scholarly journals The Effects of Group-Based versus Individual-Based Tai Chi Training on Nonmotor Symptoms in Patients with Mild to Moderate Parkinson’s Disease: A Randomized Controlled Pilot Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Jing Hui Yang ◽  
Ya Qun Wang ◽  
Sai Qing Ye ◽  
You Gen Cheng ◽  
Yu Chen ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Tai Chi ◽  
Compliance Rate ◽  
Community Dwelling ◽  
Home Exercise ◽  
Hamilton Depression Scale ◽  
Nonmotor Symptoms ◽  
Randomized Controlled ◽  
Exercise Compliance

Objective. To compare the effects of group-based and individual-based Tai Chi training on nonmotor symptoms in patients with mild to moderate Parkinson’s disease. Design. Randomized controlled pilot study. Methods. 36 community-dwelling patients with Parkinson’s disease (PD) were randomly assigned to either group-based training group (n=19) or individual-based group (n=17). Both groups received same content of Tai Chi training 3 times a week for 13 weeks. Participants were also asked to perform home exercises daily. The Non-Motor Symptoms Scale was used to assess global nonmotor symptoms change. Sleep quality, depression, and cognition were evaluated by Parkinson’s Disease Sleep Scale, Hamilton Depression Scale, and Beijing version-Montreal Cognitive Assessment, respectively. Home exercise compliance was recorded. Results. There was no significant difference between two groups at baseline. After 13 weeks, there were no statistical significance between two groups. However, the within-group effect was different. Participants in group-based and individual-based groups showed a significant improvement on global nonmotor symptoms (P<0.001, P=0.004) and sleep (P<0.001, P<0.001). But only group-based training patients presented a significant improvement in cognitive impairment compared with baseline (P=0.002, P-0.116). For depression, no group gained a significant improvement(P=0.123, P=0.170). Group-based participants had a higher home-exercise compliance rate (HeCR) than individual-based participants did (P=0.019), and HeCR showed a moderate correlation with MoCA-BJ and NMSS scores changes in this study. Conclusion. Group-based Tai Chi training is considered to be a more effective and a more labor-saving method in the clinical settings, and patients tend to have a higher compliance rate in their home exercise program. This study is registered with ChiCTR-IPR-17010388.

Tai Chi–Based Exercise for Older Adults with Parkinson’s Disease: A Pilot-Program Evaluation

2007 ◽  
Vol 15 (2) ◽  
pp. 139-151 ◽  
Author(s):  
Fuzhong Li ◽  
Peter Harmer ◽  
K. John Fisher ◽  
Junheng Xu ◽  
Kathleen Fitzgerald ◽  
...  
Keyword(s):  
Older Adults ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Physical Performance ◽  
Tai Chi ◽  
Exercise Adherence ◽  
Primary Objective ◽  
Community Dwelling ◽  
Preliminary Evaluation ◽  
Exit Interviews

The primary objective of this study was to provide preliminary evaluation of the feasibility, safety, and efficacy of a newly developed Tai Chi-based exercise program for older adults with Parkinson’s disease (PD). Using a one-group pretest-posttest design, 17 community-dwelling adults (mean age 71.51 years) with mild to moderate idiopathic PD (Stage I, II, or III on the Hoehn and Yahr scale) and stable medication use completed a 5-day, 90-min/day Tai Chi exercise-evaluation program. Outcome measures included face-to-face exit interviews on appropriateness and safety and physical performance (i.e., 50-ft speed walk, up-and-go, functional reach). At the end of this brief intervention, exercise adherence was 100% and the program was shown to be safe. Exit interviews indicated that the program was well received by all participants with respect to program appropriateness, participant satisfaction and enjoyment, and intentions to continue. Furthermore, a significant pretest-to-posttest change was observed at the end of the 5-day program in all three physical-performance measures (p< .05). The results of this pilot evaluation suggest that Tai Chi is an appropriate physical activity for older adults with PD and might also be useful as a therapeutic exercise modality for improving and maintaining physical function. These preliminary findings warrant further investigation.

Music Therapy for Motor and Nonmotor Symptoms of Parkinson's Disease: A Prospective, Randomized, Controlled, Single-Blinded Study

2016 ◽  
Vol 64 (9) ◽  
pp. e36-e39 ◽  
Author(s):  
Emanuele Spina ◽  
Paolo Barone ◽  
Lucia Luciana Mosca ◽  
Rosanna Forges Davanzati ◽  
Agnese Lombardi ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Music Therapy ◽  
Nonmotor Symptoms ◽  
Randomized Controlled ◽  
Blinded Study

scholarly journals A randomized controlled trial of patient‐reported outcomes with tai chi exercise in Parkinson's disease

