Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke

Marigold, Daniel S.; Eng, Janice J.; Dawson, Andrew S.; Inglis, James; Harris, Jocelyn E.; Gylfadottir, Sandra Sif

doi:10.1111/j.1532-5415.2005.53158.x

Cited by 221 publications

(205 citation statements)

References 47 publications

(58 reference statements)

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“…In both of the previous stroke studies, a physiotherapist applied perturbations through pushes and nudges. One other previous study of people with chronic stroke incorporated similar PBT exercises into an agility‐based training program 41. A reduced number of falls during laboratory‐based platform perturbations was observed after PBT, but no differences were seen in daily life falls incidence, probably as a result of the study not being powered for this outcome measure 41.…”

Section: Resultsmentioning

confidence: 99%

“…One other previous study of people with chronic stroke incorporated similar PBT exercises into an agility‐based training program 41. A reduced number of falls during laboratory‐based platform perturbations was observed after PBT, but no differences were seen in daily life falls incidence, probably as a result of the study not being powered for this outcome measure 41. Despite these promising results, more research is required to determine the effectiveness and feasibility of PBT for falls reduction in patient groups with an increased falls risk.…”

Section: Resultsmentioning

confidence: 99%

“…Although many methods are available for delivering unexpected perturbations, the PBT studies that have been carried out in clinical settings have generally opted for treadmill‐based perturbations33, 34, 35, 36, 42 or therapist‐applied perturbations 39, 40, 41. There are two practical advantages to treadmill‐based setups: the lack of required space and the relative ease of securing a fixed harness system above the treadmill.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Gerards

McCrum

Mansfield

et al. 2017

Geriatrics Gerontology Int

179

134

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Falls are a leading cause of injury, hospitalization and even death among older adults. Although various strength and balance exercise interventions have shown moderate reductions in falls incidence among healthy older adults, no significant falls incidence improvements have been consistently seen in frail older adults or in patient groups with an increased falls risk (e.g. people with Parkinson's disease and stroke). This might be due to a lack of task specificity of previous exercise interventions to the recovery actions required to prevent a fall. Perturbation‐based balance training (PBT) is an emerging task‐specific intervention that aims to improve reactive balance control after destabilizing perturbations in a safe and controlled environment. Although early studies were carried out predominantly in research laboratory settings, work in clinical settings with various patient groups has been proliferating. A systematic search of recent PBT studies showed a significant reduction of falls incidence among healthy older adults and certain patient groups (e.g. people with Parkinson's disease and stroke), with clinically relevant reductions in frail older adults. The most practical methods in clinical settings might be treadmill‐based systems and therapist‐applied perturbations, and PBT that incorporates multiple perturbation types and directions might be of most benefit. Although more controlled studies with long‐term follow‐up periods are required to better elucidate the effects of PBT on falls incidence, PBT appears to be a feasible and effective approach to falls reduction among older adults in clinical settings. Geriatr Gerontol Int 2017; 17: 2294–2303..

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Gerards

McCrum

Mansfield

et al. 2017

Geriatrics Gerontology Int

179

134

View full text Add to dashboard Cite

show abstract

“…Marigold et al used a 10-week (1 hour, 3 times a week) group exercise intervention to reduce falls in communitydwelling individuals with stroke [76]. The experimental group (Agility, n = 30) and the control group (WeightShifting and Stretching, n = 31) both improved functional balance (BBS score) and mobility (Timed Up and Go Test).…”

Section: Exercise To Reduce Falls Poststrokementioning

confidence: 99%

Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Eng

Pang

Ashe

2008

JRRD

Self Cite

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Abstract-Fractures occur frequently in people living with stroke and have high personal, social, and economic costs for these individuals, their families, and the community. Exercise to reduce the risk of fragility fractures is a relatively new application in stroke rehabilitation but is a promising treatment with the potential to reduce the incidence of falls as well as maintain or improve bone health. In this article, we outline fracture risk factors and provide an overview of exercise interventions aimed at reducing fracture risk poststroke. Although randomized controlled trials support the use of exercise to reduce fracture risk factors poststroke, the body of literature is small and further studies are required. Further, the optimal dose of exercise and the additive effects of pharmacology on fracture risk need to be determined. Given the many health benefits associated with exercise, it should be considered an important modality for the management of falls and maintenance of bone health following stroke.

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“…3 Furthermore, these fitness impairments are associated with important functional limitations, for example the ability to get out of a chair, 4 and present a risk for further stroke, cardiovascular disease and fall-related fractures. 5,6 There is a growing body of evidence that physical fitness after stroke can be improved. The Cochrane systematic review of physical fitness training after stroke (24 trials, 1,147 patients) has demonstrated that physical fitness training, including walking as a mode of aerobic exercise, improves aerobic fitness.…”

mentioning

confidence: 99%

Editorial: Physical fitness training after stroke: time to translate evidence into practice

Mead¹,

Wijck²

2011

J R Coll Physicians Edinb

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Exercise Leads to Faster Postural Reflexes, Improved Balance and Mobility, and Fewer Falls in Older Persons with Chronic Stroke

Abstract: Group exercise programs that include agility or stretching/weight shifting exercises improve postural reflexes, functional balance, and mobility and may lead to a reduction of falls in older adults with stroke.

Cited by 221 publications

References 47 publications

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Balance, falls, and bone health: Role of exercise in reducing fracture risk after stroke

Editorial: Physical fitness training after stroke: time to translate evidence into practice

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