Article

OBJECTIVE: To investigate changes in walking activity and endurance after
interdisciplinary rehabilitation in people with Parkinson disease (PD). DESIGN:
Randomized controlled trial. SETTING: Clinic, home, and community. PARTICIPANTS:
Mild to moderate PD (Hoehn and Yahr stage 2-3). INTERVENTIONS: Three experimental
conditions lasting 6 weeks in duration: (1) no active rehabilitation; (2) 3.0
hours of interdisciplinary rehabilitation a week; or (3) 4.5 hours of
interdisciplinary rehabilitation a week. Participants had stable medication
regimes during the study. MAIN OUTCOME MEASURES: Walking activity was estimated
with an activity monitor (AM) (time spent walking and number of 10-second walking
periods) in the home and community settings over a 24-hour period. Walking
endurance was measured in the clinic with the two-minute walk test (2MWT). Linear
contrast analyses were applied to examine changes in walking activity and
endurance after higher doses of rehabilitation, and 2-way analysis of variance
models with interaction were applied to examine the effect of high and low
baseline walking levels on changes. RESULTS: The 2MWT was completed by 108 people
with PD (mean age, 66.53y; with PD, 6.59y), and AM data were used from 74 of
these people (mean age, 66.7y; with PD, 5.8y). Improvement in AM measures and the
2MWT did not significantly change across increasing dosages of interdisciplinary
rehabilitation. Higher doses of rehabilitation resulted in significant
improvements in the 2MWT for subjects with low baseline walking endurance
(P=.001), and in AM measures for subjects with high baseline walking activity
(P<.02). CONCLUSIONS: Interdisciplinary rehabilitation can improve walking
activity and endurance depending on baseline walking levels.

Langue : ANGLAIS