Balance Self-Efficacy Determines Walking Capacity in People with Parkinson's Disease
Identifieur interne : 001350 ( PascalFrancis/Checkpoint ); précédent : 001349; suivant : 001351Balance Self-Efficacy Determines Walking Capacity in People with Parkinson's Disease
Auteurs : Margaret K. Y. Mak [Hong Kong] ; Marco Y. C. Pang [Hong Kong]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
Descripteurs français
- Pascal (Inist)
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Abstract
This study aimed to examine the contribution of balance self-efficacy to walking capacity in patients with Parkinson's disease (PD). Seventy-one patients with PD and 55 healthy subjects completed the study. Walking capacity was quantified by 6-min walk (6MW) test. Perceived balance self-efficacy was assessed by activities-specific balance confidence (ABC) scale. PD-specific motor impairments were determined by Unified PD rating scale (Motor Examination III) and maximum muscle strength of lower extremities. Patients with PD achieved significantly shorter 6MW distance and lower ABC score than control subjects (P < 0.001). In multiple regression analysis, after accounting for basic demographics and PD-specific motor impairments, ABC score remained independently associated with 6MW distance, accounting for 17.1% of the variance (P < 0.001). This is the first study demonstrating that balance self-efficacy is an important and independent determinant of functional walking capacity in patients with PD. Improving balance confidence could be crucial in promoting walking capacity in PD population.
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Y." last="Mak">Margaret K. Y. Mak</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Rehabilitation Sciences, The Hong Kong Polytechnic University</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Rehabilitation Sciences, The Hong Kong Polytechnic University</wicri:noRegion></affiliation></author><author><name sortKey="Pang, Marco Y C" sort="Pang, Marco Y C" uniqKey="Pang M" first="Marco Y. C." last="Pang">Marco Y. C. Pang</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Rehabilitation Sciences, The Hong Kong Polytechnic University</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Rehabilitation Sciences, The Hong Kong Polytechnic University</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Fear</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Rehabilitation</term><term>Self efficacy</term><term>Walking</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Efficacité personnelle</term><term>Marche à pied</term><term>Peur</term><term>Réhabilitation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study aimed to examine the contribution of balance self-efficacy to walking capacity in patients with Parkinson's disease (PD). Seventy-one patients with PD and 55 healthy subjects completed the study. Walking capacity was quantified by 6-min walk (6MW) test. Perceived balance self-efficacy was assessed by activities-specific balance confidence (ABC) scale. PD-specific motor impairments were determined by Unified PD rating scale (Motor Examination III) and maximum muscle strength of lower extremities. Patients with PD achieved significantly shorter 6MW distance and lower ABC score than control subjects (P < 0.001). In multiple regression analysis, after accounting for basic demographics and PD-specific motor impairments, ABC score remained independently associated with 6MW distance, accounting for 17.1% of the variance (P < 0.001). This is the first study demonstrating that balance self-efficacy is an important and independent determinant of functional walking capacity in patients with PD. 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Y." last="Mak">Margaret K. Y. Mak</name></noRegion><name sortKey="Pang, Marco Y C" sort="Pang, Marco Y C" uniqKey="Pang M" first="Marco Y. C." last="Pang">Marco Y. C. Pang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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