TY - JOUR
T1 - Effects of group, individual, and home exercise in persons with Parkinson disease
T2 - A randomized clinical trial
AU - King, Laurie A.
AU - Wilhelm, Jennifer
AU - Chen, Yiyi
AU - Blehm, Ron
AU - Nutt, John
AU - Chen, Zunqiu
AU - Serdar, Andrea
AU - Horak, Fay B.
N1 - Publisher Copyright:
Copyright © 2015 Neurology Section, APTA.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Background and Purpose: Comparative studies of exercise interventions for people with Parkinson disease (PD) rarely considered how one should deliver the intervention. The objective of this study was to compare the success of exercise when administered by (1) home exercise program, (2) individualized physical therapy, or (3) a group class. We examined if common comorbidities associated with PD impacted success of each intervention. Methods: Fifty-eight people (age = 63.9 ± 8 years) with PD participated. People were randomized into (1) home exercise program, (2) individual physical therapy, or (3) group class intervention. All arms were standardized and based on the Agility Boot Camp exercise program for PD, 3 times per week for 4 weeks. The primary outcome measure was the 7-item Physical Performance Test. Other measures of balance, gait, mobility, quality of life, balance confidence, depressions, apathy, self-efficacy and UPDRS-Motor, and activity of daily living scores were included. Results: Only the individual group significantly improved in the Physical Performance Test. The individual exercise showed the most improvements in functional and balancemeasures, whereas the group class showed the most improvements in gait. The home exercise program improved the least across all outcomes. Several factors effected success, particularly for the home group. Discussion and Conclusions: An unsupervised, home exercise program is the least effective way to deliver exercise to people with PD, and individual and group exercises have differing benefits. Furthermore, people with PD who also have other comorbidities did better in a program directly supervised by a physical therapist.
AB - Background and Purpose: Comparative studies of exercise interventions for people with Parkinson disease (PD) rarely considered how one should deliver the intervention. The objective of this study was to compare the success of exercise when administered by (1) home exercise program, (2) individualized physical therapy, or (3) a group class. We examined if common comorbidities associated with PD impacted success of each intervention. Methods: Fifty-eight people (age = 63.9 ± 8 years) with PD participated. People were randomized into (1) home exercise program, (2) individual physical therapy, or (3) group class intervention. All arms were standardized and based on the Agility Boot Camp exercise program for PD, 3 times per week for 4 weeks. The primary outcome measure was the 7-item Physical Performance Test. Other measures of balance, gait, mobility, quality of life, balance confidence, depressions, apathy, self-efficacy and UPDRS-Motor, and activity of daily living scores were included. Results: Only the individual group significantly improved in the Physical Performance Test. The individual exercise showed the most improvements in functional and balancemeasures, whereas the group class showed the most improvements in gait. The home exercise program improved the least across all outcomes. Several factors effected success, particularly for the home group. Discussion and Conclusions: An unsupervised, home exercise program is the least effective way to deliver exercise to people with PD, and individual and group exercises have differing benefits. Furthermore, people with PD who also have other comorbidities did better in a program directly supervised by a physical therapist.
KW - Comorbidities
KW - Comorbidity
KW - Exercise
KW - Mobility
KW - Parkinson disease
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U2 - 10.1097/NPT.0000000000000101
DO - 10.1097/NPT.0000000000000101
M3 - Article
C2 - 26308937
AN - SCOPUS:84942016276
SN - 1557-0576
VL - 39
SP - 204
EP - 212
JO - Journal of Neurologic Physical Therapy
JF - Journal of Neurologic Physical Therapy
IS - 4
ER -