Aquatic Therapy Versus Conventional Land-Based Therapy for Parkinson's Disease: An Open-Label Pilot Study
Aquatic Therapy Versus Conventional Land-Based Therapy for Parkinson's Disease: An Open-Label Pilot Study
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DOI：
10.1016/j.apmr.2011.03.017
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发表时间：
2011-08-01
影响因子：
4.3
通讯作者：
Cudeiro, Javier
中科院分区：
文献类型：
--
作者：
Vivas, Jamile;Arias, Pablo;Cudeiro, Javier
Vivas J，阿里亚斯P，Cudeiro J.水生疗法与传统陆基疗法治疗帕金森病：一项开放标签试点研究。Arch Phys Med Rehabil 2011; 92：1202- 10.目的：评估和比较2种不同的物理治疗方案（土地或水疗法）治疗帕金森氏病（PD）患者的研究，重点关注姿势稳定性和自我运动，并为未来更大规模的试验提供有关该项目进展的方法学信息，设计：随机、对照、开放标签的试点试验。门诊患者，Ferrol-Galicia（西班牙）帕金森病中心。参与者：根据Hoehn和Yahr量表，患有2或3期特发性PD的个体（N=11）完成了调查（干预期加随访），干预：在基线评估后，参与者被随机分配到陆基治疗（活性对照组）或水基治疗（实验组）。参与者接受了为期4周的个人课程，每周两次，每次45分钟。这两种干预措施相匹配的运动功能，这是结构化的阶段，明确的目标和进展标准，通过到下一个phase.Main结果Measures：参与者进行了第一次基线评估，后测后立即干预4周后，17天后的后续评估。在停药12小时后进行停药评价。功能评估包括功能性伸手测试（FRT），贝格平衡量表（BBS），的FRENRS，5米步行试验，和定时起身和去test.Results：两种疗法的主要影响被认为是FRT。只有水疗法组改善BBS和BURSRS.Conclusions：在这项试点研究中，物理治疗方案产生的改善PD的姿势稳定性是显着较大的水疗法后。这些干预方案是可行的，似乎是有价值的改善PD的姿势稳定性相关的损害。这里详细介绍的一些方法学方面可以用于设计更大规模的对照试验。
Vivas J, Arias P, Cudeiro J. Aquatic therapy versus conventional land-based therapy for Parkinson's disease: an open-label pilot study. Arch Phys Med Rehabil 2011; 92:1202-10.Objectives: To assess and compare 2 different protocols of physiotherapy (land or water therapy) for people with Parkinson's disease (PD) focused on postural stability and self-movement, and to provide methodological information regarding progression within the program for a future larger trial,Design: Randomized, controlled, open-label pilot trial.Setting: Outpatients, Parkinson's disease Center of Ferrol - Galicia (Spain).Participants: Individuals (N=11) with idiopathic PD in stages 2 or 3 according to the Hoehn and Yahr Scale completed the investigation (intervention period plus follow-up),Interventions: After baseline evaluations, participants were randomly assigned to a land-based therapy (active control group) or a water-based therapy (experimental group). Participants underwent individual sessions for 4 weeks, twice a week, for 45 minutes per session. Both interventions were matched in terms of exercise features, which were structured in stages with clear objectives and progression criteria to pass to the next phase.Main Outcome Measures: Participants underwent a first baseline assessment, a posttest immediately after 4 weeks of intervention, and a follow-up assessment after 17 days. Evaluations were performed OFF-dose after withholding medication for 12 hours. Functional assessments included the Functional Reach Test (FRT), the Berg Balance Scale (BBS), the UPDRS, the 5-m walk test, and the Timed Up and Go test.Results: A main effect of both therapies was seen for the FRT. Only the aquatic therapy group improved in the BBS and the UPDRS.Conclusions: In this pilot study, physiotherapy protocols produced improvement in postural stability in PD that was significantly larger after aquatic therapy. The intervention protocols are shown to be feasible and seem to be of value in amelioration of postural stability-related impairments in PD. Some of the methodological aspects detailed here can be used to design larger controlled trials.