The effect of task-oriented circuit training-based telerehabilitation on upper extremity motor functions in patients with Parkinson's disease: A randomized controlled trial

Eldemir, Sefa; Güçlü-Gündüz, Arzu; Eldemir, Kader; Saygili, Fettah; Yılmaz, Rezzak; Akbostancı, Muhittin Cenk

doi:10.1016/j.parkreldis.2023.105334

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…Atherosclerosis, a condition marked by the accumulation of plaque within the arteries leading to their narrowing, can significantly reduce blood flow, potentially resulting in the formation of blood clots that may obstruct the arteries. The risk factors for ischemic stroke include atrial fibrillation, a history of heart attack, heart valve issues, and diabetes, with neck blood vessel injuries and blood clotting disorders also contributing (11)(12)(13). Notably, circuit training has been identified as beneficial in improving various functional parameters post-stroke, with studies predominantly focusing on leg strength, walking speed, distance, and balance enhancements.…”

Section: Introductionmentioning

confidence: 99%

Effects of Circuit Class Training Versus Individual, Task Specific Training on Upper Extremity Function in Chronic Stroke Patients

Baig,

Azmat

2024

JHRR

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Background: Stroke is a leading contributor to disability globally, emphasizing the need for effective rehabilitation techniques. Circuit class training (CCT) and individual, task-specific training (ITST) have emerged as potential approaches for enhancing upper extremity function in stroke survivors. Comparative analyses of their efficacy, especially among chronic stroke patients, are scant. Objective: This study aimed to evaluate and compare the impacts of CCT and ITST on upper extremity spasticity, motor function, and quality of life in individuals with chronic stroke. Methods: In a randomized controlled trial, 36 chronic stroke patients were allocated to either CCT or ITST groups. Participants were aged 45-70 years, had experienced a single stroke episode, and were at least 6 months post-stroke, with specific inclusion criteria regarding spasticity and motor function levels. The interventions were delivered for 1.5 hours daily, five days a week, over eight weeks. Outcomes were measured using the Modified Ashworth Scale (MAS) for spasticity, Functional Independence Measure for Upper Extremity (FMA-UE) for motor function, and Stroke-Specific Quality of Life (SS-QOL) scale for quality of life, analyzed using SPSS version 25. Results: Post-intervention, both CCT and ITST participants exhibited significant improvements in their outcomes. MAS scores showed a reduction in spasticity, with average improvements not significantly differing between the groups. FMA-UE scores increased by an average of 10 points in both groups, indicating enhanced motor function without a significant difference between the groups (p > 0.05). SS-QOL scores improved by an average of 20 points in each group, reflecting better quality of life, with no significant intergroup difference observed. Conclusion: The study concludes that CCT and ITST are equally effective in ameliorating upper extremity spasticity, motor function, and quality of life among chronic stroke patients. The selection between CCT and ITST can thus be personalized based on patient preferences, available resources, and logistical considerations, maintaining rehabilitation efficacy.

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Section: Introductionmentioning

confidence: 99%

Effects of Circuit Class Training Versus Individual, Task Specific Training on Upper Extremity Function in Chronic Stroke Patients

Baig,

Azmat

2024

JHRR

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“…Recently, non-pharmacological approaches for PwPD have made substantial steps forward, many of which are highlighted in this special issue. Developments include, among others: (i) expansion of the types of interventions, (ii) standardization of intervention protocols [3], (iii) development of digital forms of interventions [4,5] (iv), scientific evaluation of the feasibility and effects of the interventions [6], (v) understanding of underlying mechanisms of therapy-induced plasticity processes [7], (vi) integration of non-pharmacological interventions in patient care concepts [8], and (vii) transition from merely symptomatic to preventive therapies [9]. Last but not least, the voice of PwPD, who are the real experts of the disease, is getting louder in all this work.…”

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confidence: 99%