A randomized controlled trial of movement strategies compared with exercise for people with Parkinson’s disease.

Morris ME, Iansek R, Kirkwood B

This randomized controlled clinical trial was conducted to compare the effects of movement rehabilitation strategies and exercise therapy in hospitalized patients with idiopathic Parkinson's disease. Participants were randomly assigned to a group that received movement strategy training or musculoskeletal exercises during 2 consecutive weeks of hospitalization. The movement strategy group showed improvements on several outcome measures from admission to discharge, including the UPDRS, 10 m walk, 2 minute walk, balance, and PDQ39. However, from discharge to follow up there was significant regression in performance on the 2 minute walk and PDQ39. For the exercise group, quality of life improved significantly during inpatient hospitalization and this was retained at follow-up.

Inpatient rehabilitation produces short term reductions in disability and improvements in quality of life in people with Parkinson's disease.

Movement Disorders, Oct 21, online article ahead of print

Link to Abstract

Principles of Exercise Rehabilitation

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