2013 ◽  
Vol 29 (4) ◽  
pp. 539-545 ◽  
Author(s):  
Fuzhong Li ◽  
Peter Harmer ◽  
Yu Liu ◽  
Elizabeth Eckstrom ◽  
Kathleen Fitzgerald ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Randomized Controlled Trial ◽  
Patient Reported Outcomes ◽  
Tai Chi ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Patient Reported ◽  
Tai Chi Exercise

scholarly journals Tai Chi for Reducing Dual-task Gait Variability, a Potential Mediator of Fall Risk in Parkinson’s Disease: A Pilot Randomized Controlled Trial

2018 ◽  
Vol 7 ◽  
pp. 216495611877538 ◽  
Author(s):  
Gloria Vergara-Diaz ◽  
Kamila Osypiuk ◽  
Jeffrey M Hausdorff ◽  
Paolo Bonato ◽  
Brian J Gow ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Randomized Controlled Trial ◽  
Dual Task ◽  
Tai Chi ◽  
Controlled Trial ◽  
Direct Result ◽  
Balance Confidence ◽  
Randomized Controlled ◽  
Motor Effects

Objectives To assess the feasibility and inform design features of a fully powered randomized controlled trial (RCT) evaluating the effects of Tai Chi (TC) in Parkinson’s disease (PD) and to select outcomes most responsive to TC assessed during off-medication states. Design Two-arm, wait-list controlled RCT. Settings Tertiary care hospital. Subjects Thirty-two subjects aged 40–75 diagnosed with idiopathic PD within 10 years. Interventions Six-month TC intervention added to usual care (UC) versus UC alone. Outcome Measures Primary outcomes were feasibility-related (recruitment rate, adherence, and compliance). Change in dual-task (DT) gait stride-time variability (STV) from baseline to 6 months was defined, a priori, as the clinical outcome measure of primary interest. Other outcomes included: PD motor symptom progression (Unified Parkinson’s Disease Rating Scale [UPDRS]), PD-related quality of life (PDQ-39), executive function (Trail Making Test), balance confidence (Activity-Specific Balance Confidence Scale, ABC), and Timed Up and Go test (TUG). All clinical assessments were made in the off-state for PD medications. Results Thirty-two subjects were enrolled into 3 sequential cohorts over 417 days at an average rate of 0.08 subjects per day. Seventy-five percent (12/16) in the TC group vs 94% (15/16) in the UC group completed the primary 6-month follow-up assessment. Mean TC exposure hours overall: 52. No AEs occurred during or as a direct result of TC exercise. Statistically nonsignificant improvements were observed in the TC group at 6 months in DT gait STV (TC [20.1%] vs UC [−0.1%] group [effect size 0.49; P = .47]), ABC, TUG, and PDQ-39. UPDRS progression was modest and very similar in TC and UC groups. Conclusions Conducting an RCT of TC for PD is feasible, though measures to improve recruitment and adherence rates are needed. DT gait STV is a sensitive and logical outcome for evaluating the combined cognitive-motor effects of TC in PD.

Effects of Tai Chi on balance and fall prevention in Parkinson’s disease: a randomized controlled trial

2014 ◽  
Vol 28 (8) ◽  
pp. 748-753 ◽  
Author(s):  
Qiang Gao ◽  
Aaron Leung ◽  
Yonghong Yang ◽  
Qingchuan Wei ◽  
Min Guan ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Randomized Controlled Trial ◽  
Fall Prevention ◽  
Tai Chi ◽  
Controlled Trial ◽  
Randomized Controlled

The roles of resilience and nonmotor symptoms in adjustment to Parkinson’s disease

2016 ◽  
Vol 21 (12) ◽  
pp. 3004-3015 ◽  
Author(s):  
Andrea M Shamaskin-Garroway ◽  
Sarah K Lageman ◽  
Bruce Rybarczyk
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Demographic Variables ◽  
Community Dwelling ◽  
Hierarchical Regression ◽  
Nonmotor Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional

Resilience contributes to better chronic disease adjustment but is understudied in Parkinson’s disease. Although nonmotor symptoms affect quality of life, their effect on other aspects of Parkinson’s disease adjustment is less understood. Hierarchical regression analyses from a cross-sectional survey of 138 community-dwelling adults with Parkinson’s disease (mean (standard deviation) age = 64.15(10.09) years) investigated relationships between nonmotor symptoms and resilience on depression, apathy, life satisfaction, and quality of life. After controlling for demographic variables, functional status, and nonmotor symptoms, resilience was associated with all adjustment variables. Nonmotor symptoms were associated with depression and worse quality of life. Nonmotor symptoms and resilience appear to play critical roles in Parkinson’s disease adjustment.

scholarly journals Tai Chi in Parkinson’s Disease: A Preliminary Randomized, Controlled, and Rater-Blinded Study

2015 ◽  
Vol 04 (01) ◽  
pp. 9-12 ◽  
Author(s):  
Roger Kurlan ◽  
Roye Evans ◽  
Sandra Wrigley ◽  
Shannon McPartland ◽  
Rami Bustami ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Tai Chi ◽  
Randomized Controlled ◽  
Blinded Study
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