Author: Yang JH1, Wang YQ1, Ye SQ2, Cheng YG1, Chen Y3, Feng XZ1
Affiliation: <sup>1</sup>Department of Rehabilitation Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, China.
<sup>2</sup>Department of Rehabilitation Medicine, West China Hospital of Sichuan University, Chengdu, China.
<sup>3</sup>Wuxi Tongren International Rehabilitation Hospital, Wuxi, China.
Conference/Journal: Parkinsons Dis.
Date published: 2017
Other:
Volume ID: 2017 , Pages: 8562867 , Special Notes: doi: 10.1155/2017/8562867. Epub 2017 Jul 24. , Word Count: 261
OBJECTIVE: To compare the effects of group-based and individual-based Tai Chi training on nonmotor symptoms in patients with mild to moderate Parkinson's disease.
DESIGN: Randomized controlled pilot study.
METHODS: 36 community-dwelling patients with Parkinson's disease (PD) were randomly assigned to either group-based training group (n = 19) or individual-based group (n = 17). Both groups received same content of Tai Chi training 3 times a week for 13 weeks. Participants were also asked to perform home exercises daily. The Non-Motor Symptoms Scale was used to assess global nonmotor symptoms change. Sleep quality, depression, and cognition were evaluated by Parkinson's Disease Sleep Scale, Hamilton Depression Scale, and Beijing version-Montreal Cognitive Assessment, respectively. Home exercise compliance was recorded.
RESULTS: There was no significant difference between two groups at baseline. After 13 weeks, there were no statistical significance between two groups. However, the within-group effect was different. Participants in group-based and individual-based groups showed a significant improvement on global nonmotor symptoms (P < 0.001, P = 0.004) and sleep (P < 0.001, P < 0.001). But only group-based training patients presented a significant improvement in cognitive impairment compared with baseline (P = 0.002, P - 0.116). For depression, no group gained a significant improvement(P = 0.123, P = 0.170). Group-based participants had a higher home-exercise compliance rate (HeCR) than individual-based participants did (P = 0.019), and HeCR showed a moderate correlation with MoCA-BJ and NMSS scores changes in this study.
CONCLUSION: Group-based Tai Chi training is considered to be a more effective and a more labor-saving method in the clinical settings, and patients tend to have a higher compliance rate in their home exercise program. This study is registered with ChiCTR-IPR-17010388.
PMID: 28811955 PMCID: PMC5546134 DOI: 10.1155/2017/8562867