The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study

Current restrictions on clinical visits as a consequence of the COVID-19 pandemic has increased the need for home-based exercise regimes to facilitate useful, long term patterns of behaviour in individuals with Parkinson’s disease (PD). This study aimed to evaluate the effectiveness of a 10-week hom...

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Main Authors: Fuengfa Khobkhun, Jinjuta Suwannarat, Anuchai Pheungphrarattanatrai, Kanjana Niemrungruang, Sakaowrat Techataweesub, Suweena Khacharoen, Amornpan Ajjimaporn, Prachaya Srivanitchapoom, Jim Richards
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/10/4518
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author Fuengfa Khobkhun
Jinjuta Suwannarat
Anuchai Pheungphrarattanatrai
Kanjana Niemrungruang
Sakaowrat Techataweesub
Suweena Khacharoen
Amornpan Ajjimaporn
Prachaya Srivanitchapoom
Jim Richards
author_facet Fuengfa Khobkhun
Jinjuta Suwannarat
Anuchai Pheungphrarattanatrai
Kanjana Niemrungruang
Sakaowrat Techataweesub
Suweena Khacharoen
Amornpan Ajjimaporn
Prachaya Srivanitchapoom
Jim Richards
author_sort Fuengfa Khobkhun
collection DOAJ
description Current restrictions on clinical visits as a consequence of the COVID-19 pandemic has increased the need for home-based exercise regimes to facilitate useful, long term patterns of behaviour in individuals with Parkinson’s disease (PD). This study aimed to evaluate the effectiveness of a 10-week home-based exercise program designed to target improvements in axial rigidity and gait. The Movement Disorders Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), motor scale and rigidity items, Functional axial rotation–physical (FAR-p), functional reach test (FRT), and time up and go (TUG) test were recorded. In addition, the 10-metre walk test, the fall efficacy scale international (FES-I) and the global rating of change score (GROC) were also recorded. Eighteen individuals were divided randomly into two groups: a home-based exercise group (<i>n</i> = 10) and a traditional physiotherapy control group (<i>n</i> = 8). Participants in the 10-week home-based exercise group showed significant improvements (<i>p</i> < 0.05) in the MDS-UPDRS rigidity item, FAR-p, step length, gait velocity, FRT and FES-I when compared with the control group. This study supports the use of home-based exercises in individuals with PD. These preliminary results also support the hypothesis that targeting axial deficits may be an effective approach for improving gait and reducing falls.
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spelling doaj.art-276a78fe59be49658a5a366561a32a6a2023-11-21T19:54:18ZengMDPI AGApplied Sciences2076-34172021-05-011110451810.3390/app11104518The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot StudyFuengfa Khobkhun0Jinjuta Suwannarat1Anuchai Pheungphrarattanatrai2Kanjana Niemrungruang3Sakaowrat Techataweesub4Suweena Khacharoen5Amornpan Ajjimaporn6Prachaya Srivanitchapoom7Jim Richards8Faculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandFaculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandFaculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandFaculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandFaculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandFaculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandCollege of Sports Science and Technology, Mahidol University, Salaya, Nakhon Pathom 73170, ThailandDivision of Neurology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandAllied Health Research Unit, University of Central Lancashire, Preston PR1 2HE, UKCurrent restrictions on clinical visits as a consequence of the COVID-19 pandemic has increased the need for home-based exercise regimes to facilitate useful, long term patterns of behaviour in individuals with Parkinson’s disease (PD). This study aimed to evaluate the effectiveness of a 10-week home-based exercise program designed to target improvements in axial rigidity and gait. The Movement Disorders Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), motor scale and rigidity items, Functional axial rotation–physical (FAR-p), functional reach test (FRT), and time up and go (TUG) test were recorded. In addition, the 10-metre walk test, the fall efficacy scale international (FES-I) and the global rating of change score (GROC) were also recorded. Eighteen individuals were divided randomly into two groups: a home-based exercise group (<i>n</i> = 10) and a traditional physiotherapy control group (<i>n</i> = 8). Participants in the 10-week home-based exercise group showed significant improvements (<i>p</i> < 0.05) in the MDS-UPDRS rigidity item, FAR-p, step length, gait velocity, FRT and FES-I when compared with the control group. This study supports the use of home-based exercises in individuals with PD. These preliminary results also support the hypothesis that targeting axial deficits may be an effective approach for improving gait and reducing falls.https://www.mdpi.com/2076-3417/11/10/4518Parkinson’s diseaseexercisehome-basedaxial rigiditygait
spellingShingle Fuengfa Khobkhun
Jinjuta Suwannarat
Anuchai Pheungphrarattanatrai
Kanjana Niemrungruang
Sakaowrat Techataweesub
Suweena Khacharoen
Amornpan Ajjimaporn
Prachaya Srivanitchapoom
Jim Richards
The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study
Applied Sciences
Parkinson’s disease
exercise
home-based
axial rigidity
gait
title The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study
title_full The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study
title_fullStr The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study
title_full_unstemmed The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study
title_short The Effects of a 10-Week Home-Based Exercise Programme in Individuals with Parkinson’s Disease during the COVID-19 Pandemic: A Pilot Study
title_sort effects of a 10 week home based exercise programme in individuals with parkinson s disease during the covid 19 pandemic a pilot study
topic Parkinson’s disease
exercise
home-based
axial rigidity
gait
url https://www.mdpi.com/2076-3417/11/10/4518
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