Effects of a guided self-rehabilitation contract in patients with moderate stage Parkinson's disease

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• 作者：S. Joudoux^a ; ^{sandrine.joudoux@ach.aphp.fr" class="auth_mail" title="E-mail the corresponding author} ; L. Taravella-Poussin^a ; E. Hutin^b ; J.M. Gracies ; Prof^b ; N. Bayle ; Dr^b
• 关键词：Guided self-rehabilitation ; Parkinson ; Physiotherapy ; Intensive rehabilitation
• 刊名：Annals of Physical and Rehabilitation Medicine
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：58
• 期：supp_S1
• 页码：e114
• 全文大小：94 K

文摘

This study compared two different applications of Guided Self-rehabilitation Contracts (GSC) in Parkinson's disease, individual (I) or group-wise (C), in a 3-month intensive training focused on balance.

Methods

Fourteen patients were randomized into 2 parallel groups (I and C) with one physical therapy session every 10 days for 3 months. Each session associated education and exercise prescription that each patient had to perform daily between sessions. Each patient was to complete a log recording daily work and wear a pedometer. Evaluations, OFF and ON, included Global Mobility Task (GMT), UPDRS III, proof of effort, 20-m walk test, 2-minute endurance test and Functional Reach Test (FRT).

Results

Results of the two groups were similar. Patients worked alone about 40 minutes a day, 6 days per week. Improvements involved the daily number of steps (+19.2%, P = 0.091), UPDRS III-OFF (–30.1%, P = 0.029), GMT-ON (–11.2%, P = 0.042) and stride length at comfortable speed (+9.6%, P = 0.029).

Conclusion

An intensive rehabilitation program in the form of a GSC is feasible in Parkinson's disease, either individually or collectively; it seems to reduce parkinsonian symptoms and to bring functional benefits.