The effects of an exercise program on fall risk factors in people with Parkinson's disease: A randomized controlled trial
Identifieur interne : 001962 ( Main/Exploration ); précédent : 001961; suivant : 001963The effects of an exercise program on fall risk factors in people with Parkinson's disease: A randomized controlled trial
Auteurs : Natalie E. Allen [Australie] ; Colleen G. Canning [Australie] ; Catherine Sherrington [Australie] ; Stephen R. Lord [Australie] ; Mark D. Latt [Australie] ; Jacqueline C. T. Close [Australie] ; Sandra D. O'Rourke [Australie] ; Susan M. Murray [Australie] ; Victor S. C. Fung [Australie]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-07-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Accidental Falls (statistics & numerical data), Aged, Analysis of Variance, Disability Evaluation, Exercise Therapy (methods), Female, Follow-Up Studies, Humans, Logistic Models, Male, Middle Aged, Nervous system diseases, Parkinson Disease (complications), Parkinson Disease (rehabilitation), Parkinson disease, Parkinson's disease, Physical exercise, Program, Risk Factors, Risk factor, Single-Blind Method, Treatment Outcome, Walking (physiology), accidental falls, exercise.
- MESH :
- complications : Parkinson Disease.
- methods : Exercise Therapy.
- physiology : Walking.
- prevention & control : Accidental Falls.
- rehabilitation : Parkinson Disease.
- statistics & numerical data : Accidental Falls.
- Aged, Analysis of Variance, Disability Evaluation, Female, Follow-Up Studies, Humans, Logistic Models, Male, Middle Aged, Risk Factors, Single-Blind Method, Treatment Outcome.
Abstract
This randomized controlled trial with blinded assessment aimed to determine the effect of a 6‐month minimally supervised exercise program on fall risk factors in people with Parkinson's disease (PD). Forty‐eight participants with PD who had fallen or were at risk of falling were randomized into exercise or control groups. The exercise group attended a monthly exercise class and exercised at home three times weekly. The intervention targeted leg muscle strength, balance, and freezing. The primary outcome measure was a PD falls risk score. The exercise group had no major adverse events and showed a greater improvement than the control group in the falls risk score, which was not statistically significant (between group mean difference = −7%, 95% CI −20 to 5, P = 0.26). There were statistically significant improvements in the exercise group compared with the control group for two secondary outcomes: Freezing of Gait Questionnaire (P = 0.03) and timed sit‐to‐stand (P = 0.03). There were statistically nonsignificant trends toward greater improvements in the exercise group for measures of muscle strength, walking, and fear of falling, but not for the measures of standing balance. Further investigation of theimpact of exercise on falls in people with PD is warranted. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.23082
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-07-15">2010-07-15</date><biblScope unit="vol">25</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1217">1217</biblScope><biblScope unit="page" to="1225">1225</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4A2E2E7FABA2D92211A90F5CA3939304BF063B21</idno><idno type="DOI">10.1002/mds.23082</idno><idno type="ArticleID">MDS23082</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Accidental Falls (statistics & numerical data)</term><term>Aged</term><term>Analysis of Variance</term><term>Disability Evaluation</term><term>Exercise Therapy (methods)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (rehabilitation)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Physical exercise</term><term>Program</term><term>Risk Factors</term><term>Risk factor</term><term>Single-Blind Method</term><term>Treatment Outcome</term><term>Walking (physiology)</term><term>accidental falls</term><term>exercise</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Walking</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Analysis of Variance</term><term>Disability Evaluation</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Single-Blind Method</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Exercice physique</term><term>Facteur risque</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Programme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This randomized controlled trial with blinded assessment aimed to determine the effect of a 6‐month minimally supervised exercise program on fall risk factors in people with Parkinson's disease (PD). Forty‐eight participants with PD who had fallen or were at risk of falling were randomized into exercise or control groups. The exercise group attended a monthly exercise class and exercised at home three times weekly. The intervention targeted leg muscle strength, balance, and freezing. The primary outcome measure was a PD falls risk score. The exercise group had no major adverse events and showed a greater improvement than the control group in the falls risk score, which was not statistically significant (between group mean difference = −7%, 95% CI −20 to 5, P = 0.26). There were statistically significant improvements in the exercise group compared with the control group for two secondary outcomes: Freezing of Gait Questionnaire (P = 0.03) and timed sit‐to‐stand (P = 0.03). There were statistically nonsignificant trends toward greater improvements in the exercise group for measures of muscle strength, walking, and fear of falling, but not for the measures of standing balance. Further investigation of theimpact of exercise on falls in people with PD is warranted. © 2010 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Australie</li></country><settlement><li>Sydney</li></settlement></list><tree><country name="Australie"><noRegion><name sortKey="Allen, Natalie E" sort="Allen, Natalie E" uniqKey="Allen N" first="Natalie E." last="Allen">Natalie E. Allen</name></noRegion><name sortKey="Canning, Colleen G" sort="Canning, Colleen G" uniqKey="Canning C" first="Colleen G." last="Canning">Colleen G. Canning</name><name sortKey="Close, Jacqueline C T" sort="Close, Jacqueline C T" uniqKey="Close J" first="Jacqueline C. T." last="Close">Jacqueline C. T. Close</name><name sortKey="Close, Jacqueline C T" sort="Close, Jacqueline C T" uniqKey="Close J" first="Jacqueline C. T." last="Close">Jacqueline C. T. Close</name><name sortKey="Fung, Victor S C" sort="Fung, Victor S C" uniqKey="Fung V" first="Victor S. C." last="Fung">Victor S. C. Fung</name><name sortKey="Latt, Mark D" sort="Latt, Mark D" uniqKey="Latt M" first="Mark D." last="Latt">Mark D. Latt</name><name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R." last="Lord">Stephen R. Lord</name><name sortKey="Murray, Susan M" sort="Murray, Susan M" uniqKey="Murray S" first="Susan M." last="Murray">Susan M. Murray</name><name sortKey="O Rourke, Sandra D" sort="O Rourke, Sandra D" uniqKey="O Rourke S" first="Sandra D." last="O'Rourke">Sandra D. O'Rourke</name><name sortKey="Sherrington, Catherine" sort="Sherrington, Catherine" uniqKey="Sherrington C" first="Catherine" last="Sherrington">Catherine Sherrington</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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