Effect of eccentric-based rehabilitation on hand tremor intensity in Parkinson disease

Kadkhodaie, Mona; Sharifnezhad, Ali; Ebadi, Safoora; Marzban, Sadegh; Habibi, Seyed Amirhassan; Ghaffari, Amin; Forogh, Bijan

doi:10.1007/s10072-019-04106-9

“…Babulal et al determined cognitive and mood impairments at two weeks poststroke as important predictors for IADL's performance during the first three months after stroke [15]. However, different factors influence IADL's performance including cognitive abilities (e.g., attention and executive functions), motor abilities (e.g., balance and dexterity), psychological abilities (e.g., motivation and depression) [8,9], and contextual factors (personal factors including age, gender, and education and environmental factors comprising social, cultural, and economic) [16], which were neglected in the Babulal's study. Based on the literature, there is a significant relationship between IADL's performance and factors such as depression [17], cognition [18], age, and gender [19] in patients with stroke.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke

Ghaffari

¹

,

Rostami

²

,

Akbarfahimi

³

2021

Occupational Therapy International

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Objective. Instrumental activities of daily livings are important for independent living and active participation in the community. The present study is aimed at determining factors predicting instrumental activities of daily living performance in patients with stroke. Methods. In this cross-sectional study, a convenient sample of 90 patients with stroke entered from five occupational therapy centers, which were selected based on the cluster randomization method. Lawton IADL scale, Barthel Index, Trail Making Test (A and B), Digit span subtest of Wechsler memory scale, Motorcity index, and Beck Depression Inventory-II were used to investigate the study’s aim. Statistical analyses were performed using independent sample t -test, one-way ANOVA, Pearson correlation, and multiple linear regression analysis. Results. Age ( r = − 0.384 , p < 0.001 ), memory ( r = 0.565 , p < 0.001 ), basic activities of daily living ( r = 0.818 , p < 0.001 ), depression ( r = − 0.758 , p < 0.001 ), Trial Making Test (B-A) ( r = − 0.614 , p < 0.001 ), and motoricity index ( r = 0.670 , p < 0.001 ) were significantly associated with instrumental activities of daily living performance. Conclusions. Basic activities of daily living were the strongest predictor of IADL’s performance. Age, TMT (B-A), and depression were orderly the next strongest predictors. Stroke patients with more dependency in basic activities of daily living, older age, cognitive impairment, and depression are more opted to be dependent in instrumental activities of daily living and as a result, less participation in home and community affairs.

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“…in grasping and picking up exercise) showed positive effects on UPDRS scores for upper limb [31]. Exercises based on eccentric rehabilitation, as was the case of Kadkhodaie et al [32], showed a positive effect on hand tremor amplitude, however, no statistically significant effect was observed for postural tremor. The active-assisted cycling exercise (i.e.…”

Section: Discussionmentioning

confidence: 90%

“…Stuckenschneider et al used active forced exercise for 12 weeks (40-minute, three times per week) and reported that forced exercise based on the increased frequency of cadence had a positive effect on kinetic tremor in PD patients [20]. Cikajlo et al used a pick and place exercise in a virtual reality paradigm (10 sessions, 3 weeks) [31] and Kadkhodaie et al used eccentric training exercise (for 3 days/week for 6 weeks, 35 to 45 minutes per session) [32]. These studies showed that exercises based on hand actuation were suitable strategies for reducing resting tremors in PD patients [31,32].…”

Section: Resultsmentioning

confidence: 99%

“…Cikajlo et al used a pick and place exercise in a virtual reality paradigm (10 sessions, 3 weeks) [31] and Kadkhodaie et al used eccentric training exercise (for 3 days/week for 6 weeks, 35 to 45 minutes per session) [32]. These studies showed that exercises based on hand actuation were suitable strategies for reducing resting tremors in PD patients [31,32].…”

Section: Resultsmentioning

confidence: 99%

“…However, the heterogeneity of studies was relatively high (I 2 = 78.4%, p < 0.01). Studies included in this meta-analysis used different types of exercises including whole-body exercise (Tango dancing [30]), lower body activity via cycling [15,20], exercises focused on hand movements [28,31,32] and whole-body activity induced by acoustic vibration [29]. In order to investigate the source of between-study heterogeneity, only studies in which exercises were done based on hand movements were included into the subgroup analysis.…”

Section: Resultsmentioning

confidence: 99%

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Effect of Exercise on Parkinson’s Disease Tremor: A Meta-analysis Study

Farashi

¹

,

Kiani²,

Bashirian

³

2021

Tremor and Other Hyperkinetic Movements

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Exercise effects on motor function, manual dexterity, and brain oscillatory activity in individuals with Parkinson's disease: Randomized controlled trial protocol

Menacho

¹

,

Pacheco‐Barrios

²

,

Mendes

³

et al. 2023

Physiotherapy Res Intl

0

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BackgroundParkinson's disease (PD) is the second most common progressive neurodegenerative disorder. Exercise protocols are promising interventions to improve PD symptoms, however, the best modality and its neural correlates are still unknown.ObjectivesTo evaluate the effects of the aerobic, strength and task‐oriented upper‐limb exercises in motor function, manual dexterity, and brain oscillations of individuals with PD.MethodIn this clinical trial, 44 PD patients aged 40–80 years will be randomized in four groups: aerobic training (AT), strength training (ST), task‐oriented training (TOT), and waiting list group (CG). The AT group will perform 30 min of a cycle ergometer on 50%–70% of the reserve heart rate. The ST group will use equipment for upper limb muscles and will perform two series of 8–12 repetitions for each exercise, and intensity between 50% and 70% of one maximum repetition will be used. The TOT group will perform a program consisting of three activities to enhance reaching, grasping, and manipulation. All the groups will perform three sessions per week for 8 weeks. We will use the UPDRS Motor function section, Nine‐Hole Peg Test, and quantitative electroencephalography to measure motor function, manual dexterity, and brain oscillations, respectively. ANOVA and regression models will be used to compare outcomes within and between groups.

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Effect of eccentric-based rehabilitation on hand tremor intensity in Parkinson disease

Cited by 21 publications

References 31 publications

Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke

Predictors of Instrumental Activities of Daily Living Performance in Patients with Stroke

Effect of Exercise on Parkinson’s Disease Tremor: A Meta-analysis Study

Exercise effects on motor function, manual dexterity, and brain oscillatory activity in individuals with Parkinson's disease: Randomized controlled trial protocol

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