Land Plus Aquatic Therapy Versus Land-Based Rehabilitation Alone for the Treatment of Balance Dysfunction in Parkinson Disease: A Randomized Controlled Study With 6-Month Follow-Up

Abstract Objectives To assess whether a specific land-based physical intervention with the inclusion of aquatic therapy is more effective than land-based rehabilitation alone for the treatment of balance dysfunction in patients with Parkinson disease (PD), immediately after therapy and at 6 months&#...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2017-06, Vol.98 (6), p.1077-1085
Hauptverfasser: Palamara, Grazia, MD, Gotti, Francesco, PT, Maestri, Roberto, BME, Bera, Rossana, PT, Gargantini, Roberto, PT, Bossio, Fabiola, PT, Zivi, Ilaria, MD, Volpe, Daniele, MD, Ferrazzoli, Davide, MD, Frazzitta, Giuseppe, MD
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Sprache:eng
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Zusammenfassung:Abstract Objectives To assess whether a specific land-based physical intervention with the inclusion of aquatic therapy is more effective than land-based rehabilitation alone for the treatment of balance dysfunction in patients with Parkinson disease (PD), immediately after therapy and at 6 months' follow-up. Design Randomized controlled study with 6-month follow-up. Setting A PD and brain injury rehabilitation department in a general hospital. Participants Patients (N=34) with moderate-stage PD. Intervention Seventeen patients underwent a land-based rehabilitation protocol called multidisciplinary intensive rehabilitation treatment (MIRT), and 17 underwent MIRT plus aquatic therapy (MIRT-AT). Main Outcome Measures The primary outcome measure was the Berg Balance Scale (BBS); secondary outcome measures were the Unified Parkinson Disease Rating Scale parts II and III (UPDRS II/III) and the Timed Up and Go (TUG) test. These measures were assessed in both groups at admission, at discharge, and after 6 months. Results BBS improved after treatment in both groups. Even though no statistically significant difference between groups was observed at each observation time, BBS scores at follow-up were significantly higher than at baseline in MIRT-AT patients. Both groups also showed an improvement in UPDRS II/III and TUG at the end of treatment compared with baseline, but these findings were lost at the 6-month follow-up. Conclusions Aquatic therapy added to land-based rehabilitation could provide a contribution to the treatment of balance dysfunction in patients with moderate-stage PD.
ISSN:0003-9993
1532-821X
DOI:10.1016/j.apmr.2017.01.025