n | Before Intervention | n | After Intervention | d | r | M Diff (S.D.) | 90% CI | |
---|---|---|---|---|---|---|---|---|
Clinical characteristics | ||||||||
Age (years) | 40 | 68.32 ± 8.51 | – | – | – | – | – | |
Male (%) | 27 | 67.5 | – | – | – | – | – | |
Education (years) | 40 | 13.30 ± 2.74 | – | – | – | – | – | |
Disease duration (months) | 40 | 108.67 ± 74.76 | – | – | – | – | – | |
Hoehn & Yahr stage | 37 | 2.78 ± 0.67 | – | – | – | – | – | |
UPDRS III ON state | 38 | 28.68 ± 12.47 | 35 | 20.97 ± 10.71 | 0.66 | 0,82** | 7.71 (11.62) | 6.89, 10.65 |
Medication | ||||||||
Parkinson medication | ||||||||
LEDD (mg/day) | 40 | 713.65 ± 335.82 | 40 | 843.57 ± 437.21 | − 0.33 | 0,79** | 129.9 (389.83) | − 192.29, − 67.55 |
NMDA antagonists | 8 | - | 11 | – | – | – | – | – |
L-Dopa | 37 | - | 37 | – | – | – | – | – |
Dopamine agonists | 24 | - | 28 | – | – | – | – | – |
COMT-inhibitor | 5 | - | 19 | – | – | – | – | – |
MAO-β-inhibitor | 6 | - | 5 | – | – | – | – | – |
Dementia-specific drugs | ||||||||
Cholinesterase inhibitor | 7 | - | 8 | – | – | – | – | – |
Antidepressants | ||||||||
SSRIs | 8 | – | 8 | – | – | – | – | – |
SNRIs | 7 | - | 6 | – | – | – | – | – |
NaSSA | 6 | - | 6 | – | – | – | – | – |
Neuroleptics | 3 | - | 3 | – | – | – | – | – |
Neuropsychological variables | ||||||||
Screening Tests | ||||||||
MMSE (total) | 40 | 27.53 ± 2.35 | 40 | 27.58 ± 2.83 | − 0.02 | 0.65** | − 0.05 (2.60) | − 0.57, 0.47 |
MoCA (total) | 40 | 24.00 ± 4.06 | 40 | 23.63 ± 3.35 | 0.10 | 0.69** | 0.37 (3.72) | − 0.48, 1.18 |
Emotional well-being/ Psychosocial Scales | ||||||||
BDI-II (total) | 40 | 12.33 ± 7.39 | 40 | 10.30 ± 6.89 | 0.28 | 0.79** | 2.03 (7.15) | 0.74, 3.31 |
SCOPA-PS (total) | 40 | 10.53 ± 5.85 | 40 | 10.23 ± 5.77 | 0.05 | 0.75** | 0.3 (5.81) | − 0.77, 1.37 |
Memory | ||||||||
Word list direct recall (VLMT) | 40 | 4.28 ± 1.85 | 40 | 6.18 ± 6.90 | − 0.38 | 0.35** | − 1.9 (5.05) | − 3.80, 0.01 |
Word list learning (VLMT) | 40 | 38.18 ± 11.12 | 40 | 39.73 ± 11.23 | − 0.14 | 0.76** | − 1.55 (11.18) | − 3.60, 0.50 |
Word list delayed recall (VLMT) | 40 | 6.73 ± 3.97 | 40 | 6.70 ± 3.90 | 0.01 | 0.62** | 0.03 (3.94) | − 0.87, 0.92 |
Word list recognition (VLMT) | 40 | 7.98 ± 5.32 | 40 | 6.25 ± 5.82 | 0.31 | 0.66** | 1.73 (5.58) | 0.37, 3.08 |
Word list delayed recall—Intrusions (VLMT) | 40 | 6.63 ± 4.90 | 40 | 7.10 ± 5.07 | − 0.09 | 0.53** | − 0.47 (4.99) | − 1.75, 0.80 |
Word list delayed recall—errors (VLMT) | 40 | 5.10 ± 4.35 | 40 | 5.53 ± 5.19 | − 0.09 | 0.67** | − 0.43 (4.79) | − 1.46, 0.61 |
Figure delayed recall (MCGCF) | 40 | 15.65 ± 9.11 | 40 | 16.95 ± 9.83 | − 0.14 | 0.63** | − 1.3 (9.48) | − 3.40, 0.80 |
Digit span forward (WMS-R forward) | 40 | 6.60 ± 1.65 | 40 | 6.93 ± 1.23 | − 0.23 | 0.27 | − 0.33(1.46) | − 0.77, 0.12 |
Executive | 40 | |||||||
Semantic word fluency (RWT) | 40 | 15.05 ± 6.77 | 40 | 16.38 ± 6.08 | − 0.21 | 0.35** | − 1.33 (6.43) | − 3.30, 0.65 |
Formal-lexical word fluency (RWT) | 40 | 26.20 ± 8.88 | 40 | 27.15 ± 9.99 | − 0.10 | 0.79** | − 0.95 (9.45) | − 2.47, 0.57 |
