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Jennifer M. Scarvell - One of the best experts on this subject based on the ideXlab platform.

  • Group Physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 Physiotherapy: a sequential cohort study.
    Archives of Physical Medicine and Rehabilitation, 2009
    Co-Authors: Corinne L. Coulter, Jeanie M. Weber, Jennifer M. Scarvell
    Abstract:

    Abstract Coulter CL, Weber JM, Scarvell JM. Group Physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 Physiotherapy: a sequential cohort study. Objectives To compare effectiveness and time efficiency of Physiotherapy rehabilitation provided within a group with an individualized program provided at Home for improving participants' outcomes after total joint replacement surgery. Design Quasiexperimental sequential cohort trial with 12-week follow-up. Setting A tertiary acute care hospital. Participants Consecutive patients (N=51) having hip or knee replacement surgery in an 8-month period and who were able to weight-bear postoperatively. Interventions The first group admitted to the study entered the exercise group, and patients in the following 4 months entered the Home Physiotherapy group. Main Outcome Measures Primary outcome measures included the Western Ontario McMaster's University Osteoarthritis Index (WOMAC), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), Timed Up & Go (TUG) test, and knee range of motion (ROM). Secondary measures included the 6-m walk test and a patient evaluation questionnaire. Staff time costs were recorded. Outcomes were recorded preoperatively or at hospital discharge, and 5 and 12 weeks postoperatively. Results There was no difference between the 2 groups for either the WOMAC or SF-36 scores, 6-m walk test, TUG test, or ROM measures at 12 weeks ( P >.05), although both groups of patients improved between hospital discharge and 12 weeks. The class group accessed more frequent Physiotherapy than the Home group (mean, 7.5 and 3.96 visits, respectively). The physiotherapist's time was less per patient per visit for the class group (mean, 27min direct and 10min indirect) than for the Home visits (mean, 38min direct and 26min indirect). Conclusions This trial suggests that the class-based exercise rehabilitation was the most efficient method of delivery of the Physiotherapy service, without cost to patient outcomes.

  • Group Physiotherapy Provides Similar Outcomes for Participants After Joint Replacement Surgery as 1-to-1 Physiotherapy: A Sequential Cohort Study
    Archives of Physical Medicine and Rehabilitation, 2009
    Co-Authors: Corinne L. Coulter, Jeanie M. Weber, Jennifer M. Scarvell
    Abstract:

    Coulter CL, Weber JM, Scarvell JM. Group Physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 Physiotherapy: a sequential cohort study. Objectives: To compare effectiveness and time efficiency of Physiotherapy rehabilitation provided within a group with an individualized program provided at Home for improving participants' outcomes after total joint replacement surgery. Design: Quasiexperimental sequential cohort trial with 12-week follow-up. Setting: A tertiary acute care hospital. Participants: Consecutive patients (N=51) having hip or knee replacement surgery in an 8-month period and who were able to weight-bear postoperatively. Interventions: The first group admitted to the study entered the exercise group, and patients in the following 4 months entered the Home Physiotherapy group. Main Outcome Measures: Primary outcome measures included the Western Ontario McMaster's University Osteoarthritis Index (WOMAC), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), Timed Up & Go (TUG) test, and knee range of motion (ROM). Secondary measures included the 6-m walk test and a patient evaluation questionnaire. Staff time costs were recorded. Outcomes were recorded preoperatively or at hospital discharge, and 5 and 12 weeks postoperatively. Results: There was no difference between the 2 groups for either the WOMAC or SF-36 scores, 6-m walk test, TUG test, or ROM measures at 12 weeks (P>.05), although both groups of patients improved between hospital discharge and 12 weeks. The class group accessed more frequent Physiotherapy than the Home group (mean, 7.5 and 3.96 visits, respectively). The physiotherapist's time was less per patient per visit for the class group (mean, 27min direct and 10min indirect) than for the Home visits (mean, 38min direct and 26min indirect). Conclusions: This trial suggests that the class-based exercise rehabilitation was the most efficient method of delivery of the Physiotherapy service, without cost to patient outcomes. © 2009 American Congress of Rehabilitation Medicine.

