Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation
Background and purpose The effect of a sociability‐based fitness approach on parkinsonian disability in patients with Parkinson's disease (PD) was assessed. Methods Eighty patients diagnosed with PD were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the indi...
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Veröffentlicht in: | European journal of neurology 2021-06, Vol.28 (6), p.1893-1900 |
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container_title | European journal of neurology |
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creator | Mitsui, Takao Arii, Yoshiharu Tsukamoto, Ai Taniguchi, Koichiro Mabuchi, Masaru Shimizu, Arisa Sumitomo, Nichika Maki, Yukiko Kuroda |
description | Background and purpose
The effect of a sociability‐based fitness approach on parkinsonian disability in patients with Parkinson's disease (PD) was assessed.
Methods
Eighty patients diagnosed with PD were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 40). The primary outcome was the difference between the two groups in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale (UPDRS). The secondary outcomes included the change in mental status and the difference in the mean change from baseline to month 3 and month 6 in the total score on the UPDRS.
Results
The mean (±SD) UPDRS scores were 72.0 ± 21.0 in the GBR group and 72.1 ± 18.6 in the IBR group. The UPDRS scores from baseline to post‐training were 22.8 ± 13.5 in the GBR group and 10.9 ± 8.8 in the IBR group (difference 11.8 points; 95% confidence interval [CI] 5.0–18.6; p = 0.001). The difference between the groups from baseline to month 3 (difference 10.06 points; 95% CI 3.3–16.8) and the difference between the groups from baseline to month 6 (difference 11.7 points; 95% CI 4.9–18.5) were also significant (p = 0.004 and p = 0.001, respectively). The scores of cognitive function and depression had not changed significantly.
Conclusions
Patients receiving GBR demonstrated significant improvements in parkinsonian symptoms, suggesting that the sociability‐based fitness can be applied to clinical treatment by sustaining the motivation in PD.
Patients with Parkinson’s disease were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 39). The outcome was the difference between the GBR group and the IBR group in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale. GBR had a more beneficial effect than IBR up to 6 months after training. |
doi_str_mv | 10.1111/ene.14798 |
format | Article |
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The effect of a sociability‐based fitness approach on parkinsonian disability in patients with Parkinson's disease (PD) was assessed.
Methods
Eighty patients diagnosed with PD were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 40). The primary outcome was the difference between the two groups in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale (UPDRS). The secondary outcomes included the change in mental status and the difference in the mean change from baseline to month 3 and month 6 in the total score on the UPDRS.
Results
The mean (±SD) UPDRS scores were 72.0 ± 21.0 in the GBR group and 72.1 ± 18.6 in the IBR group. The UPDRS scores from baseline to post‐training were 22.8 ± 13.5 in the GBR group and 10.9 ± 8.8 in the IBR group (difference 11.8 points; 95% confidence interval [CI] 5.0–18.6; p = 0.001). The difference between the groups from baseline to month 3 (difference 10.06 points; 95% CI 3.3–16.8) and the difference between the groups from baseline to month 6 (difference 11.7 points; 95% CI 4.9–18.5) were also significant (p = 0.004 and p = 0.001, respectively). The scores of cognitive function and depression had not changed significantly.
Conclusions
Patients receiving GBR demonstrated significant improvements in parkinsonian symptoms, suggesting that the sociability‐based fitness can be applied to clinical treatment by sustaining the motivation in PD.
