파킨슨병 환자의 e-운동프로그램이 균형과 보행 그리고 지구력에 미치는 영향 = The Effect of e-Exercise Program on Balance, Gait, and Endurance in Patients with Parkinson`s Disease

다국어 초록 (Multilingual Abstract)

Purpose Patients with Parkionson`s disease have a temporal and spatial restriction for their`s exercise treatment. The aim of this study is to verify the effectiveness of e-exercise program on balance, gait, and endurance ability in people with Parkinson`s disease. Methods Eighteen participants, with Parkinson`s disease that ranged from stage to on the Hoehn & Yahr scale, were assigned to two group. Two group were divided into on-line group that exercised in home by computer video, and off-line group that exercised in clinical center. Exercise program that included 3 sections (warm-up, main exercise, cool down)-5 parts(stretch, strength, balance, gait, stretch) was used to train for participants. We used the functional reach test for balance ability, timed up and go test for gait ability, 6 minute walking test for endurance ability. Wilkoxon sign lank tests were used to assess the difference of balance, gait, and endurance ability in pre-and post test each groups. Mann-whitney tests were used to assess the difference of balance, gait, and endurance ability between groups. Results Wilkoxon sign lank tests revealed that both group were improved the balance, gait and endurance agility by e-exercise program intervention. Mann-whitney tests showed that there were no differences between groups in the variation of balance, gait, endurance ability. Conclusion We believe that exercise program with on-line(e-exercise program) is an effective intervention forpeople with Parkinson`s disease and is no different than off-line exercise group in the variation of balance, gait, endurance ability.

참고문헌 (Reference)

1 Olanow CW, "The scientific and clinical basis for the treatment of Parkinson disease" 72 (72): 1-136, 2009

2 Goodwin VA, "The effectiveness of exercise interventions for people with parkinson’s disease: a systematic review and meta-analysis" 23 (23): 631-640, 2008

3 Ray J, "Quality of life in Parkinson's disease" 54 : 17-21, 2006

4 Menza M, "Psychiatric symptoms in Parkinson’s disease: A comparison between patients with and without “on-off” symptoms" 33 (33): 682-684, 1993

5 Benatru I, "Postural disorders in Parkinson’s disease" 38 (38): 459-465, 2008

6 Di monte DA, "Patient profile, indications, efficacy and safety of duodenal L-dopa infusion in advanced Parkinson’s disease" 15 : 459-466, 2000

7 Crizzle AM, "Is physical exercise beneficial for persons with parkinson’s disease?" 16 (16): 422-425, 2006

8 Kwakkel G, "Impact of physical therapy for Parkinson’s disease: a critical review of the literature" 13 (13): 478-487, 2007

9 Gobbi LT, "Exercise programs improve mobility and balance in people with Parkinson’s disease" 15 (15): 49-52, 2009

10 Keus SH, "Evidencebased analysis of physical therapy in Parkinson's disease with recommendations for practice and research" 22 (22): 451-460, 2007

11 Tanner CM, "Epidemiology of Parkinson’s disease and akinetic syndromes" 13 (13): 427-430, 2000

12 Suteerawatananon M, "Effects of visual and auditory cues on gait in indivisuals with Parkinson's disease" 219 (219): 63-69, 2004

13 Keus SH, "Effectiveness of physiotherapy in Parkinson's disease: The feasibility of a randomized controlled trial" 13 (13): 115-121, 2007

14 Hantz P, "Depression in Parkinson’s disease" 151 (151): 1010-1014, 1994

15 Emre M, "Dementia associated with Parkinson’s disease" 2 (2): 229-237, 2003

16 Sunvisson H, "Changes in motor performance in persons with Parkinson's disease after exercise in a mountain area" 29 (29): 255-260, 1997