View/Open - Scholarly Commons Home

More documents

Recommendations

Info

Abstract Essential tremor (ET) is a common neurological movement disorder occurring in 1 - 5% of the general New Zealand population. ET is typically characterised by a kinetic tremor with the upper limb most often affected. A number of pathologies have been proposed to underlie ET however no definitive consensus has yet been reached. The enhanced tremor symptomatic in ET can have a serious negative effect on a number of areas including an individual’s quality of life (QoL) and daily functioning. Therefore, finding an effective rehabilitation therapy would be of significant value. Currently a number of medical and clinical treatments such as non-specific medication, surgery and bio- behavioural treatment have been proposed for ET. Each option however, carries limitations, risks and varying levels of effectiveness. A novel therapy option may be that of resistance training (RT). RT has been shown to induce neuromuscular adaptations such as reduced motor unit firing rate variability and upper limb co-activation. These RT induced changes have been shown to reduce postural tremor and improve manual dexterity in neurologically normal older adults. Therefore this pilot study examined the effect of a general, short-term dumbbell-based upper limb RT programme on upper limb strength, hand and finger dexterity and quality of life in individuals with ET. Six subjects (5 female, 1 male, age: 74 � 7 years, years diagnosed: 19 � 7 years) were recruited with one being excluded from the results analysis due to an i
unrelated hospitalisation. Each participant performed familiarisation and baseline testing prior to undergoing a six week period of RT. This was immediately followed by a post-intervention test and a six week training withdrawal period. A final assessment was then performed after the withdrawal period. Assessment sessions included an upper limb strength examination using a five repetition maximum (5RM) strength test, hand and finger manual dexterity test using the Purdue Pegboard Test (PPT), and two quality of life measures: the Short Form 36 (SF-36) and Quality of Life in Essential Tremor (QUEST) questionnaires. Following the general RT programme, ET participants experienced significant improvements in some strength and hand and finger dexterity measures. There were however, no significant changes in quality of life. The findings of this pilot study provide evidence that further investigation into RT as a potential therapy for ET is warranted. ii
Page 1: Can resistance training improve han
Page 5 and 6: Statement of Originality I hereby d
Page 7 and 8: Table of Contents Abstract ........
Page 9 and 10: Figures Figure 1: Rationale for RT
Page 11 and 12: Tables Table 1: Review of training
Page 13 and 14: Chapter 1 - Introduction ET is typi
Page 15 and 16: Chapter 1 - Introduction number of
Page 17 and 18: Chapter 2 - Literature Review Chapt
Page 19 and 20: Chapter 2 - Literature Review 2010)
Page 21 and 22: Chapter 2 - Literature Review diffi
Page 23 and 24: Chapter 2 - Literature Review Gait
Page 25 and 26: Chapter 2 - Literature Review inste
Page 27 and 28: Chapter 2 - Literature Review entra
Page 29 and 30: Chapter 2 - Literature Review With
Page 31 and 32: Chapter 2 - Literature Review Louis
Page 33 and 34: Chapter 2 - Literature Review teach
Page 35 and 36: Chapter 2 - Literature Review RT co
Page 37 and 38: Chapter 2 - Literature Review inclu
Page 39 and 40: Condition/Tool Symptoms/Adaptations
Page 41 and 42: Chapter 2 - Literature Review Korna
Page 43 and 44: Chapter 3 - Methods Participants Ch
Page 45 and 46: Study Protocol 1 Week Figure 2: Stu
Page 47 and 48: Figure 3: Dumbbell elbow flexion Fi
Page 49 and 50: Chapter 3 - Methods correlation coe
Page 51 and 52: Chapter 3 - Methods Figure 6: PPT i
Page 53 and 54:
Chapter 3 - Methods Takata, et al.,
Page 55 and 56:
Chapter 3 - Methods Additionally, t
Page 57 and 58:
Table 2: Participant demographics P
Page 59 and 60:
Strength - 5RM Assessment Chapter 4
Page 61 and 62:
Wrist flexion Chapter 4 - Results F
Page 63 and 64:
Hand and finger dexterity - Purdue
Page 65 and 66:
Chapter 4 - Results Following the s
Page 67 and 68:
SF-36 (change score percentage) 80
Page 69 and 70:
Physical and Psychosocial Chapter 4
Page 71 and 72:
Work and Finance Chapter 4 - Result
Page 73 and 74:
Chapter 5 - Discussion Often decrea
Page 75 and 76:
Chapter 5 - Discussion reduce postu
Page 77 and 78:
Chapter 5 - Discussion Significant
Page 79 and 80:
Chapter 5 - Discussion than that us
Page 81 and 82:
Chapter 6 - Study Limitations & Fut
Page 83 and 84:
References References Adam, A., de
Page 85 and 86:
References Cochrane, T., Munro, J.,
Page 87 and 88:
References Elble, R. J., Pullman, S
Page 89 and 90:
References Hirsch, M. A., Toole, T.
Page 91 and 92:
References Lafayette Instrument Com
Page 93 and 94:
References Lundervold, D. A., Belwo
Page 95 and 96:
References International Journal of
Page 97 and 98:
References tremor. Parkinsonism & R
Page 99 and 100:
References Traub, R. E., Gerbin, M.
Page 101 and 102:
Appendices Appendix A - Abbreviatio
Page 103 and 104:
Appendix B 92
Page 105 and 106:
5RM - Wrist Flexion Most Affected L
Page 107 and 108:
Hand and Finger dexterity PPT - Mos
Page 109 and 110:
Quality of life - SF-36 SF36 - Gene
Page 111 and 112:
SF36 - Role Emotional (%) Figure 30
Page 113 and 114:
Quality of Life - QUEST Figure 34:
Page 115:
QUEST - Work/Finance (%) 100.00 90.
show all

View/Open - Scholarly Commons Home

Create successful ePaper yourself

Delete template?

Save as template?