Digit span backward (WMS-R backward): | 40 | 5.28 ± 1.77 | 40 | 5.13 ± 1.40 | 0.09 | 0.57** | 0.15 (1.56) | − 0.26, 0.56 |
TMT-B Sec | 38 | 166.29 ± 81.10 | 40 | 160.13 ± 80.64 | 0.08 | 0.77** | 6.16 (80.86) | − 3.56, 25.51 |
Attention | ||||||||
Stroop Word Reading | 40 | 40.07 ± 11.00 | 40 | 39.75 ± 10.31 | 0.03 | 0.93** | 0.32 (10.66) | − 0.95, 1.60 |
Stroop Color Naming | 40 | 62.05 ± 20.40 | 40 | 59.22 ± 16.01 | − 0.15 | 0.86** | 2.83 (18.34) | − 0.76, 6.41 |
Stroop Interference | 38 | 119.76 ± 36.47 | 38 | 121.87 ± 55.21 | − 1.12 | 0.79** | − 2.11 (1.88) | − 3.70, 19.51 |
TMT-A Sec | 40 | 57.08 ± 27.51 | 40 | 54.70 ± 27.26 | 0.09 | 0.78** | 2.38 (27.39) | − 2.05, 6.80 |
TAP-Alertness (RT ms Intrinsic) | 40 | 338.83 ± 74.65 | 40 | 333.28 ± 96.30 | 0.06 | 0.73** | 5.55 (86.16) | − 11.51, 22.61 |
TAP-Alertness (RT ms Phasic) | 40 | 336.95 ± 129.78 | 40 | 312.78 ± 87.45 | 0.22 | 0.66** | 24.17 (110.66) | − 1.30, 49.65 |
TAP-GoNoGo RT ms | 40 | 464.05 ± 91.81 | 40 | 430.22 ± 58.61 | 0.44 | 0.55** | 33.83 (77.02) | 13.35, 54.30 |
TAP-GoNoGo—errors | 40 | 3.35 ± 3.11 | 40 | 3.78 ± 2.89 | − 0.14 | 0.49** | − 0.43 (3.00) | − 1.32, 0.47 |
TAP-GoNoGo—omissions | 40 | 1.23 ± 1.97 | 40 | 1.00 ± 1.81 | 0.12 | 0.42** | 0.23 (1.89) | − 0.28, 0.73 |
TAP-Divided Attention – visual (RT ms) | 30 | 1004.00 ± 186.38 | 19 | 981.00 ± 198.45 | 0.12 | 0.54* | 23 (191.09) | − 29.37, 108.14 |
TAP-Divided Attention – visual (errors) | 30 | 3.13 ± 3.64 | 19 | 1.79 ± 2.12 | 0.45 | 0.27 | 1.34 (2.98) | 0.08, 2.58 |
TAP-Divided Attention – visual (omissions) | 30 | 3.10 ± 2.78 | 19 | 3.79 ± 2.76 | − 0.25 | 0.56* | − 0.69 (2.77) | − 1.49, 1.05 |
TAP-Divided Attention – auditory (RT ms) | 29 | 607.41 ± 117.91 | 18 | 590.56 ± 110.80 | 0.15 | 0.65** | 16.85 (114.41) | − 40.12, 52.83 |
TAP-Divided Attention – auditory (errors) | 30 | 6.03 ± 5.33 | 20 | 5.85 ± 8.35 | 0.03 | 0.62 | 0.18 (7.00) | − 4.47, 3.83 |
TAP-Divided Attention – auditory (omissions) | 30 | 0.73 ± 0.94 | 20 | 1.85 ± 4.74 | − 0.33 | 0.76** | − 1.12 (3.42) | − 2.86, 0.65 |
TAP-Divided Attention – double condition – auditory (RT ms) | 34 | 673.74 ± 159.82 | 35 | 626.29 ± 140.18 | 0.32 | 0.55** | 47.45 (150.32) | − 4.75, 98.19 |
TAP-Divided Attention – double condition – visual (RT ms) | 35 | 951.46 ± 208.26 | 37 | 918.84 ± 147.38 | 0.18 | 0.38* | 32.62 (180.41) | − 25.18, 104.60 |
TAP-Divided Attention – Double condition (errors) | 35 | 9.11 ± 8.59 | 37 | 5.49 ± 6.62 | 0.47 | 0.43* | 3.62 (7.67) | 1.55, 5.57 |
TAP-Divided Attention – Double condition (omissions) | 35 | 5.17 ± 5.32 | 37 | 4.73 ± 4.28 | 0.09 | 0.65** | 0.44 (4.83) | − 0.42, 1.48 |
Visuospatial | ||||||||
Block Tapping (CORSI) | 40 | 4.80 ± 1.02 | 40 | 4.83 ± 0.84 | − 0.03 | 0.56** | − 0.03 (0.93) | − 0.26, 0.21 |
Figure copying (MCGCF) | 40 | 32.86 ± 6.36 | 40 | 33.23 ± 5.07 | − 0.06 | 0.64** | − 0.37 (5.75) | − 1.28, 0.56 |
Language | ||||||||
BNT (CERAD +) | 40 | 14.25 ± 1.57 | 40 | 14.50 ± 1.26 | − 0.18 | 0.62** | − 0.25 (1.42) | − 0.53, 0.03 |