Are functional mobility tests responsive to group physical therapy intervention in individuals with Parkinson's disease?

Abstract:

BACKGROUND:The Timed up and go test (TUG), the Five times sit-to-stand test (FTSTS) and the Bed Mobility test (BMT) are widely used in clinical practice for Parkinson Disease (PD). However, no reported studies have evaluated the responsiveness to group physical therapy intervention (GPTI). OBJECTIVE:To verify if TUG, FTSTS and BMT were responsive to GPTI. METHODS:Thirty individuals with PD were assessed prior to and after an 8-week evidence-based GPTI. Paired t test was used to determine statistically significant change pre-and post-intervention. Internal responsiveness (IR) was classified with the standardized response mean (SRM). A 5-point Likert scale assessed self-perceived performance by the subjects after the intervention. Analysis of the receiver operating characteristic (ROC) curve was used to determine the accuracy and cut-off scores for identifying participants who had shown improvement. RESULTS:GPTI was efficient in improving real (p≤0.001) and self-perceived mobility performance in all measures. All tests were responsive to changes: the IR varied from medium to high (SRM = 0.7-1.5); the cut-off point for TUG test was >2.2 s, for FTSTS test was >2.5 s and for BM test >1.4 s. CONCLUSIONS:The TUG, FTSTS and BMT were responsive to the GPTI and accurately detected meaningful clinical changes. Our results provide an important information about the clinical application of these tests in PD individuals.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Spagnuolo G,Faria CDCM,da Silva BA,Ovando AC,Gomes-Osman J,Swarowsky A

doi

10.3233/NRE-172379

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

465-472

issue

4

eissn

1053-8135

issn

1878-6448

pii

NRE172379

journal_volume

42

pub_type

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