Benefits of task-specific movement program on en bloc turning in Parkinson's disease: A randomized controlled trial
6
Issued Date
2022-10-01
Resource Type
ISSN
13582267
eISSN
14712865
DOI
Scopus ID
2-s2.0-85132339348
Pubmed ID
35717662
Journal Title
Physiotherapy Research International
Volume
27
Issue
4
Rights Holder(s)
SCOPUS
Bibliographic Citation
Physiotherapy Research International Vol.27 No.4 (2022)
Suggested Citation
Khobkhun F. Benefits of task-specific movement program on en bloc turning in Parkinson's disease: A randomized controlled trial. Physiotherapy Research International Vol.27 No.4 (2022). doi:10.1002/pri.1963 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/84773
Title
Benefits of task-specific movement program on en bloc turning in Parkinson's disease: A randomized controlled trial
Author(s)
Other Contributor(s)
Abstract
Introduction: En bloc turning highlights a lack of rotational intersegmental coordination, which commonly impacts turning ability in people with Parkinson's disease (PD). Whilst this turning deficit responds fairly well to medical treatment, it may be further mitigated by performing specific exercise training. Thus, the present study aimed to examine the effects of a 4-week exercise program, which focused on task-specific movements (TSM program) on turning ability and clinical outcomes in people with PD. Methods: Twenty-two adults (67 ± 6 years) with early-to-mid-stage idiopathic PD were randomly assigned to an experimental group (EG; n = 11) or a control group (CG; n = 11). The exercise group (EG) group received a 60-min per session TSM program for 4 weeks (a total of 15 sessions), while the CG group performed their routine rehabilitation program (a total of 12 sessions). Inertial measurement units were used to measure turning kinematics including; onset latency of body segments and stepping characteristics. Clinical outcomes included the Unified Parkinson's Disease Rating Scale (UPDRS), functional reach test (FRT), and fall efficacy scale international (FES-I). Assessments were conducted at baseline and after 4 weeks. Results: In the EG, turning kinematics, UPDRS scores, FRT, and FES-I scale, were improved at the end of the 4-week program compared with the CG (all p < 0.05). Impact Statement: A 4-week TSM program could be a promising alternative rehabilitation program for improving “en bloc” turns and clinical outcomes in PD patients.