A comprehensive Movement and Motion training program improves mobility in Parkinson’s disease

Narayanan Krishnamurthi, Claudia Murphey, Erika Driver-Dunckley

Research output: Contribution to journalArticle

Abstract

Background: Mobility in Parkinson’s disease (PD) is restricted due to impairments in gait and postural control. Although typical dance-based movement programs are beneficial in PD, many did not improve gait which may be due to the nature of the training, limited data, or both. Moreover, the investigation of the effects of a dance program specifically designed for people with PD is scarce. Aims: To examine the effects of our newly developed, PD-specific, dance-based training program Movement and Motion (M&M), on mobility in people with PD. Methods: Nineteen participants with mild-to-moderate PD (Hoehn and Yahr score 1–2) participated in a 10-week M&M training program (two 1-h sessions per week). Several quantitative and objective indices of stride-to-stride gait, posture, and range of motion and clinical scores were obtained pre- and post-M&M training. The significance of the changes in these measures after the training was tested using paired t test or Wilcoxon signed-rank test and changes were considered significant at p < 0.05. Results: Gait velocity, stride length, double support and stance durations, the degree of arm swing, and turning significantly improved after the training. Moreover, the time taken to initiate movement shifts and target reach significantly decreased after the training. In addition, the range of motion at many major joints significantly increased. Discussion: The improvements in the gait, posture, and range of motion measures indicate greater gait stability, posture control, and flexibility, respectively, after M&M training. Conclusions: The movements involved in M&M training address specific impairments in PD, such as decreased amplitude and speed of movements, increased stiffness, and altered posture control during leaning and reaching. Results indicate that regular practice of PD-specific M&M training can alleviate the targeted impairments and, thus, may lead to improved mobility and quality of life for people with PD.

Original languageEnglish (US)
JournalAging Clinical and Experimental Research
DOIs
StatePublished - Jan 1 2019

Fingerprint

Parkinson Disease
Gait
Education
Posture
Articular Range of Motion
Nonparametric Statistics
Joints
Quality of Life

Keywords

  • Dance training
  • Gait
  • Parkinson’s disease
  • Posture control

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

A comprehensive Movement and Motion training program improves mobility in Parkinson’s disease. / Krishnamurthi, Narayanan; Murphey, Claudia; Driver-Dunckley, Erika.

In: Aging Clinical and Experimental Research, 01.01.2019.

Research output: Contribution to journalArticle

@article{3507101a96a349909162962eedcf2bba,
title = "A comprehensive Movement and Motion training program improves mobility in Parkinson’s disease",
abstract = "Background: Mobility in Parkinson’s disease (PD) is restricted due to impairments in gait and postural control. Although typical dance-based movement programs are beneficial in PD, many did not improve gait which may be due to the nature of the training, limited data, or both. Moreover, the investigation of the effects of a dance program specifically designed for people with PD is scarce. Aims: To examine the effects of our newly developed, PD-specific, dance-based training program Movement and Motion (M&M), on mobility in people with PD. Methods: Nineteen participants with mild-to-moderate PD (Hoehn and Yahr score 1–2) participated in a 10-week M&M training program (two 1-h sessions per week). Several quantitative and objective indices of stride-to-stride gait, posture, and range of motion and clinical scores were obtained pre- and post-M&M training. The significance of the changes in these measures after the training was tested using paired t test or Wilcoxon signed-rank test and changes were considered significant at p < 0.05. Results: Gait velocity, stride length, double support and stance durations, the degree of arm swing, and turning significantly improved after the training. Moreover, the time taken to initiate movement shifts and target reach significantly decreased after the training. In addition, the range of motion at many major joints significantly increased. Discussion: The improvements in the gait, posture, and range of motion measures indicate greater gait stability, posture control, and flexibility, respectively, after M&M training. Conclusions: The movements involved in M&M training address specific impairments in PD, such as decreased amplitude and speed of movements, increased stiffness, and altered posture control during leaning and reaching. Results indicate that regular practice of PD-specific M&M training can alleviate the targeted impairments and, thus, may lead to improved mobility and quality of life for people with PD.",
keywords = "Dance training, Gait, Parkinson’s disease, Posture control",
author = "Narayanan Krishnamurthi and Claudia Murphey and Erika Driver-Dunckley",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s40520-019-01236-0",
language = "English (US)",
journal = "Aging clinical and experimental research",
issn = "1594-0667",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - A comprehensive Movement and Motion training program improves mobility in Parkinson’s disease