Patients with Parkinson’s disease were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 39). The outcome was the difference between the GBR group and the IBR group in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale. GBR had a more beneficial effect than IBR up to 6 months after training.</description><identifier>ISSN: 1351-5101</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/ene.14798</identifier><identifier>PMID: 33657674</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Basal ganglia ; Central nervous system diseases ; Cognitive ability ; Confidence intervals ; Fitness ; group‐based rehabilitation ; Motivation ; Movement disorders ; Neurodegenerative diseases ; Parkinson's disease ; Patients ; peer support ; placebo response ; Rehabilitation ; Signs and symptoms ; Training ; UPDRS</subject><ispartof>European journal of neurology, 2021-06, Vol.28 (6), p.1893-1900</ispartof><rights>2021 European Academy of Neurology</rights><rights>2021 European Academy of Neurology.</rights><rights>Copyright © 2021 European Academy of Neurology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-fcd4e4207eaa5d81b0da61fa1a2af403b4cea2a2b35071098f308759d0fd2f903</citedby><cites>FETCH-LOGICAL-c3538-fcd4e4207eaa5d81b0da61fa1a2af403b4cea2a2b35071098f308759d0fd2f903</cites><orcidid>0000-0003-3637-7857</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fene.14798$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fene.14798$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33657674$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mitsui, Takao</creatorcontrib><creatorcontrib>Arii, Yoshiharu</creatorcontrib><creatorcontrib>Tsukamoto, Ai</creatorcontrib><creatorcontrib>Taniguchi, Koichiro</creatorcontrib><creatorcontrib>Mabuchi, Masaru</creatorcontrib><creatorcontrib>Shimizu, Arisa</creatorcontrib><creatorcontrib>Sumitomo, Nichika</creatorcontrib><creatorcontrib>Maki, Yukiko Kuroda</creatorcontrib><title>Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background and purpose
The effect of a sociability‐based fitness approach on parkinsonian disability in patients with Parkinson's disease (PD) was assessed.
Methods
Eighty patients diagnosed with PD were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 40). The primary outcome was the difference between the two groups in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale (UPDRS). The secondary outcomes included the change in mental status and the difference in the mean change from baseline to month 3 and month 6 in the total score on the UPDRS.
Results
The mean (±SD) UPDRS scores were 72.0 ± 21.0 in the GBR group and 72.1 ± 18.6 in the IBR group. The UPDRS scores from baseline to post‐training were 22.8 ± 13.5 in the GBR group and 10.9 ± 8.8 in the IBR group (difference 11.8 points; 95% confidence interval [CI] 5.0–18.6; p = 0.001). The difference between the groups from baseline to month 3 (difference 10.06 points; 95% CI 3.3–16.8) and the difference between the groups from baseline to month 6 (difference 11.7 points; 95% CI 4.9–18.5) were also significant (p = 0.004 and p = 0.001, respectively). The scores of cognitive function and depression had not changed significantly.
Conclusions
Patients receiving GBR demonstrated significant improvements in parkinsonian symptoms, suggesting that the sociability‐based fitness can be applied to clinical treatment by sustaining the motivation in PD.
Patients with Parkinson’s disease were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 39). The outcome was the difference between the GBR group and the IBR group in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale. GBR had a more beneficial effect than IBR up to 6 months after training.</description><subject>Basal ganglia</subject><subject>Central nervous system diseases</subject><subject>Cognitive ability</subject><subject>Confidence intervals</subject><subject>Fitness</subject><subject>group‐based rehabilitation</subject><subject>Motivation</subject><subject>Movement disorders</subject><subject>Neurodegenerative diseases</subject><subject>Parkinson's disease</subject><subject>Patients</subject><subject>peer support</subject><subject>placebo response</subject><subject>Rehabilitation</subject><subject>Signs and symptoms</subject><subject>Training</subject><subject>UPDRS</subject><issn>1351-5101</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kc9u1DAQhy1ERf_AgRdAlrjAIe04tuOEW7VaoFJVkIBzNEnGWi9Ze7GzVHvrI3Dt6_VJcJvCAYm5zGj06dNofoy9FHAqcp2Rp1OhTFM_YUdCVXUhpBRP8yy1KLQAcciOU1oDQGlKeMYOpay0qYw6YusvoXfYudFN-7ubXx0mGrh1k6eUOG63MWC_4s7zzxi_O5-Cv7u5TXxwiTL6ji_CZovR5T2_dtOK98H_JD-54HHkkVazGu8Xz9mBxTHRi8d-wr69X35dfCwuP324WJxfFr3Usi5sPyhSJRhC1EMtOhiwEhYFlmgVyE71lMeykxqMgKa2EmqjmwHsUNoG5Al7M3vz8T92lKZ241JP44iewi61pWoMmKqpdUZf_4Ouwy7m0zOlS6NqA5XK1NuZ6mNIKZJtt9FtMO5bAe19AG0OoH0IILOvHo27bkPDX_LPxzNwNgPXbqT9_03t8mo5K38DBbSSzA</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Mitsui, Takao</creator><creator>Arii, Yoshiharu</creator><creator>Tsukamoto, Ai</creator><creator>Taniguchi, Koichiro</creator><creator>Mabuchi, Masaru</creator><creator>Shimizu, Arisa</creator><creator>Sumitomo, Nichika</creator><creator>Maki, Yukiko