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| Effecten van een fysiotherapie-groepsbehandeling Parkinson-patienten: een cross-over trial (Effects of group physiotherapy for patients with Parkinson's disease: a cross-over trial) [Dutch] |
| de Goede CJT, Ellis T, Wagenaar RC, Feldman RC, Wolters E, Kwakkel G |
| Nederlands Tijdschrift voor Fysiotherapie [Dutch Journal of Physical Therapy] 2004 Jun;114(3):78-82 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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AIM: To investigate the effect of group physiotherapy in patients with Parkinson's disease in a cross-over trial. METHOD: Sixty-eight patients from two sites (Amsterdam and Boston) were randomly assigned to an "early" or a late physiotherapy group. The first 6 weeks the group treatment program was offered to the "early" physiotherapy group, whereas the late physiotherapy received no treatment. The next 6 weeks these conditions were reversed. Finally, the study was completed by a 3-month follow-up period, in which only measurements were taken for both groups. The treatment was applied twice a week for 1.5 hours and was focussed on gait training, simulation of activities of daily life (ADL), sports, and relaxation exercises. The effects of physiotherapy on walking ability were measured by assessing comfortable walking speed. In addition, the effects of physiotherapy on ADL and quality of life (QOL) were measured with the UPDRS and the SIP-68, respectively. RESULTS: After 6 weeks, a statistically significant improvement was found in comfortable walking speed, QOL as it relates to physical mobility, and ADL in the "early" physiotherapy group but not in the late physiotherapy group. CONCLUSION: Individuals with Parkinson's disease benefit from group physiotherapy.
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