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Occupational therapy in multiple system atrophy: A pilot randomized controlled trial
Author(s) -
Jain Shilpa,
Dawson Jill,
Quinn Niall P.,
Playford E. Diane
Publication year - 2004
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.20211
Subject(s) - physical therapy , occupational therapy , activities of daily living , quality of life (healthcare) , randomized controlled trial , medicine , mood , rehabilitation , rating scale , parkinson's disease , atrophy , physical medicine and rehabilitation , disease , psychology , clinical psychology , developmental psychology , nursing
There is some evidence that rehabilitation therapies may be useful in progressive neurological conditions, but this usefulness has not been studied in multiple system atrophy (MSA) to date. The aim of this small pilot study was to identify the feasibility of a larger randomized controlled trial of occupational therapy and to report preliminary data on the impact of occupational therapy on disability, mood, and health‐related quality of life in patients with MSA. Patient groups were comparable for age, gender distribution, type of MSA, and severity. The active occupational therapy intervention group experienced a significant reduction of Unified Parkinson's Disease Rating Scale (total score and Activities of Daily Living [ADL] section), and PDQ‐39 scores (total scores and ADL subsection). An occupational therapy program may improve functional abilities in patients with mild to moderate MSA. A larger multicenter study is needed. © 2004 Movement Disorder Society