Balance and falls in Parkinson's disease: A meta‐analysis of the effect of exercise and motor training
Identifieur interne : 000372 ( Istex/Corpus ); précédent : 000371; suivant : 000373Balance and falls in Parkinson's disease: A meta‐analysis of the effect of exercise and motor training
Auteurs : Natalie E. Allen ; Catherine Sherrington ; Serene S. Paul ; Colleen G. CanningSource :
- Movement Disorders [ 0885-3185 ] ; 2011-08-01.
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- KwdEn :
Abstract
This systematic review with meta‐analysis aimed to determine the effects of exercise and motor training on the performance of balance‐related activities and falls in people with Parkinson's disease. Sixteen randomized and quasi‐randomized controlled trials that assessed the efficacy of exercise and/or motor training against no intervention or placebo intervention were included. The primary outcome measures were balance‐related activity performance (15 trials) and falls (2 trials). The pooled estimate of the effect of exercise and motor training indicated significantly improved balance‐related activity performance (Hedges' g, 0.33; 95% confidence interval, 0.11–0.55; P = .003), but there was no evidence of an effect on the proportion of fallers (risk ratio, 1.02; 95% confidence interval, 0.66–1.58, P = .94). Balance‐related activity performance improved to a greater extent in the trials of programs involving highly challenging balance training, but the difference in effect sizes was not statistically significant (P = .166). Exercise and motor training can improve the performance of balance‐related activities in people with Parkinson's disease. However, further research is required to determine if falls can be prevented in this population. © 2011 Movement Disorder Society
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DOI: 10.1002/mds.23790
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ISTEX:62A9E1F395F5BAA60365E6D61E87610928E87C3DLe document en format XML
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Allen</name><affiliation><mods:affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, Sydney, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, NSW, Australia, 1825</mods:affiliation></affiliation></author><author><name sortKey="Sherrington, Catherine" sort="Sherrington, Catherine" uniqKey="Sherrington C" first="Catherine" last="Sherrington">Catherine Sherrington</name><affiliation><mods:affiliation>Musculoskeletal Division, George Institute for Global Health, University of Sydney, Sydney, Australia</mods:affiliation></affiliation></author><author><name sortKey="Paul, Serene S" sort="Paul, Serene S" uniqKey="Paul S" first="Serene S." last="Paul">Serene S. 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Sixteen randomized and quasi‐randomized controlled trials that assessed the efficacy of exercise and/or motor training against no intervention or placebo intervention were included. The primary outcome measures were balance‐related activity performance (15 trials) and falls (2 trials). The pooled estimate of the effect of exercise and motor training indicated significantly improved balance‐related activity performance (Hedges' g, 0.33; 95% confidence interval, 0.11–0.55; P = .003), but there was no evidence of an effect on the proportion of fallers (risk ratio, 1.02; 95% confidence interval, 0.66–1.58, P = .94). Balance‐related activity performance improved to a greater extent in the trials of programs involving highly challenging balance training, but the difference in effect sizes was not statistically significant (P = .166). Exercise and motor training can improve the performance of balance‐related activities in people with Parkinson's disease. However, further research is required to determine if falls can be prevented in this population. © 2011 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Natalie E. Allen PhD</name><affiliations><json:string>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, Sydney, Australia</json:string><json:string>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, NSW, Australia, 1825</json:string></affiliations></json:item><json:item><name>Catherine Sherrington PhD</name><affiliations><json:string>Musculoskeletal Division, George Institute for Global Health, University of Sydney, Sydney, Australia</json:string></affiliations></json:item><json:item><name>Serene S. 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Canning PhD</name><affiliations><json:string>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, Sydney, Australia</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>exercise</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>motor training</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>balance</value></json:item></subject><articleId><json:string>MDS23790</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>reviewArticle</json:string></originalGenre><abstract>This systematic review with meta‐analysis aimed to determine the effects of exercise and motor training on the performance of balance‐related activities and falls in people with Parkinson's disease. Sixteen randomized and quasi‐randomized controlled trials that assessed the efficacy of exercise and/or motor training against no intervention or placebo intervention were included. The primary outcome measures were balance‐related activity performance (15 trials) and falls (2 trials). The pooled estimate of the effect of exercise and motor training indicated significantly improved balance‐related activity performance (Hedges' g, 0.33; 95% confidence interval, 0.11–0.55; P = .003), but there was no evidence of an effect on the proportion of fallers (risk ratio, 1.02; 95% confidence interval, 0.66–1.58, P = .94). Balance‐related activity performance improved to a greater extent in the trials of programs involving highly challenging balance training, but the difference in effect sizes was not statistically significant (P = .166). Exercise and motor training can improve the performance of balance‐related activities in people with Parkinson's disease. 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Allen received financial assistance from the University of Sydney Faculty of Health Sciences Postgraduate Research Scholarship, the George Burniston‐Cumberland Foundation Fellowship, and the Parkinson's NSW Research Student Award. Catherine Sherrington receives salary funding from the National Health and Medical Research Council of Australia (NHMRC). Serene S. 