Evidence map›Paper›PMID 25709055›Full record

Trial reportJournal of science and medicine in sport2016

Enhanced Exercise Therapy in Parkinson's disease: A comparative effectiveness trial.

Angela L Ridgel, Benjamin L Walter, Curtis Tatsuoka, Ellen M Walter, Kari Colón-Zimmermann, Elisabeth Welter, Martha Sajatovic

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of science and medicine in sport, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Occupational Therapy Interventions for Instrumental Activities of Daily Living for Adults With Parkinson's Disease: A Systematic Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2021
    Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Perceptions of aquatic physiotherapy and health-related quality of life among people with Parkinson's disease.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  10. Review
  11. Non-Motor Symptoms after One Week of High Cadence Cycling in Parkinson's Disease.International journal of environmental research and public health · 2019
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Angela L RidgelDepartment of Exercise Physiology, Kent State University, USA. Electronic address: aridgel@kent.edu.
Benjamin L WalterCase Western Reserve University School of Medicine, USA; Movement Disorder Center, University Hospitals, USA.
Curtis TatsuokaCase Western Reserve University School of Medicine, USA; Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, USA.
Ellen M WalterCase Western Reserve University School of Medicine, USA; Movement Disorder Center, University Hospitals, USA.
Kari Colón-ZimmermannNeurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, USA.
Elisabeth WelterNeurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, USA.
Martha SajatovicCase Western Reserve University School of Medicine, USA; Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, USA.
University Hospitals of Cleveland · USUniversity Hospitals Cleveland Medical Center · USKent State University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
NCATS NIH HHS UL1 TR000439NCRR NIH HHS UL1 RR024989
6 · The paper itself

Abstract

objectivesExercise can improve motor function in people with Parkinson's disease but depression reduces the motivation to participate in regular exercise. The aim of this study was to develop a novel Enhanced Exercise Therapy program that uses manual-driven guided exercise and peer-facilitated psychoeducation for individuals with Parkinson's disease and depression.

design24 week randomized controlled design.

methodsThirty individuals were randomized to Enhanced Exercise Therapy or self-guided therapy, and evaluated at baseline, 12-weeks and at 24-weeks. Enhanced Exercise Therapy included group exercise and group psychoeducation for 12 weeks. Between 13 and 24 weeks, individuals had access to the fitness facility but group sessions were not held. Self-guided therapy included written guidelines for a self-paced exercise program and psychoeducation. Primary outcome measures included the number of exercise sessions and International Physical Activity Questionnaire score. Secondary measures included resting heart rate, supine blood pressure, estimated VO2max and incidence of orthostatic hypotension.

resultsTwenty four individuals completed the study (80% retention) and both groups attended similar number of exercise sessions. There were no significant changes in cardiovascular fitness measures but there was a significant increase in the amount of physical activity in the Enhanced Exercise Therapy group and a decrease in the self-guided therapy group during the post-intervention period.

conclusionsEnhanced Exercise Therapy appears to promote engagement in an exercise program and more physical activity, even after group sessions were concluded in individuals with Parkinson's disease and depression.

Indexed as

AgedAged, 80 and overExercise TherapyFemaleHumansMaleMiddle AgedParkinson DiseaseMotivationMovement disordersOutcome assessment (health care)Physical activityPhysical therapy modalitiesPsychoeducation

Identifiers

PMID25709055
PMCPMC4529399
OpenAlexW2049573015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.