A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol
Parkinson’s disease (PD) is a progressive, chronic neurodegenerative disorder for which there is no known cure. Physical exercise programs may be used to assist with the physical management of PD. Several studies have demonstrated that community based physical therapy programs are effective in reduc...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2012-03-01
|
Series: | Neurology International |
Subjects: | |
Online Access: | http://www.pagepress.org/journals/index.php/ni/article/view/3903 |
_version_ | 1797936236674940928 |
---|---|
author | Catherine Peters Michelle Currin Sara Tyson Anthea Rogers Susan Healy Steven McPhail Sandra G. Brauer Kathy Heathcote Tracy Comans |
author_facet | Catherine Peters Michelle Currin Sara Tyson Anthea Rogers Susan Healy Steven McPhail Sandra G. Brauer Kathy Heathcote Tracy Comans |
author_sort | Catherine Peters |
collection | DOAJ |
description | Parkinson’s disease (PD) is a progressive, chronic neurodegenerative disorder for which there is no known cure. Physical exercise programs may be used to assist with the physical management of PD. Several studies have demonstrated that community based physical therapy programs are effective in reducing physical aspects of disability among people with PD. While multidisciplinary therapy interventions may have the potential to reduce disability and improve the quality of life of people with PD, there is very limited clinical trial evidence to support or refute the use of a community based multidisciplinary or interdisciplinary programs for people with PD. A two group randomized trial is being undertaken within a community rehabilitation service in Brisbane, Australia. Community dwelling adults with a diagnosis of Idiopathic Parkinson’s disease are being recruited. Eligible participants are randomly allocated to a standard exercise rehabilitation group program or an intervention group which incorporates physical, cognitive and speech activities in a multi-tasking framework. Outcomes will be measured at 6-week intervals for a period of six months. Primary outcome measures are the Montreal Cognitive Assessment (MoCA) and the Timed Up and Go (TUG) cognitive test. Secondary outcomes include changes in health related quality of life, communication, social participation, mobility, strength and balance, and carer burden measures. This study will determine the immediate and long-term effectiveness of a unique multifocal, interdisciplinary, dual-tasking approach to the management of PD as compared to an exercise only program. We anticipate that the results of this study will have implications for the development of cost effective evidence based best practice for the treatment of people with PD living in the community. |
first_indexed | 2024-04-10T18:26:32Z |
format | Article |
id | doaj.art-51ec244daa4e41bfab084a954b98853a |
institution | Directory Open Access Journal |
issn | 2035-8385 2035-8377 |
language | English |
last_indexed | 2024-04-10T18:26:32Z |
publishDate | 2012-03-01 |
publisher | MDPI AG |
record_format | Article |
series | Neurology International |
spelling | doaj.art-51ec244daa4e41bfab084a954b98853a2023-02-02T05:28:06ZengMDPI AGNeurology International2035-83852035-83772012-03-0141e3e310.4081/ni.2012.e32064A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocolCatherine Peters0Michelle Currin1Sara Tyson2Anthea Rogers3Susan Healy4Steven McPhail5Sandra G. Brauer6Kathy Heathcote7Tracy Comans8Community Rehabilitation Service, Metro South Health Service District, Queensland Health; School of Medicine, Griffith UniversityCommunity Rehabilitation Service, Metro South Health Service District, Queensland HealthCommunity Rehabilitation Service, Metro South Health Service District, Queensland HealthCommunity Rehabilitation Service, Metro South Health Service District, Queensland HealthCommunity Rehabilitation Service, Metro South Health Service District, Queensland HealthCentre for Functioning and Health Research, Queensland Health; School of Public Health, Queensland University of TechnologySchool of Health and Rehabilitation Sciences, The University of QueenslandSchool of Medicine, Griffith University; University centre for Rural Health (North Coast), University of SidneySchool of Medicine, Griffith University; Griffith Health Institute, Griffith UniversityParkinson’s disease (PD) is a progressive, chronic neurodegenerative disorder for which there is no known cure. Physical exercise programs may be used to assist with the physical management of PD. Several studies have demonstrated that community based physical therapy programs are effective in reducing physical aspects of disability among people with PD. While multidisciplinary therapy interventions may have the potential to reduce disability and improve the quality of life of people with PD, there is very limited clinical trial evidence to support or refute the use of a community based multidisciplinary or interdisciplinary programs for people with PD. A two group randomized trial is being undertaken within a community rehabilitation service in Brisbane, Australia. Community dwelling adults with a diagnosis of Idiopathic Parkinson’s disease are being recruited. Eligible participants are randomly allocated to a standard exercise rehabilitation group program or an intervention group which incorporates physical, cognitive and speech activities in a multi-tasking framework. Outcomes will be measured at 6-week intervals for a period of six months. Primary outcome measures are the Montreal Cognitive Assessment (MoCA) and the Timed Up and Go (TUG) cognitive test. Secondary outcomes include changes in health related quality of life, communication, social participation, mobility, strength and balance, and carer burden measures. This study will determine the immediate and long-term effectiveness of a unique multifocal, interdisciplinary, dual-tasking approach to the management of PD as compared to an exercise only program. We anticipate that the results of this study will have implications for the development of cost effective evidence based best practice for the treatment of people with PD living in the community.http://www.pagepress.org/journals/index.php/ni/article/view/3903Parkinson’s disease, rehabilitation, clinical protocol, allied health |
spellingShingle | Catherine Peters Michelle Currin Sara Tyson Anthea Rogers Susan Healy Steven McPhail Sandra G. Brauer Kathy Heathcote Tracy Comans A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol Neurology International Parkinson’s disease, rehabilitation, clinical protocol, allied health |
title | A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol |
title_full | A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol |
title_fullStr | A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol |
title_full_unstemmed | A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol |
title_short | A randomised controlled trial of an enhanced interdisciplinary community based group program for people with Parkinson’s disease: study rationale and protocol |
title_sort | randomised controlled trial of an enhanced interdisciplinary community based group program for people with parkinson s disease study rationale and protocol |
topic | Parkinson’s disease, rehabilitation, clinical protocol, allied health |
url | http://www.pagepress.org/journals/index.php/ni/article/view/3903 |
work_keys_str_mv | AT catherinepeters arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT michellecurrin arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT saratyson arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT anthearogers arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT susanhealy arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT stevenmcphail arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT sandragbrauer arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT kathyheathcote arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT tracycomans arandomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT catherinepeters randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT michellecurrin randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT saratyson randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT anthearogers randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT susanhealy randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT stevenmcphail randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT sandragbrauer randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT kathyheathcote randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol AT tracycomans randomisedcontrolledtrialofanenhancedinterdisciplinarycommunitybasedgroupprogramforpeoplewithparkinsonsdiseasestudyrationaleandprotocol |