Katherine Baker - One of the best experts on this subject based on the ideXlab platform.

  • Cueing training in the Home improves gait-related mobility in Parkinson’s disease: the RESCUE trial
    Journal of Neurology Neurosurgery and Psychiatry, 2007
    Co-Authors: Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, V. Hetherington, Katherine Baker
    Abstract:

    OBJECTIVES: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. METHODS: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. RESULTS: Small but significant improvements were found after intervention of 4.2% on the PG scores (p = 0.005). Severity of freezing was reduced by 5.5% in freezers only (p = 0.007). Gait speed (p = 0.005), step length (p

  • cueing training in the Home improves gait related mobility in parkinson s disease the rescue trial
    Journal of Neurology Neurosurgery and Psychiatry, 2007
    Co-Authors: Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, V. Hetherington, Katherine Baker
    Abstract:

    OBJECTIVES: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. METHODS: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. RESULTS: Small but significant improvements were found after intervention of 4.2% on the PG scores (p = 0.005). Severity of freezing was reduced by 5.5% in freezers only (p = 0.007). Gait speed (p = 0.005), step length (p<0.001) and timed balance tests (p = 0.003) improved in the full cohort. Other than a greater confidence to carry out functional activities (Falls Efficacy Scale, p = 0.04), no carry-over effects were observed in functional and quality of life domains. Effects of intervention had reduced considerably at 6-week follow-up. CONCLUSIONS: Cueing training in the Home has specific effects on gait, freezing and balance. The decline in effectiveness of intervention effects underscores the need for permanent cueing devices and follow-up treatment. Cueing training may be a useful therapeutic adjunct to the overall management of gait disturbance in Parkinson's disease.

  • cueing training in the Home improves gait related mobility in parkinson s disease the rescue trial
    Journal of Neurology Neurosurgery and Psychiatry, 2007
    Co-Authors: Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, V. Hetherington, Katherine Baker
    Abstract:

    Objectives: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. Methods: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. Results: Small but significant improvements were found after intervention of 4.2% on the PG scores (p = 0.005). Severity of freezing was reduced by 5.5% in freezers only (p = 0.007). Gait speed (p = 0.005), step length (p,0.001) and timed balance tests (p = 0.003) improved in the full cohort. Other than a greater confidence to carry out functional activities (Falls Efficacy Scale, p = 0.04), no carry-over effects were observed in functional and quality of life domains. Effects of intervention had reduced considerably at 6-week follow-up. Conclusions: Cueing training in the Home has specific effects on gait, freezing and balance. The decline in effectiveness of intervention effects underscores the need for permanent cueing devices and follow-up treatment. Cueing training may be a useful therapeutic adjunct to the overall management of gait disturbance in Parkinson's disease.

Alice Nieuwboer - One of the best experts on this subject based on the ideXlab platform.

  • Cueing training in the Home improves gait-related mobility in Parkinson's disease : the RESCUE trial. Commentary
    Journal of Neurology Neurosurgery and Psychiatry, 2020
    Co-Authors: Mark A. Hirsch, Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, F. M. Hommond, V. Hetherington
    Abstract:

    Objectives: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. Methods: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. Results: Small but significant improvements were found after intervention of 4.2% on the PG scores (p=0.005). Severity of freezing was reduced by 5.5% in freezers only (p=0.007). Gait speed (p=0.005), step length (p

  • Does dual-task training improve spatiotemporal gait parameters in Parkinson's disease?
    Parkinsonism & Related Disorders, 2018
    Co-Authors: Christian Geroin, Alice Nieuwboer, Jorik Nonnekes, Nienke M. De Vries, Carolien Strouwen, Nicola Smania, Michele Tinazzi, Bastiaan R. Bloem
    Abstract:

