[논문]Efficacy of occupational therapy for patients with Parkinson's disease: a randomised controlled trial

for the OTiP study group; Sturkenboom, I.H.W.M.; Graff, M.J.L.; Hendriks, J.C.M.; Veenhuizen, Y.; Munneke, M.; Bloem, B.R.; der Sanden, M.W.N.v.

doi:10.1016/S1474-4422(14)70055-9

Efficacy of occupational therapy for patients with Parkinson's disease: a randomised controlled trial

The Lancet. Neurology, v.13 no.6, 2014년, pp.557 - 566

for the OTiP study group , Sturkenboom, I.H.W.M. , Graff, M.J.L. , Hendriks, J.C.M. , Veenhuizen, Y. , Munneke, M. , Bloem, B.R. , der Sanden, M.W.N.v.

Abstract ▼ AI-Helper

Background: There is insufficient evidence to support use of occupational therapy interventions for patients with Parkinson's disease. We aimed to assess the efficacy of occupational therapy in improving daily activities of patients with Parkinson's disease. Methods: We did a multicentre, assessor-masked, randomised controlled clinical trial in ten hospitals in nine Dutch regional networks of specialised health-care professionals (ParkinsonNet), with assessment at 3 months and 6 months. Patients with Parkinson's disease with self-reported difficulties in daily activities were included, along with their primary caregivers. Patients were randomly assigned (2:1) to the intervention or control group by a computer-generated minimisation algorithm. The intervention consisted of 10 weeks of home-based occupational therapy according to national practice guidelines; control individuals received usual care with no occupational therapy. The primary outcome was self-perceived performance in daily activities at 3 months, assessed with the Canadian Occupational Performance Measure (score 1-10). Data were analysed using linear mixed models for repeated measures (intention-to-treat principle). Assessors monitored safety by asking patients about any unusual health events during the preceding 3 months. This trial is registered with ClinicalTrials.gov, NCT01336127. Findings: Between April 14, 2011, and Nov 2, 2012, 191 patients were randomly assigned to the intervention group (n=124) or the control group (n=67). 117 (94%) of 124 patients in the intervention group and 63 (94%) of 67 in the control group had a participating caregiver. At baseline, the median score on the Canadian Occupational Performance Measure was 4.3 (IQR 3.5-5.0) in the intervention group and 4.4 (3.8-5.0) in the control group. At 3 months, these scores were 5.8 (5.0-6.4) and 4.6 (3.8-5.5), respectively. The adjusted mean difference in score between groups at 3 months was in favour of the intervention group (1.2; 95% CI 0.8-1.6; p<0.0001). There were no adverse events associated with the study. Interpretation: Home-based, individualised occupational therapy led to an improvement in self-perceived performance in daily activities in patients with Parkinson's disease. Further work should identify which factors related to the patient, environmental context, or therapist might predict which patients are most likely to benefit from occupational therapy. Funding: Prinses Beatrix Spierfonds and Parkinson Vereniging.

참고문헌 (43)

Neurol Sci Martignoni 32 125 2011 10.1007/s10072-010-0435-x How parkinsonism influences life: the patients' point of view

상세보기
Mov Disord Shulman 23 790 2008 10.1002/mds.21879 The evolution of disability in Parkinson disease

상세보기
Parkinsonism Relat Disord van der Marck 15 suppl 3 S219 2009 10.1016/S1353-8020(09)70819-3 Multidisciplinary care for patients with Parkinson's disease

상세보기
Parkinsonism Relat Disord van der Eijk 17 360 2011 10.1016/j.parkreldis.2011.02.012 Moving towards patient-centered healthcare for patients with Parkinson's disease

상세보기
Age Ageing Stewart 36 240 2007 10.1093/ageing/afm040 NICE guideline for Parkinson's disease

상세보기
Cochrane Database Syst Rev Tomlinson 9 2013 Physiotherapy versus placebo or no intervention in Parkinson's disease
Sturkenboom 520 2013 Handbook of Parkinson's Disease Physical and occupational therapy
Bloem 2010 Multidisciplinaire richtlijn ziekte van Parkinson
Can J Neurol Sci Grimes 39 S1 2012 10.1017/S031716710001516X Canadian Guidelines on Parkinson's Disease

상세보기
Cochrane Database Syst Rev Dixon 3 2007 Occupational therapy for patients with Parkinson's disease
Mov Disord Rao 25 suppl 1 S146 2010 10.1002/mds.22784 Enabling functional independence in Parkinson's disease: update on occupational therapy intervention

상세보기
Clin Rehabil Sturkenboom 27 99 2013 10.1177/0269215512448382 The impact of occupational therapy in Parkinson's disease: a randomized controlled feasibility study

상세보기
J Neurol Neurosurg Psychiatry Clarke 80 976 2009 10.1136/jnnp.2007.138586 Pilot randomised controlled trial of occupational therapy to optimise independence in Parkinson's disease: the PD OT trial

