{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:02:52Z","timestamp":1790269372191,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,12,29]],"date-time":"2013-12-29T00:00:00Z","timestamp":1388275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>A previous randomized, controlled trial of tai chi showed improvements in objectively measured balance and other motor\u2010related outcomes in patients with Parkinson's disease. This study evaluated whether patient\u2010reported outcomes could be improved through exercise interventions and whether improvements were associated with clinical outcomes and exercise adherence. In a secondary analysis of the tai chi trial, patient\u2010reported and clinical outcomes and exercise adherence measures were compared between tai chi and resistance training and between tai chi and stretching exercise. Patient\u2010reported outcome measures were perceptions of health\u2010related benefits resulting from participation, assessed by the Parkinson's Disease Questionnaire (PDQ\u20108) and Vitality Plus Scale (VPS). Clinical outcome measures included motor symptoms, assessed by a modified Unified Parkinson's Disease Rating Scale\u2013Motor Examination (UPDRS\u2010ME) and a 50\u2010foot speed walk. Information on continuing exercise after the structured interventions were terminated was obtained at a 3\u2010month postintervention follow\u2010up. Tai chi participants reported significantly better improvement in the PDQ\u20108 (\u22125.77 points, <jats:italic>P<\/jats:italic>\u2009=\u20090.014) than did resistance training participants and in PDQ\u20108 (\u22129.56 points, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and VPS (2.80 points, <jats:italic>P<\/jats:italic>\u2009=\u20090.003) than did stretching participants. For tai chi, patient\u2010reported improvement in the PDQ\u20108 and VPS was significantly correlated with their clinical outcomes of UPDRS\u2010ME and a 50\u2010foot walk, but these correlations were not statistically different from those shown for resistance training or stretching. However, patient\u2010reported outcomes from tai chi training were associated with greater probability of continued exercise behavior than were either clinical outcomes or patient\u2010reported outcomes from resistance training or stretching. Tai chi improved patient\u2010reported perceptions of health\u2010related benefits, which were found to be associated with a greater probability of exercise adherence. The findings indicate the potential of patient perceptions to drive exercise behavior after structured exercise programs are completed and the value of strengthening such perceptions in any behavioral intervention.<\/jats:p>","DOI":"10.1002\/mds.25787","type":"journal-article","created":{"date-parts":[[2013,12,29]],"date-time":"2013-12-29T10:18:48Z","timestamp":1388312328000},"page":"539-545","source":"Crossref","is-referenced-by-count":85,"title":["A randomized controlled trial of patient\u2010reported outcomes with tai chi exercise in Parkinson's disease"],"prefix":"10.1002","volume":"29","author":[{"given":"Fuzhong","family":"Li","sequence":"first","affiliation":[{"name":"Oregon Research Institute Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Harmer","sequence":"additional","affiliation":[{"name":"Willamette University Salem Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Liu","sequence":"additional","affiliation":[{"name":"Shanghai University of Sport Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Eckstrom","sequence":"additional","affiliation":[{"name":"Oregon Health &amp; Science University Portland Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Oregon Medical Group Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Stock","sequence":"additional","affiliation":[{"name":"Oregon Health &amp; Science University Portland Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Shan","family":"Chou","sequence":"additional","affiliation":[{"name":"University of Oregon Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23790"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21922"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2013.772"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1176"},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"446","DOI":"10.7326\/0003-4819-157-6-201209180-00519","article-title":"Seeing through the eyes of patients: The Patient\u2010Centered Outcomes Research Institute funding announcements","volume":"157","author":"Krumholz HM","year":"2012","journal-title":"Ann Intern Med"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.466"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1109407"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4733.2003.65309.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1107911"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.17.5.427"},{"key":"e_1_2_7_13_1","volume-title":"The Parkinson's Disease Questionnaire PDQ\u201039 User Manual","author":"Jenkinson C","year":"1998"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/54.9.M456"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22240"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2007.00818.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-1586-3"},{"key":"e_1_2_7_18_1","volume-title":"Applied Multiple Regression\/Correlation Analysis for the Behavioral Sciences","author":"Cohen J","year":"1983"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1765(03)00032-6"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/52B.5.P242"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0801_4"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/073346480202100105"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.9.2.161"},{"key":"e_1_2_7_24_1","first-page":"1001","article-title":"Improving sleep quality in older adults with moderate sleep complaints: a randomized controlled trial of Tai Chi Chih","volume":"31","author":"Irwin MR","year":"2008","journal-title":"Sleep"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52255.x"},{"key":"e_1_2_7_26_1","first-page":"89","article-title":"An evaluation of the effects of Tai Chi exercise on physical function among older persons: a randomized controlled trial","volume":"2","author":"Li F","year":"2001","journal-title":"Ann Behav Med"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.20705"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00046-7"},{"key":"e_1_2_7_29_1","article-title":"Transforming traditional Tai Ji Quan techniques into intgrative movement therapy\u2010Tai Ji Quan: Moving for better balance","author":"F Li","journal-title":"J Sport Health Sci"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.8.4.401"},{"key":"e_1_2_7_31_1","volume-title":"Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century","author":"Committee on the Quality of Health Care in America","year":"2001"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0874"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.500"},{"key":"e_1_2_7_34_1","unstructured":"Patient\u2010Centered Outcomes Research Institute.National Priorities and Research Agenda. Available athttp:\/\/www.pcori.org\/research\u2010we\u2010support\/priorities\u2010agenda. Accessed January2013."},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1211775"}],"container-title":["Movement Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmds.25787","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.25787","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/mds.25787","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.25787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:25:46Z","timestamp":1760952346000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mds.25787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,29]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1002\/mds.25787"],"URL":"https:\/\/doi.org\/10.1002\/mds.25787","archive":["Portico"],"relation":{},"ISSN":["0885-3185","1531-8257"],"issn-type":[{"value":"0885-3185","type":"print"},{"value":"1531-8257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,29]]}}}