    Abstract Introduction The DUALITY trial recently showed that both integrated and consecutive dual-task training improve dual-task gait velocity, without increasing fall risks in patients with Parkinson's disease (PD). Gait velocity was the primary outcome; not reported, however, were important gait measures related to the risk of falling such as gait variability. In this secondary analysis, we compared the efficacy of the two training programs with respect to spatiotemporal outcome parameters. Methods 121 PD patients (Hoehn and Yahr stage II-III while ON medication) were randomly assigned to either a consecutive group (n = 65) in which cognitive and gait tasks were trained separately, or an integrated group (n = 56) in which cognitive and gait tasks were trained simultaneously. Both groups received 24 in-Home Physiotherapy sessions for six consecutive weeks. Two baseline measurements were performed during a six-week control period prior to the interventions. Gait was evaluated under three different (and untrained) dual-task conditions immediately after the treatment period and at 12-week follow-up. Results Both training modalities had a comparable effect on spatiotemporal gait parameters. A significant post-training increase in stride length (P  Conclusion We found both integrated and consecutive dual-task training to be safe and effective in improving several spatiotemporal gait parameters under trained and untrained dual-task conditions.

  • Cueing training in the Home improves gait-related mobility in Parkinson’s disease: the RESCUE trial
    Journal of Neurology Neurosurgery and Psychiatry, 2007
    Co-Authors: Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, V. Hetherington, Katherine Baker
    Abstract:

    OBJECTIVES: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. METHODS: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. RESULTS: Small but significant improvements were found after intervention of 4.2% on the PG scores (p = 0.005). Severity of freezing was reduced by 5.5% in freezers only (p = 0.007). Gait speed (p = 0.005), step length (p

  • cueing training in the Home improves gait related mobility in parkinson s disease the rescue trial
    Journal of Neurology Neurosurgery and Psychiatry, 2007
    Co-Authors: Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, V. Hetherington, Katherine Baker
    Abstract:

    OBJECTIVES: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. METHODS: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. RESULTS: Small but significant improvements were found after intervention of 4.2% on the PG scores (p = 0.005). Severity of freezing was reduced by 5.5% in freezers only (p = 0.007). Gait speed (p = 0.005), step length (p<0.001) and timed balance tests (p = 0.003) improved in the full cohort. Other than a greater confidence to carry out functional activities (Falls Efficacy Scale, p = 0.04), no carry-over effects were observed in functional and quality of life domains. Effects of intervention had reduced considerably at 6-week follow-up. CONCLUSIONS: Cueing training in the Home has specific effects on gait, freezing and balance. The decline in effectiveness of intervention effects underscores the need for permanent cueing devices and follow-up treatment. Cueing training may be a useful therapeutic adjunct to the overall management of gait disturbance in Parkinson's disease.

  • cueing training in the Home improves gait related mobility in parkinson s disease the rescue trial
    Journal of Neurology Neurosurgery and Psychiatry, 2007
    Co-Authors: Alice Nieuwboer, Gert Kwakkel, Lynn Rochester, Derek K. Jones, E.e.h. Van Wegen, A.m. Willems, F Chavret, V. Hetherington, Katherine Baker
    Abstract:

    Objectives: Gait and mobility problems are difficult to treat in people with Parkinson's disease. The Rehabilitation in Parkinson's Disease: Strategies for Cueing (RESCUE) trial investigated the effects of a Home Physiotherapy programme based on rhythmical cueing on gait and gait-related activity. Methods: A single-blind randomised crossover trial was set up, including 153 patients with Parkinson's disease aged between 41 and 80 years and in Hoehn and Yahr stage II-IV. Subjects allocated to early intervention (n = 76) received a 3-week Home cueing programme using a prototype cueing device, followed by 3 weeks without training. Patients allocated to late intervention (n = 77) underwent the same intervention and control period in reverse order. After the initial 6 weeks, both groups had a 6-week follow-up without training. Posture and gait scores (PG scores) measured at 3, 6 and 12 weeks by blinded testers were the primary outcome measure. Secondary outcomes included specific measures on gait, freezing and balance, functional activities, quality of life and carer strain. Results: Small but significant improvements were found after intervention of 4.2% on the PG scores (p = 0.005). Severity of freezing was reduced by 5.5% in freezers only (p = 0.007). Gait speed (p = 0.005), step length (p,0.001) and timed balance tests (p = 0.003) improved in the full cohort. Other than a greater confidence to carry out functional activities (Falls Efficacy Scale, p = 0.04), no carry-over effects were observed in functional and quality of life domains. Effects of intervention had reduced considerably at 6-week follow-up. Conclusions: Cueing training in the Home has specific effects on gait, freezing and balance. The decline in effectiveness of intervention effects underscores the need for permanent cueing devices and follow-up treatment. Cueing training may be a useful therapeutic adjunct to the overall management of gait disturbance in Parkinson's disease.