상세보기
Mov Disord Jain 19 1360 2004 10.1002/mds.20211 Occupational therapy in multiple system atrophy: a pilot randomized controlled trial

상세보기
Phys Ther Ellis 88 812 2008 10.2522/ptj.20070265 Effectiveness of an inpatient multidisciplinary rehabilitation program for people with Parkinson disease

상세보기
J Neurol Neurosurg Psychiatry Wade 74 158 2003 10.1136/jnnp.74.2.158 Multidisciplinary rehabilitation for people with Parkinson's disease: a randomised controlled study

상세보기
Mov Disord Tickle-Degnen 25 194 2010 10.1002/mds.22940 Self-management rehabilitation and health-related quality of life in Parkinson's disease: a randomized controlled trial

상세보기
Br J Clin Pract Clarke 49 288 1995 10.1111/j.1742-1241.1995.tb09988.x Quality of life and care in Parkinson's disease

상세보기
Mov Disord Nijkrake 24 282 2009 10.1002/mds.22377 Allied health care in Parkinson's disease: referral, consultation, and professional expertise

상세보기
Lancet Neurol van der Marck 12 947 2013 10.1016/S1474-4422(13)70196-0 Integrated multidisciplinary care in Parkinson's disease: a non-randomised, controlled trial (IMPACT)

상세보기
Parkinson's
Sturkenboom
Parkinsons Dis Keus 2012 543426 2012 Improving community healthcare for patients with Parkinson's disease: the Dutch model

상세보기
Mov Disord Nijkrake 25 823 2010 10.1002/mds.22813 The ParkinsonNet concept: development, implementation and initial experience

상세보기
BMJ Bloem 348 g1838 2014 10.1136/bmj.g1838 Revolutionising management of chronic disease: the ParkinsonNet approach

상세보기
Trials Sturkenboom 14 34 2013 10.1186/1745-6215-14-34 Effectiveness of occupational therapy in Parkinson's disease: study protocol for a randomized controlled trial

상세보기
J Neurol Neurosurg Psychiatry Hughes 55 181 1992 10.1136/jnnp.55.3.181 Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases

상세보기
Law Vol 5e 2005
Can J Occup Ther Carswell 71 210 2004 10.1177/000841740407100406 The Canadian Occupational Performance Measure: a research and clinical literature review

상세보기
Clin Rehabil Dedding 18 660 2004 10.1191/0269215504cr746oa Validity of the Canadian Occupational Performance Measure: a client-centred outcome measurement

상세보기
Clin Rehabil Cup 17 402 2003 10.1191/0269215503cr635oa Reliability and validity of the Canadian Occupational Performance Measure in stroke patients

상세보기
Clin Rehabil Eyssen 19 888 2005 10.1191/0269215505cr883oa The reproducibility of the Canadian Occupational Performance Measure

상세보기
Mov Disord Deane 17 984 2002 10.1002/mds.10197 Systematic review of paramedical therapies for Parkinson's disease

상세보기
Clin Rehabil Gage 18 463 2004 10.1191/0269215504cr764oa Rehabilitation for Parkinson's disease: a systematic review of available evidence

상세보기
J Neural Transm Ransmayr 118 773 2011 10.1007/s00702-011-0622-9 Physical, occupational, speech and swallowing therapies and physical exercise in Parkinson's disease

상세보기
Am J Occup Ther Murphy 55 385 2001 10.5014/ajot.55.4.385 The effectiveness of occupational therapy-related treatments for persons with Parkinson's disease: a meta-analytic review

상세보기
J Neurological Rehabil Patti 10 223 1996 Effects of rehabilitation therapy on Parkinson's disability and functional independence
Clin Rehabil Trend 16 717 2002 10.1191/0269215502cr545oa Short-term effectiveness of intensive multidisciplinary rehabilitation for people with Parkinson's disease and their carers

상세보기
Can J Neurol Sci Guo 36 51 2009 10.1017/S0317167100006314 Group education with personal rehabilitation for idiopathic Parkinson's disease

상세보기
NeuroRehabilitation Carne 20 161 2005 10.3233/NRE-2005-20303 Efficacy of a multidisciplinary treatment program on one-year outcomes of individuals with Parkinson's disease

상세보기
Neurorehabil Neural Repair Frazzitta 26 144 2012 10.1177/1545968311416990 Effectiveness of intensive inpatient rehabilitation treatment on disease progression in parkinsonian patients: a randomized controlled trial with 1-year follow-up

상세보기
J Rehabil Res Dev Eyssen 48 517 2011 10.1682/JRRD.2010.06.0110 Responsiveness of the Canadian occupational performance measure

상세보기
BMJ Craig 337 a1655 2008 10.1136/bmj.a1655 Developing and evaluating complex interventions: the new Medical Research Council guidance

상세보기

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Efficacy of occupational therapy for patients with Parkinson's disease: a randomised controlled trial

Abstract ▼ AI-Helper

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