Effects of group, individual, and home exercise in persons with Parkinson disease: A randomized clinical trial

Laurie King, Jennifer Wilhelm, Yiyi Chen, Ron Blehm, John Nutt, Zunqiu Chen, Andrea Serdar, Fay Horak

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background and Purpose: Comparative studies of exercise interventions for people with Parkinson disease (PD) rarely considered how one should deliver the intervention. The objective of this study was to compare the success of exercise when administered by (1) home exercise program, (2) individualized physical therapy, or (3) a group class. We examined if common comorbidities associated with PD impacted success of each intervention. Methods: Fifty-eight people (age = 63.9 ± 8 years) with PD participated. People were randomized into (1) home exercise program, (2) individual physical therapy, or (3) group class intervention. All arms were standardized and based on the Agility Boot Camp exercise program for PD, 3 times per week for 4 weeks. The primary outcome measure was the 7-item Physical Performance Test. Other measures of balance, gait, mobility, quality of life, balance confidence, depressions, apathy, self-efficacy and UPDRS-Motor, and activity of daily living scores were included. Results: Only the individual group significantly improved in the Physical Performance Test. The individual exercise showed the most improvements in functional and balancemeasures, whereas the group class showed the most improvements in gait. The home exercise program improved the least across all outcomes. Several factors effected success, particularly for the home group. Discussion and Conclusions: An unsupervised, home exercise program is the least effective way to deliver exercise to people with PD, and individual and group exercises have differing benefits. Furthermore, people with PD who also have other comorbidities did better in a program directly supervised by a physical therapist.

Original languageEnglish (US)
Pages (from-to)204-212
Number of pages9
JournalJournal of Neurologic Physical Therapy
Volume39
Issue number4
DOIs
StatePublished - Oct 1 2015

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Group Homes
Parkinson Disease
Randomized Controlled Trials
Exercise
Gait
Comorbidity
Apathy
Physical Therapists
Self Efficacy
Activities of Daily Living
Motor Activity
Quality of Life
Outcome Assessment (Health Care)
Depression

Keywords

  • Comorbidities
  • Comorbidity
  • Exercise
  • Mobility
  • Parkinson disease

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Effects of group, individual, and home exercise in persons with Parkinson disease : A randomized clinical trial. / King, Laurie; Wilhelm, Jennifer; Chen, Yiyi; Blehm, Ron; Nutt, John; Chen, Zunqiu; Serdar, Andrea; Horak, Fay.

In: Journal of Neurologic Physical Therapy, Vol. 39, No. 4, 01.10.2015, p. 204-212.

Research output: Contribution to journalArticle

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