Aquatic Exercise Therapy for People With Parkinson Disease: A Randomized Controlled Trial

被引：90

作者：

Carroll, Louise M. ^{[1
]}

Volpe, Daniele ^{[2
]}

Morris, Meg E. ^{[3
,4
]}

Saunders, Jean ^{[5
]}

Clifford, Amanda M. ^{[6
]}

机构：

[1] St Gabriels Ctr, Limerick, Ireland

[2] Fresco Inst Italy NYU Langone, Parkinsons Dis Excellence Ctr, Dept Neurorehabil, Via Costacolonna 1, Vicenza, Italy

[3] La Trobe Univ, Sch Allied Hlth, Northpk Private Hosp Healthscope Australia, Melbourne, Vic, Australia

[4] La Trobe Univ, Sch Allied Hlth, La Trobe Ctr Sport & Exercise Med Res, Melbourne, Vic, Australia

[5] Univ Limerick, Dept Maths & Stat, CSTAR UL, Stat Consulting Unit, Limerick, Ireland

[6] Univ Limerick, Dept Clin Therapies, Hlth Sci Bldg, Limerick, Ireland

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2017年 / 98卷 / 04期

关键词：

Exercise; Gait; Hydrotherapy; Parkinson disease; Rehabilitation; LAND-BASED THERAPY; GAIT DYNAMICS; INTRA-RATER; FALLS; QUESTIONNAIRE; RELIABILITY; PROGRAMS; SCALE;

D O I：

10.1016/j.apmr.2016.12.006

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To evaluate the effects of aquatic exercise therapy on gait variability and disability compared with usual care for people with Parkinson disease (PD). Design: Single-blind randomized controlled trial. Setting: Community-based hydrotherapy pool. Participants: Individuals with PD (Hoehn-Yahr stages I - III) (N=21). Interventions: Participants were randomly assigned to either an aquatic exercise therapy group (45min, twice a week for 6wk) or a group that received usual care. Main Outcome Measures: The primary outcome measure was gait variability as measured using a motion capture system. Secondary outcomes were quality of life measured on the Parkinson's Disease Questionnaire-39 and freezing of gait and motor disability quantified by the Unified Parkinson's Disease Rating Scale. Feasibility was evaluated by measuring safety, adverse events, and participant satisfaction. Results: People in the aquatic therapy group and usual care group showed similar small improvements in gait variability. The aquatic therapy group showed greater improvements in disability than the usual care group (P<.01). No differences between groups or over time were identified for freezing of gait or quality of life. Aquatic therapy sessions were safe and enjoyable with no adverse events. Conclusions: Aquatic therapy appears feasible and safe for some people in the early stages of PD. (C) 2017 by the American Congress of Rehabilitation Medicine

引用

页码：631 / 638

页数：8