AU - Krishnamurthi, Narayanan

AU - Murphey, Claudia

AU - Driver-Dunckley, Erika

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Mobility in Parkinson’s disease (PD) is restricted due to impairments in gait and postural control. Although typical dance-based movement programs are beneficial in PD, many did not improve gait which may be due to the nature of the training, limited data, or both. Moreover, the investigation of the effects of a dance program specifically designed for people with PD is scarce. Aims: To examine the effects of our newly developed, PD-specific, dance-based training program Movement and Motion (M&M), on mobility in people with PD. Methods: Nineteen participants with mild-to-moderate PD (Hoehn and Yahr score 1–2) participated in a 10-week M&M training program (two 1-h sessions per week). Several quantitative and objective indices of stride-to-stride gait, posture, and range of motion and clinical scores were obtained pre- and post-M&M training. The significance of the changes in these measures after the training was tested using paired t test or Wilcoxon signed-rank test and changes were considered significant at p < 0.05. Results: Gait velocity, stride length, double support and stance durations, the degree of arm swing, and turning significantly improved after the training. Moreover, the time taken to initiate movement shifts and target reach significantly decreased after the training. In addition, the range of motion at many major joints significantly increased. Discussion: The improvements in the gait, posture, and range of motion measures indicate greater gait stability, posture control, and flexibility, respectively, after M&M training. Conclusions: The movements involved in M&M training address specific impairments in PD, such as decreased amplitude and speed of movements, increased stiffness, and altered posture control during leaning and reaching. Results indicate that regular practice of PD-specific M&M training can alleviate the targeted impairments and, thus, may lead to improved mobility and quality of life for people with PD.

AB - Background: Mobility in Parkinson’s disease (PD) is restricted due to impairments in gait and postural control. Although typical dance-based movement programs are beneficial in PD, many did not improve gait which may be due to the nature of the training, limited data, or both. Moreover, the investigation of the effects of a dance program specifically designed for people with PD is scarce. Aims: To examine the effects of our newly developed, PD-specific, dance-based training program Movement and Motion (M&M), on mobility in people with PD. Methods: Nineteen participants with mild-to-moderate PD (Hoehn and Yahr score 1–2) participated in a 10-week M&M training program (two 1-h sessions per week). Several quantitative and objective indices of stride-to-stride gait, posture, and range of motion and clinical scores were obtained pre- and post-M&M training. The significance of the changes in these measures after the training was tested using paired t test or Wilcoxon signed-rank test and changes were considered significant at p < 0.05. Results: Gait velocity, stride length, double support and stance durations, the degree of arm swing, and turning significantly improved after the training. Moreover, the time taken to initiate movement shifts and target reach significantly decreased after the training. In addition, the range of motion at many major joints significantly increased. Discussion: The improvements in the gait, posture, and range of motion measures indicate greater gait stability, posture control, and flexibility, respectively, after M&M training. Conclusions: The movements involved in M&M training address specific impairments in PD, such as decreased amplitude and speed of movements, increased stiffness, and altered posture control during leaning and reaching. Results indicate that regular practice of PD-specific M&M training can alleviate the targeted impairments and, thus, may lead to improved mobility and quality of life for people with PD.

KW - Dance training

KW - Gait

KW - Parkinson’s disease

KW - Posture control

UR - http://www.scopus.com/inward/record.url?scp=85067067714&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067067714&partnerID=8YFLogxK

U2 - 10.1007/s40520-019-01236-0

DO - 10.1007/s40520-019-01236-0

M3 - Article

JO - Aging clinical and experimental research

JF - Aging clinical and experimental research

SN - 1594-0667

ER -