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Sixteen randomized and quasi‐randomized controlled trials that assessed the efficacy of exercise and/or motor training against no intervention or placebo intervention were included. The primary outcome measures were balance‐related activity performance (15 trials) and falls (2 trials). The pooled estimate of the effect of exercise and motor training indicated significantly improved balance‐related activity performance (Hedges' <i>g</i>, 0.33; 95% confidence interval, 0.11–0.55; <i>P</i> = .003), but there was no evidence of an effect on the proportion of fallers (risk ratio, 1.02; 95% confidence interval, 0.66–1.58, <i>P</i> = .94). Balance‐related activity performance improved to a greater extent in the trials of programs involving highly challenging balance training, but the difference in effect sizes was not statistically significant (<i>P</i> = .166). Exercise and motor training can improve the performance of balance‐related activities in people with Parkinson's disease. However, further research is required to determine if falls can be prevented in this population. © 2011 Movement Disorder Society</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p><b>Relevant conflicts of interest/financial disclosures:</b> Natalie E. Allen received financial assistance from the University of Sydney Faculty of Health Sciences Postgraduate Research Scholarship, the George Burniston‐Cumberland Foundation Fellowship, and the Parkinson's NSW Research Student Award. Catherine Sherrington receives salary funding from the National Health and Medical Research Council of Australia (NHMRC). Serene S. Paul receives financial assistance from a NHMRC PhD scholarship.</p></note><note xml:id="fn2"><p>Full financial disclosures and author roles may be found in the online version of this article.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Balance and falls in Parkinson's disease: A meta‐analysis of the effect of exercise and motor training</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Exercise And Motor Training For Balance In PD</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Balance and falls in Parkinson's disease: A meta‐analysis of the effect of exercise and motor training</title></titleInfo><name type="personal"><namePart type="given">Natalie E.</namePart><namePart type="family">Allen</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, Sydney, Australia</affiliation><affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, NSW, Australia, 1825</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Catherine</namePart><namePart type="family">Sherrington</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Musculoskeletal Division, George Institute for Global Health, University of Sydney, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Serene S.</namePart><namePart type="family">Paul</namePart><namePart type="termsOfAddress">BAppScPhty(Hons)</namePart><affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Colleen G.</namePart><namePart type="family">Canning</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, University of Sydney, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2011-08-01</dateIssued><dateCaptured encoding="w3cdtf">2010-05-25</dateCaptured><dateValid encoding="w3cdtf">2011-04-17</dateValid><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">5</extent><extent unit="tables">2</extent><extent unit="references">66</extent><extent unit="words">8776</extent></physicalDescription><abstract lang="en">This systematic review with meta‐analysis aimed to determine the effects of exercise and motor training on the performance of balance‐related activities and falls in people with Parkinson's disease. Sixteen randomized and quasi‐randomized controlled trials that assessed the efficacy of exercise and/or motor training against no intervention or placebo intervention were included. The primary outcome measures were balance‐related activity performance (15 trials) and falls (2 trials). The pooled estimate of the effect of exercise and motor training indicated significantly improved balance‐related activity performance (Hedges' g, 0.33; 95% confidence interval, 0.11–0.55; P = .003), but there was no evidence of an effect on the proportion of fallers (risk ratio, 1.02; 95% confidence interval, 0.66–1.58, P = .94). Balance‐related activity performance improved to a greater extent in the trials of programs involving highly challenging balance training, but the difference in effect sizes was not statistically significant (P = .166). Exercise and motor training can improve the performance of balance‐related activities in people with Parkinson's disease. However, further research is required to determine if falls can be prevented in this population. © 2011 Movement Disorder Society</abstract><note type="content">*Relevant conflicts of interest/financial disclosures: Natalie E. Allen received financial assistance from the University of Sydney Faculty of Health Sciences Postgraduate Research Scholarship, the George Burniston‐Cumberland Foundation Fellowship, and the Parkinson's NSW Research Student Award. Catherine Sherrington receives salary funding from the National Health and Medical Research Council of Australia (NHMRC). Serene S. Paul receives financial assistance from a NHMRC PhD scholarship.</note><note type="content">*Full financial disclosures and author roles may be found in the online version of this article.</note><subject lang="en"><genre>keywords</genre><topic>Parkinson's disease</topic><topic>exercise</topic><topic>motor training</topic><topic>balance</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="journal">journal</genre><note type="content"> Additional Supporting Information may be found in the online version of this article.Supporting Info Item: Supporting Information - </note><subject><genre>article-category</genre><topic>Review</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>26</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1605</start><end>1615</end><total>11</total></extent></part></relatedItem><identifier type="istex">62A9E1F395F5BAA60365E6D61E87610928E87C3D</identifier><identifier type="DOI">10.1002/mds.23790</identifier><identifier type="ArticleID">MDS23790</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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