Article

OBJECTIVES: To compare the effects of a physiotherapist-supervised exercise
programme in an exercise unit and self-supervised home exercise programme on
quality of life in patients with Parkinson's disease.
DESIGN: Assessor-blinded,
quasi-randomized trial (alternate allocation). An outpatient exercise
unit; home settings. PARTICIPANTS: Thirty patients with idiopathic Parkinson's
disease, Hoehn & Yahr I-III, stable medication use. INTERVENTIONS: Patients were
included in the physiotherapist-supervised or home group. The exercise programme
was performed for 10 weeks, three times/week either under the supervision of a
physiotherapist or at home without supervision. MAIN OUTCOME MEASURES:
Parkinson's Disease Quality of Life Questionnaire (PDQLQ), Nottingham Health
Profile (NHP), Unified Parkinson's Disease Rating Scale (UPDRS), Beck Depression
Inventory (BDI). RESULTS: Patients in the supervised physiotherapy group improved
more than the home exercise group in Parkinson's Disease Quality of Life
Questionnaire (total score, Parkinson's symptoms, emotional function), Nottingham
Health Profile total, Unified Parkinson's Disease Rating Scale (all domains) and
Beck Depression Inventory scores. CONCLUSIONS: The exercise programme under
physiotherapist supervision was found to be more effective at improving
activities of daily living, motor, mental, emotional functions and general health
quality in patients with Parkinson's disease compared with a self-supervised home
programme.

Langue : ANGLAIS