The effects of an exercise program on fall risk factors in people with Parkinson's disease: a randomized controlled trial.
Identifieur interne : 002C72 ( Ncbi/Checkpoint ); précédent : 002C71; suivant : 002C73The 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 ; Catherine Sherrington ; Stephen R. Lord ; Mark D. Latt ; Jacqueline C T. Close ; Sandra D. O'Rourke ; Susan M. Murray ; Victor S C. FungSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2010.
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, Parkinson Disease (complications), Parkinson Disease (rehabilitation), Risk Factors, Single-Blind Method, Treatment Outcome, Walking (physiology).
- 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 the impact of exercise on falls in people with PD is warranted.
DOI: 10.1002/mds.23082
PubMed: 20629134
Affiliations:
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Canning</name></author><author><name sortKey="Sherrington, Catherine" sort="Sherrington, Catherine" uniqKey="Sherrington C" first="Catherine" last="Sherrington">Catherine Sherrington</name></author><author><name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R" last="Lord">Stephen R. Lord</name></author><author><name sortKey="Latt, Mark D" sort="Latt, Mark D" uniqKey="Latt M" first="Mark D" last="Latt">Mark D. Latt</name></author><author><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></author><author><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></author><author><name sortKey="Murray, Susan M" sort="Murray, Susan M" uniqKey="Murray S" first="Susan M" last="Murray">Susan M. Murray</name></author><author><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></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="doi">10.1002/mds.23082</idno><idno type="RBID">pubmed:20629134</idno><idno type="pmid">20629134</idno><idno type="wicri:Area/PubMed/Corpus">001745</idno><idno type="wicri:Area/PubMed/Curation">001745</idno><idno type="wicri:Area/PubMed/Checkpoint">001568</idno><idno type="wicri:Area/Ncbi/Merge">002C72</idno><idno type="wicri:Area/Ncbi/Curation">002C72</idno><idno type="wicri:Area/Ncbi/Checkpoint">002C72</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The effects of an exercise program on fall risk factors in people with Parkinson's disease: a randomized controlled trial.</title><author><name sortKey="Allen, Natalie E" sort="Allen, Natalie E" uniqKey="Allen N" first="Natalie E" last="Allen">Natalie E. Allen</name><affiliation wicri:level="3"><nlm:affiliation>Neurological Rehabilitation Research Group, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Neurological Rehabilitation Research Group, Faculty of Health Sciences, The University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement></placeName></affiliation></author><author><name sortKey="Canning, Colleen G" sort="Canning, Colleen G" uniqKey="Canning C" first="Colleen G" last="Canning">Colleen G. Canning</name></author><author><name sortKey="Sherrington, Catherine" sort="Sherrington, Catherine" uniqKey="Sherrington C" first="Catherine" last="Sherrington">Catherine Sherrington</name></author><author><name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R" last="Lord">Stephen R. Lord</name></author><author><name sortKey="Latt, Mark D" sort="Latt, Mark D" uniqKey="Latt M" first="Mark D" last="Latt">Mark D. Latt</name></author><author><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></author><author><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></author><author><name sortKey="Murray, Susan M" sort="Murray, Susan M" uniqKey="Murray S" first="Susan M" last="Murray">Susan M. Murray</name></author><author><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></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></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>Parkinson Disease (complications)</term><term>Parkinson Disease (rehabilitation)</term><term>Risk Factors</term><term>Single-Blind Method</term><term>Treatment Outcome</term><term>Walking (physiology)</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></textClass></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 the impact of exercise on falls in people with PD is warranted.</div></front></TEI><affiliations><list><country><li>Australie</li></country><settlement><li>Sydney</li></settlement></list><tree><noCountry><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="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></noCountry><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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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