle strength and lung function, as well as their relationship with motor function and quality of life, were evaluated in patients with PD, stratified by the level of severity, and were compared with the data obtained for a control group. After confirming the normality of data distribution, we performed one-way ANOVA with a post hoc t-test. Results: The sample comprised 66 individuals, in two groups: PD (n = 49) and control (n = 17). All of the parameters investigated showed inverse correlations with PD severity, and there were significant differences among the levels of severity, as well as between the PD and control groups, in terms of the MIP, MEP, FVC, FEV1, and FEF25-75%. The lung function parameters also showed moderate to weak inverse correlations with bradykinesia and rigidity. On a quality of life questionnaire, the total score and mobility domain score both presented a moderate inverse correlation with FVC, FEV1, PEF, and MEP. Conclusions: Respiratory muscle strength and some lung function parameters are impaired from the early stages of PD onward, bradykinesia and rigidity being the cardinal signs that correlate most strongly with impairment of those parameters. Such alterations negatively affect the quality of life of patients with PD.

scholarly journals Trajectory Classes of Decline in Health-Related Quality of Life in Parkinson's Disease: A Pilot Study

2011 ◽  
Vol 14 (2) ◽  
pp. 329-338 ◽  
Author(s):  
Jens Klotsche ◽  
Jens Peter Reese ◽  
Yaroslav Winter ◽  
Wolfgang H. Oertel ◽  
Hyacinth Irving ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pilot Study ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Predictors of mobility domain of health-related quality of life after rehabilitation in Parkinson’s disease: a pilot study

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Thomas Bowman ◽  
Elisa Gervasoni ◽  
Riccardo Parelli ◽  
Johanna Jonsdottir ◽  
Maurizio Ferrarin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pilot Study ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Music as Add-On Therapy in the Rehabilitation Program of Parkinson’s Disease Patients—A Romanian Pilot Study

2021 ◽  
Vol 11 (5) ◽  
pp. 569
Author(s):  
Dana Marieta Fodor ◽  
Xenia-Melania Breda ◽  
Dan Valean ◽  
Monica Mihaela Marta ◽  
Lacramioara Perju-Dumbrava
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Pilot Study ◽  
Physical Therapy ◽  
Rehabilitation Program ◽  
Control Group ◽  
Study Group ◽  
Motor Outcomes

Music has been proven to have therapeutic potential in neurological disorders, especially Parkinson’s disease (PD), since rhythmic auditory cueing can partially replace the progressive loss of rhythmicity and automaticity. Several reports have highlighted improvements in motor outcomes in PD patients undergoing music therapy, but only a few studies have evaluated non-motor outcomes, such as quality of life (QoL), which deteriorates with disease progression. The current pilot study aims to examine the effects of a multimodal rehabilitation program centered on physical therapy combined with listening to music on self-reported QoL in people with PD, compared to the same rehabilitation program alone. The study was conducted on patients with idiopathic PD who attended a specific rehabilitation program with a duration of 2.5 h daily for 14 days. The patients were divided into the study group (16 patients), who listened to background music during the rehabilitation program sessions, and the control group who did not listen to music during sessions. The patients were assessed using the self-report Parkinson’s Disease Questionnaire (PDQ-39) at the beginning of the program and 1 month after its initiation. The patients in the study group registered greater improvements in five of the eight areas of life assessed by PDQ-39 compared to the control group. In conclusion, listening to music combined with a multimodal rehabilitation program centered on physical therapy may be beneficial for the patients’ quality of life.

scholarly journals Influence of global postural reeducation method on respiratory muscle strength and parkinsonian quality of life

2020 ◽  
pp. 1-5 ◽  
Author(s):  
Larissa Salgado de Oliveira Rocha ◽  
Larissa Natsumi Hosoda Mineshita ◽  
Luciane Lobato Sobral ◽  
Lizandra Dias Magno ◽  
Marcio Clementino de Souza Santos ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Post Treatment ◽  
Inspiratory Pressure ◽  
Life Questionnaire ◽  
Respiratory Muscle Strength

Background: Degenerative diseases such as Parkinson’s disease can lead to postural changes and muscular strength, this generates greater impact on the individual, on his functional capacity, respiratory system, mobility and, quality of life (QOL). Objective: The aim of this study was to verify the influence of the Global Posture Reeducation (GPR) method on respiratory muscle strength and QOL in patients with Parkinson’s disease. Methods: Twenty volunteers, the average of age is 48.8 ± 6.22 years, they are diagnosed with Parkinson’s disease at level 2 to 3 by the Hoehn & Yahr Scale. They were submitted to the protocol of treatment with the GPR method in the postures of Frog in the ground and ballerina, performed regularly twice a week lasting 60 minutes each session, for 6 weeks, totaling 12 sessions, evaluated by PDQ-39 quality of life questionnaire and by inspiratory pressure measurements and Maximum expiratory value. Results: In the quantitative analysis of inspiratory and expiratory muscle pressure, there was an increase in post-treatment for maximal inspiratory pressure (MIP) (p <0.05) when compared to pre-treatment, as well as when compared with predicted values MIP and maximum expiratory pressure (MEP) presented higher values (p <0.05). In terms of QoL domains: mobility (p = 0.0009), daily life activity (p = 0.0006), emotional well-being (p = 0.001), cognition (p = 0.01) and physical discomfort were statistically significant in post-treatment. Conclusion: The use of GPR in Parkinson’s disease has shown to be effective in the treatment of respiratory muscle strength and QoL.

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