Kuroda</creator><general>John Wiley & Sons, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3637-7857</orcidid></search><sort><creationdate>202106</creationdate><title>Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation</title><author>Mitsui, Takao ; Arii, Yoshiharu ; Tsukamoto, Ai ; Taniguchi, Koichiro ; Mabuchi, Masaru ; Shimizu, Arisa ; Sumitomo, Nichika ; Maki, Yukiko Kuroda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-fcd4e4207eaa5d81b0da61fa1a2af403b4cea2a2b35071098f308759d0fd2f903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Basal ganglia</topic><topic>Central nervous system diseases</topic><topic>Cognitive ability</topic><topic>Confidence intervals</topic><topic>Fitness</topic><topic>group‐based rehabilitation</topic><topic>Motivation</topic><topic>Movement disorders</topic><topic>Neurodegenerative diseases</topic><topic>Parkinson's disease</topic><topic>Patients</topic><topic>peer support</topic><topic>placebo response</topic><topic>Rehabilitation</topic><topic>Signs and symptoms</topic><topic>Training</topic><topic>UPDRS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mitsui, Takao</creatorcontrib><creatorcontrib>Arii, Yoshiharu</creatorcontrib><creatorcontrib>Tsukamoto, Ai</creatorcontrib><creatorcontrib>Taniguchi, Koichiro</creatorcontrib><creatorcontrib>Mabuchi, Masaru</creatorcontrib><creatorcontrib>Shimizu, Arisa</creatorcontrib><creatorcontrib>Sumitomo, Nichika</creatorcontrib><creatorcontrib>Maki, Yukiko Kuroda</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mitsui, Takao</au><au>Arii, Yoshiharu</au><au>Tsukamoto, Ai</au><au>Taniguchi, Koichiro</au><au>Mabuchi, Masaru</au><au>Shimizu, Arisa</au><au>Sumitomo, Nichika</au><au>Maki, Yukiko Kuroda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2021-06</date><risdate>2021</risdate><volume>28</volume><issue>6</issue><spage>1893</spage><epage>1900</epage><pages>1893-1900</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><abstract>Background and purpose
The effect of a sociability‐based fitness approach on parkinsonian disability in patients with Parkinson's disease (PD) was assessed.
Methods
Eighty patients diagnosed with PD were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 40). The primary outcome was the difference between the two groups in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale (UPDRS). The secondary outcomes included the change in mental status and the difference in the mean change from baseline to month 3 and month 6 in the total score on the UPDRS.
Results
The mean (±SD) UPDRS scores were 72.0 ± 21.0 in the GBR group and 72.1 ± 18.6 in the IBR group. The UPDRS scores from baseline to post‐training were 22.8 ± 13.5 in the GBR group and 10.9 ± 8.8 in the IBR group (difference 11.8 points; 95% confidence interval [CI] 5.0–18.6; p = 0.001). The difference between the groups from baseline to month 3 (difference 10.06 points; 95% CI 3.3–16.8) and the difference between the groups from baseline to month 6 (difference 11.7 points; 95% CI 4.9–18.5) were also significant (p = 0.004 and p = 0.001, respectively). The scores of cognitive function and depression had not changed significantly.
Conclusions
Patients receiving GBR demonstrated significant improvements in parkinsonian symptoms, suggesting that the sociability‐based fitness can be applied to clinical treatment by sustaining the motivation in PD.
Patients with Parkinson’s disease were randomly assigned to either the group‐based rehabilitation (GBR) group (n = 40) or the individual‐based rehabilitation (IBR) group (n = 39). The outcome was the difference between the GBR group and the IBR group in the mean change from baseline to post‐training in the total score on the Unified Parkinson's Disease Rating Scale. GBR had a more beneficial effect than IBR up to 6 months after training.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>33657674</pmid><doi>10.1111/ene.14798</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3637-7857</orcidid></addata></record> |
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subjects | Basal ganglia Central nervous system diseases Cognitive ability Confidence intervals Fitness group‐based rehabilitation Motivation Movement disorders Neurodegenerative diseases Parkinson's disease Patients peer support placebo response Rehabilitation Signs and symptoms Training UPDRS |
title | Sociability‐based fitness approach in Parkinson’s disease: Comparison with conventional rehabilitation |
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