Comparison of the effects of a physiotherapist-supervised exercise programme and a self-supervised exercise programme on quality of life in patients with Parkinson's disease.
OBJECTIVE
To compare the effects of a physiotherapist-supervised exercise programme in an exercise unit and self-supervised home exercise programme on quality of life in patients with Parkinson's disease.


METHODS
Assessor-blinded, quasi-randomized trial (alternate allocation).


METHODS
An outpatient exercise unit; home settings.


METHODS
Thirty patients with idiopathic Parkinson's disease, Hoehn & Yahr I-III, stable medication use.


METHODS
Patients were included in the physiotherapist-supervised or home group. The exercise programme was performed for 10 weeks, three times/week either under the supervision of a physiotherapist or at home without supervision.


METHODS
Parkinson's Disease Quality of Life Questionnaire (PDQLQ), Nottingham Health Profile (NHP), Unified Parkinson's Disease Rating Scale (UPDRS), Beck Depression Inventory (BDI).


RESULTS
Patients in the supervised physiotherapy group improved more than the home exercise group in Parkinson's Disease Quality of Life Questionnaire (total score, Parkinson's symptoms, emotional function), Nottingham Health Profile total, Unified Parkinson's Disease Rating Scale (all domains) and Beck Depression Inventory scores.


CONCLUSIONS
The exercise programme under physiotherapist supervision was found to be more effective at improving activities of daily living, motor, mental, emotional functions and general health quality in patients with Parkinson's disease compared with a self-supervised home programme.
Dereli
Elif E
EE
School of Physical Therapy and Rehabilitation, Istanbul University, Istanbul, Turkey. edereli@istanbul.edu.tr
Yaliman
Ayse
A
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000523:psychology / Q000534:rehabilitation*; D011788:Quality of Life; D012648:Self Care; D016037:Single-Blind Method