Action Imagery and Observation in Neurorehabilitation for Parkinson’s Disease (ACTION-PD): Development of a User-Informed Home Training Intervention to Improve Functional Hand Movements
| العنوان: | Action Imagery and Observation in Neurorehabilitation for Parkinson’s Disease (ACTION-PD): Development of a User-Informed Home Training Intervention to Improve Functional Hand Movements |
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| المؤلفون: | Ellen Poliakoff, Judith Bek, Stefan Vogt, Paul S. Holmes, Matthew Sullivan, Chesney E. Craig, Jordan Webb, Emma Gowen, Trevor J. Crawford, Zoë C. Franklin |
| المصدر: | Parkinson's Disease Parkinson's Disease, Vol 2021 (2021) |
| بيانات النشر: | Hindawi Limited, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | 030506 rehabilitation, medicine.medical_specialty, Article Subject, Neuroscience (miscellaneous), Psychological intervention, law.invention, 03 medical and health sciences, 0302 clinical medicine, Motor imagery, Physical medicine and rehabilitation, Randomized controlled trial, law, Intervention (counseling), medicine, RC346-429, Neurorehabilitation, business.industry, Usability, Focus group, Psychiatry and Mental health, Action (philosophy), Neurology. Diseases of the nervous system, Neurology (clinical), 0305 other medical science, business, 030217 neurology & neurosurgery, Research Article |
| الوصف: | Background. Parkinson’s disease (PD) causes difficulties with hand movements, which few studies have addressed therapeutically. Training with action observation (AO) and motor imagery (MI) improves performance in healthy individuals, particularly when the techniques are applied simultaneously (AO + MI). Both AO and MI have shown promising effects in people with PD, but previous studies have only used these separately. Objective. This article describes the development and pilot testing of an intervention combining AO + MI and physical practice to improve functional manual actions in people with PD. Methods. The home-based intervention, delivered using a tablet computer app, was iteratively designed by an interdisciplinary team, including people with PD, and further developed through focus groups and initial field testing. Preliminary data on feasibility were obtained via a six-week pilot randomised controlled trial (ISRCTN 11184024) of 10 participants with mild to moderate PD (6 intervention; 4 treatment as usual). Usage and adherence data were recorded during training, and semistructured interviews were conducted with participants. Exploratory outcome measures included dexterity and timed action performance. Results. Usage and qualitative data provided preliminary evidence of acceptability and usability. Exploratory outcomes also suggested that subjective and objective performance of manual actions should be tested in a larger trial. The importance of personalisation, choice, and motivation was highlighted, as well as the need to facilitate engagement in motor imagery. Conclusions. The results indicate that a larger RCT is warranted, and the findings also have broader relevance for the feasibility and development of AO + MI interventions for PD and other conditions. |
| وصف الملف: | text; text/xhtml |
| تدمد: | 2042-0080 2090-8083 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f97c1b0bbac951f135c74b36341a9a63Test https://doi.org/10.1155/2021/4559519Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f97c1b0bbac951f135c74b36341a9a63 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20420080 20908083 |
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