Impact of Trunk Resistance and Stretching Exercise on Fall-Related Factors in Patients with Parkinson’s Disease: A Randomized Controlled Pilot Study

Youm, Changhong; Kim, Youkyung; Noh, Byungjoo; Lee, Myeounggon; Kim, Jinhee; Cheon, Sang-Myung

doi:10.3390/s20154106

“…Comparing the values of this study with other studies in the literature, including those conducted with special people (Youm et al, 2020;Javadian et al, 2015;Sinaki et al, 2005;Hodges et al, 2005;Suri et al, 2009;Kasukawa et al, 2010;Stephenson & Swank, 2004), it is plausible to suppose that these motor tasks can be included in motor activity plans aimed at increasing balance ability, trunk stabilization and, consequently, in senior fall prevention plans (Youm et al, 2020;Sannicandro, Cofano, Rosa, & Colella, 2020;Ozsoy et al, 2019;Arnold et al, 2015;Ko et al, 2014).…”

Section: Discussionsupporting

confidence: 58%

Effects of Integrative Core Stability Training on Balance and Walking Speed in Healthy Elderly People

Sannicandro¹

2020

APE

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“…The consequence of gait disturbances is the frequent loss of balance and falls. A fall, in its aftermath, can lead to many complications in the form of prolonged immobilisation, serious injury to the body, and, later, limitation of movement due to the fear of falling [ 30 – 33 ]. This causes a vicious cycle and even greater risk of falling [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Risk Factors for Falls among Patients with Parkinson’s Disease

Wilczyński

¹

,

Ścipniak

²

,

Ścipniak

³

et al. 2021

BioMed Research International

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Introduction. The aim of this study was to assess the risk factors for falls in patients with Parkinson’s disease. Materials and Methods. The study comprised 53 participants (52.8% women and 47.2% men). The Hoehn and Yahr 5-point disability scale was used to assess the severity of Parkinson’s disease. The Tinetti Balance and Gait Scale were used to evaluate the risk of falls. The Katz scale was used to test the independence of people with PD. The Falls Efficacy Scale-International Short Form (FES-I) was implemented to assess fear of falling. Results. The majority of participants was at a high risk of falls, being at the same level for women and men. A significant relationship was noted between the risk of falls and subjective assessment of mobility ( χ 2 = 31.86 , p < 0.001 ), number of falls ( χ 2 = 37.92 , p < 0.001 ), independence of the subjects ( χ 2 = 19.28 , p < 0.001 ), type of injury suffered during the fall ( χ 2 = 36.93 , p < 0.001 ), external factors ( χ 2 = 33.36 , p < 0.001 ), and the level of fear of falling ( χ 2 = 8.88 , p < 0.001 ). A significant relationship also occurred between the number of falls and the fear of falling ( χ 2 = 33.49 , p < 0.001 ) and between the number of falls and disease severity ( χ 2 = 45.34 , p < 0.001 ). The applied physiotherapy did not reduce the risk of falls ( χ 2 = 3.18 , p = 0.17 ). Conclusions. Individuals who rated their mobility as good or excellent were at a low risk of falls. People who fell more times were at a high risk of falling. People more independent were at a low risk of falls. Previous injuries were the most associated with being at risk of falling. Uneven surfaces and obstacles on one’s path are the external factors most associated with the risk of falling. People with low levels of fall anxiety were at a low risk of falls. Most people with low fall anxiety have never fallen. Additionally, the majority of patients with stage 1 of the disease have not fallen at all. The reason for the ineffectiveness of physiotherapy may be due to the exercise programs used and the lack of systematic implementation of them. PD is different for each patient; thus, it is important to select individually customized physiotherapy depending on motor and nonmotor symptoms, as well as general health of a patient.

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“…The individuals were diagnosed according to the UK Brain Bank criteria for idiopathic Parkinson’s Disease [ 16 , 32 , 33 , 34 ] and/or by clinical diagnosis confirmed by a neurologist using the Hoehn & Yahr scale [ 14 , 33 , 37 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Both static and dynamic balance were evaluated in eight of the nine articles included using posturography with strength platforms [ 14 , 16 , 32 , 33 , 34 , 37 , 38 ]. Significant changes were found for balance in three of the studies [ 16 , 32 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of Specific Trunk Exercises in the Balance Dysfunction of Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis

Liria

¹

,

Vega-Tirado

²

,

Valverde-Martínez

³

et al. 2023

Sensors

5

0

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Parkinson’s disease (PD) is a neurodegenerative pathology classified as a movement disorder. Physical exercise within a physiotherapy program is an important element to improve postural stability, balance and mobility in order to reduce falls in people with PD. The aim of this work was to determine the efficacy of specific balance and trunk mobility exercises, as well as their benefits for and effects on patients with idiopathic PD. A systematic review and meta-analysis was conducted according to PRISMA standards. The search was performed in five databases: Cochrane Library, SciELO, PEDro, Scopus and PubMed, in February 2022 with the following descriptors: Parkinson’s disease, trunk, exercise, therapy and physical therapy. The inclusion criteria were randomized controlled trials (RCTs) over the last ten years. A meta-analysis on static and dynamic balance was conducted with the software Review Manager. Nine articles met the objectives and inclusion criteria, with a total of 240 participants. The trials had moderate methodological quality according to the PEDro scale. The studies included differed with regard to intervention protocol and outcome measures. Finally, eight studies were included in a quantitative analysis in which it was shown that trunk-specific exercises interventions did not significantly improve static balance (SMD = −0.10, 95% CI= −0.29, 0.08; p = 0.28) or dynamic balance (SMD = 0.64 95% CI= −0.24, 1.52; p = 0.15). However, significant differences were found in static balance measured subjectively using the Berg Balance Scale (SMD = −0.52, 95% CI= −1.01, −0.02; p = 0.04). Although some differences were not significant, the studies included in this systematic review consider that specific trunk exercises or balance training combined with muscle strengthening in patients with idiopathic PD should be a complement to pharmacological treatment for improving balance dysfunction and postural instability, preventing falls and promoting wellness.

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Impact of Trunk Resistance and Stretching Exercise on Fall-Related Factors in Patients with Parkinson’s Disease: A Randomized Controlled Pilot Study

Cited by 13 publications

References 31 publications

Effects of Integrative Core Stability Training on Balance and Walking Speed in Healthy Elderly People

Effects of Integrative Core Stability Training on Balance and Walking Speed in Healthy Elderly People

Assessment of Risk Factors for Falls among Patients with Parkinson’s Disease

Efficacy of Specific Trunk Exercises in the Balance Dysfunction of Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis

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