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Effects of Tai Chi and Multimodal Exercise Training on Movement and Balance Function in Mild to Moderate Idiopathic Parkinson Disease

Zhang, Tian-Yu BS; Hu, Yong BS; Nie, Zhi-Yu MD; Jin, Rong-Xiang MS; Chen, Fei BS; Guan, Qiang MD; Hu, Bin BS; Gu, Chun-Ya BS; Zhu, Ling BS; Jin, Ling-Jing MD

American Journal of Physical Medicine & Rehabilitation: October 2015 - Volume 94 - Issue 10S - p 921–929
doi: 10.1097/PHM.0000000000000351
Original Research Articles

Objective The primary aim of this study was to investigate the effects of two different patterns of rehabilitation training on movement and balance function in patients with idiopathic Parkinson disease.

Design Forty patients with Parkinson disease were randomized into the tai chi group (n = 20) or the multimodal exercise training group (n = 20). Outcome measures were assessed at baseline and after 12 wks of exercise. Balance was assessed using the Berg Balance Scale, and movement was assessed by the Unified Parkinson’s Disease Rating Scale—Motor Examination, stride length, gait velocity, and Timed Up and Go Test.

Results The multimodal exercise training group improved significantly in movement from baseline, and a reduction in balance impairment was observed for the multimodal exercise training group. The questionnaire results after training showed that the multimodal exercise training is easy to learn and adhere to. No major adverse events were noted in both groups.

Conclusions This multimodal exercise training could improve motion function and benefit balance function in patients with Parkinson disease. The multimodal exercise training is easy to learn and practice.

From the Departments of Neurology (T-YZ, YH, Z-YN, FC, QG, LZ, L-JJ) and Spine Surgery (R-XJ, BH, C-YG), Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

All correspondence and requests for reprints should be addressed to: Ling-Jing Jin, MD, Department of Neurology, Shanghai Tongji Hospital, Tongji University School of Medicine, Xin-Cun Rd 389, Shanghai 200065, China.

Tian-Yu Zhang and Yong Hu contributed equally to this article.

Supported by the National Major Scientific and Technological Special Project for “Significant New Drugs Development” (2014ZX09102043-003), the National Natural Science Foundation of China (81371403), the Shanghai Education Development Foundation and Shanghai Municipal Education Commission “Shuguang Program” (14SG21), and the Shanghai Science and Technology Commission (13JC1401102).

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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