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Physical activity in patients with Parkinson’s disease: A holistic approach based on the ICF model
Clinical Neurology and Neurosurgery ( IF 1.9 ) Pub Date : 2020-11-01 , DOI: 10.1016/j.clineuro.2020.106132
Burcin Aktar 1 , Birgul Balci 2 , Berril Donmez Colakoglu 3
Affiliation  

OBJECTIVES The International Classification of Functioning, Disability and Health (ICF) is a framework providing information on disability and health. Physical activity's behavior is complex and affected by various factors. We aimed to examine the ICF domains in Parkinson's disease (PD) patients; to compare them in sedentary and non-sedentary PD patients and their association with activity level. PATIENTS AND METHODS Sixty PD patients (25 sedentary PD group, 35 non-sedentary PD group) were included in this retrospective study. Functional disability was evaluated using the Movement Disorder Society Unified Parkinson's Disease Rating Scale. The physical activity level was measured by the SenseWear Arm Band activity monitor. Patients' cognitive function, severity of depression and anxiety, the functional impact of fatigue, balance performance (NeuroCom Balance Master System), functional mobility (Timed Up and Go Test, TUG), walking capacity (Six-Minute Walk Test, 6MWT), fear of falling, health-related quality of life are also analyzed. RESULTS Sedentary PD patients had worse scores in NeuroCom Balance Master System parameters, TUG score, and 6MWT distance in activities domains of the ICF model as a guide than non-sedentary group (p < 0.05). No statistically significant differences were found in the body structures and function, participation, personal and environmental domains of the ICF model between sedentary and non-sedentary PD groups (p > 0.05). There was no correlation between steps taken per day and NeuroCom Balance Master System parameters, TUG score, and 6MWT distance in both groups (p > 0.05). CONCLUSION Patients with sedentary lifestyle had worse scores in postural control/balance, sit-to-stand and walking performance. However, deteriorated dynamic balance may not lead to sedentary lifestyle. Physiotherapy programs should be including the behavior change interventions and motivational strategies to promote activity level in PD.

中文翻译:

帕金森病患者的体力活动:基于 ICF 模型的整体方法

目标 国际功能、残疾和健康分类 (ICF) 是一个提供有关残疾和健康信息的框架。体育活动的行为是复杂的,受多种因素的影响。我们旨在检查帕金森病 (PD) 患者的 ICF 域;比较久坐和非久坐的 PD 患者及其与活动水平的关联。患者和方法 60 名 PD 患者(25 名久坐 PD 组,35 名非久坐 PD 组)被纳入这项回顾性研究。使用运动障碍协会统一帕金森病评定量表评估功能障碍。体力活动水平由 SenseWear Arm Band 活动监测器测量。患者的认知功能、抑郁和焦虑的严重程度、疲劳对功能的影响、还分析了平衡性能(NeuroCom Balance Master System)、功能移动性(Timed Up and Go Test,TUG)、步行能力(六分钟步行测试,6MWT)、跌倒恐惧、与健康相关的生活质量。结果 久坐的 PD 患者在作为指导的 ICF 模型活动域的 NeuroCom 平衡主系统参数、TUG 评分和 6MWT 距离方面的得分低于非久坐组(p < 0.05)。久坐和非久坐 PD 组在 ICF 模型的身体结构和功能、参与、个人和环境领域方面没有发现统计学上的显着差异(p > 0.05)。两组的每日步数与 NeuroCom Balance Master System 参数、TUG 评分和 6MWT 距离之间没有相关性(p > 0.05)。结论 久坐生活方式的患者在姿势控制/平衡、从坐到站和步行方面的得分较差。然而,恶化的动态平衡可能不会导致久坐的生活方式。物理治疗计划应包括行为改变干预措施和激励策略,以提高 PD 的活动水平。
更新日期:2020-11-01
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