Corinne L. Coulter - One of the best experts on this subject based on the ideXlab platform.

  • Group Physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 Physiotherapy: a sequential cohort study.
    Archives of Physical Medicine and Rehabilitation, 2009
    Co-Authors: Corinne L. Coulter, Jeanie M. Weber, Jennifer M. Scarvell
    Abstract:

    Abstract Coulter CL, Weber JM, Scarvell JM. Group Physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 Physiotherapy: a sequential cohort study. Objectives To compare effectiveness and time efficiency of Physiotherapy rehabilitation provided within a group with an individualized program provided at Home for improving participants' outcomes after total joint replacement surgery. Design Quasiexperimental sequential cohort trial with 12-week follow-up. Setting A tertiary acute care hospital. Participants Consecutive patients (N=51) having hip or knee replacement surgery in an 8-month period and who were able to weight-bear postoperatively. Interventions The first group admitted to the study entered the exercise group, and patients in the following 4 months entered the Home Physiotherapy group. Main Outcome Measures Primary outcome measures included the Western Ontario McMaster's University Osteoarthritis Index (WOMAC), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), Timed Up & Go (TUG) test, and knee range of motion (ROM). Secondary measures included the 6-m walk test and a patient evaluation questionnaire. Staff time costs were recorded. Outcomes were recorded preoperatively or at hospital discharge, and 5 and 12 weeks postoperatively. Results There was no difference between the 2 groups for either the WOMAC or SF-36 scores, 6-m walk test, TUG test, or ROM measures at 12 weeks ( P >.05), although both groups of patients improved between hospital discharge and 12 weeks. The class group accessed more frequent Physiotherapy than the Home group (mean, 7.5 and 3.96 visits, respectively). The physiotherapist's time was less per patient per visit for the class group (mean, 27min direct and 10min indirect) than for the Home visits (mean, 38min direct and 26min indirect). Conclusions This trial suggests that the class-based exercise rehabilitation was the most efficient method of delivery of the Physiotherapy service, without cost to patient outcomes.

  • Group Physiotherapy Provides Similar Outcomes for Participants After Joint Replacement Surgery as 1-to-1 Physiotherapy: A Sequential Cohort Study
    Archives of Physical Medicine and Rehabilitation, 2009
    Co-Authors: Corinne L. Coulter, Jeanie M. Weber, Jennifer M. Scarvell
    Abstract:

    Coulter CL, Weber JM, Scarvell JM. Group Physiotherapy provides similar outcomes for participants after joint replacement surgery as 1-to-1 Physiotherapy: a sequential cohort study. Objectives: To compare effectiveness and time efficiency of Physiotherapy rehabilitation provided within a group with an individualized program provided at Home for improving participants' outcomes after total joint replacement surgery. Design: Quasiexperimental sequential cohort trial with 12-week follow-up. Setting: A tertiary acute care hospital. Participants: Consecutive patients (N=51) having hip or knee replacement surgery in an 8-month period and who were able to weight-bear postoperatively. Interventions: The first group admitted to the study entered the exercise group, and patients in the following 4 months entered the Home Physiotherapy group. Main Outcome Measures: Primary outcome measures included the Western Ontario McMaster's University Osteoarthritis Index (WOMAC), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), Timed Up & Go (TUG) test, and knee range of motion (ROM). Secondary measures included the 6-m walk test and a patient evaluation questionnaire. Staff time costs were recorded. Outcomes were recorded preoperatively or at hospital discharge, and 5 and 12 weeks postoperatively. Results: There was no difference between the 2 groups for either the WOMAC or SF-36 scores, 6-m walk test, TUG test, or ROM measures at 12 weeks (P>.05), although both groups of patients improved between hospital discharge and 12 weeks. The class group accessed more frequent Physiotherapy than the Home group (mean, 7.5 and 3.96 visits, respectively). The physiotherapist's time was less per patient per visit for the class group (mean, 27min direct and 10min indirect) than for the Home visits (mean, 38min direct and 26min indirect). Conclusions: This trial suggests that the class-based exercise rehabilitation was the most efficient method of delivery of the Physiotherapy service, without cost to patient outcomes. © 2009 American Congress of Rehabilitation Medicine.

A Ashburn - One of the best experts on this subject based on the ideXlab platform.

  • the pit stopp trial a feasibility randomised controlled trial of Home based Physiotherapy for people with parkinson s disease using video based measures to preserve assessor blinding
    Parkinson's Disease, 2012
    Co-Authors: Emma Stack, Helen C Roberts, A Ashburn
    Abstract:

    Purpose. To trial four-week's Physiotherapy targeting chair transfers for people with Parkinson's disease (PwPD) and explore the feasibility of reliance on remote outcome measurement to preserve blinding. Scope. We recruited 47 PwPD and randomised 24 to a focused Home Physiotherapy programme (exercise, movement strategies, and cueing) and 23 to a control group. We evaluated transfers (plus mobility, balance, posture, and quality of life) before and after treatment and at followup (weeks 0, 4, 8, and 12) from video produced by, and questionnaires distributed by, treating physiotherapists. Participants fed back via end-of-study questionnaires. Thirty-five participants (74%) completed the trial. Excluding dropouts, 20% of questionnaire data and 9% of video data were missing or unusable; we had to evaluate balance in situ. We noted trends to improvement in transfers, mobility, and balance in the Physiotherapy group not noted in the control group. Participant feedback was largely positive and assessor blinding was maintained in every case. Conclusions. Intense, focused Physiotherapy at Home appears acceptable and likely to bring positive change in those who can participate. Remote outcome measurement was successful; questionnaire followup and further training in video production would reduce missing data. We advocate a fully powered trial, designed to minimise dropouts and preserve assessor blinding, to evaluate this intervention.

  • The PIT: SToPP Trial—A Feasibility Randomised Controlled Trial of Home-Based Physiotherapy for People with Parkinson's Disease Using Video-Based Measures to Preserve Assessor Blinding
    Parkinson's Disease, 2011
    Co-Authors: Emma Stack, Helen C Roberts, A Ashburn
    Abstract:

    Purpose. To trial four-week's Physiotherapy targeting chair transfers for people with Parkinson's disease (PwPD) and explore the feasibility of reliance on remote outcome measurement to preserve blinding. Scope. We recruited 47 PwPD and randomised 24 to a focused Home Physiotherapy programme (exercise, movement strategies, and cueing) and 23 to a control group. We evaluated transfers (plus mobility, balance, posture, and quality of life) before and after treatment and at followup (weeks 0, 4, 8, and 12) from video produced by, and questionnaires distributed by, treating physiotherapists. Participants fed back via end-of-study questionnaires. Thirty-five participants (74%) completed the trial. Excluding dropouts, 20% of questionnaire data and 9% of video data were missing or unusable; we had to evaluate balance in situ. We noted trends to improvement in transfers, mobility, and balance in the Physiotherapy group not noted in the control group. Participant feedback was largely positive and assessor blinding was maintained in every case. Conclusions. Intense, focused Physiotherapy at Home appears acceptable and likely to bring positive change in those who can participate. Remote outcome measurement was successful; questionnaire followup and further training in video production would reduce missing data. We advocate a fully powered trial, designed to minimise dropouts and preserve assessor blinding, to evaluate this intervention.