Trunk exercises improve gait symmetry in Parkinson disease: A blind phase II randomised-controlled trial

Trunk exercises improve gait symmetry in Parkinson disease: A blind phase II... ABSTRACT Objective Deficits in step-to-step symmetry and trunk muscle activations have been linked to falls in Parkinson's disease (PD). Given such symptoms are poorly managed with anti-parkinsonian medications, alternate therapies are needed. This blind phase II randomised-controlled trial sought to establish whether exercise can improve step-to-step symmetry in PD. Design Twenty-four PD patients with a falls history completed baseline assessments of symptom severity, balance confidence, mobility and quality of life. Step-to-step symmetry was assessed by deriving harmonic ratios from three-dimensional accelerations collected for the head and trunk. Patients were randomly assigned to either 12-weeks of exercise and falls prevention education or falls prevention education only. Both groups repeated the baseline tests 12- and 24-weeks following the initial assessment. The Australian and New Zealand Clinical Trials Registry number is ACTRN12613001175763. Results At 12-weeks, the Exercise group had statistically significant and clinically relevant improvements in anterior-posterior step-to-step trunk symmetry. In contrast, the Education group recorded statistically significant and clinically meaningful reductions in medial-lateral and vertical step-to-step trunk symmetry at 12-weeks. Conclusion Given that step-to-step symmetry improved for the Exercise group and declined for the Education group post-intervention, active interventions appear more suited to increasing independence and quality of life for people with PD. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Physical Medicine & Rehabilitation Wolters Kluwer Health

Trunk exercises improve gait symmetry in Parkinson disease: A blind phase II randomised-controlled trial

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Publisher
Lippincott Williams & Wilkins
Copyright
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
0894-9115
eISSN
1537-7385
D.O.I.
10.1097/PHM.0000000000000858
Publisher site
See Article on Publisher Site

Abstract

ABSTRACT Objective Deficits in step-to-step symmetry and trunk muscle activations have been linked to falls in Parkinson's disease (PD). Given such symptoms are poorly managed with anti-parkinsonian medications, alternate therapies are needed. This blind phase II randomised-controlled trial sought to establish whether exercise can improve step-to-step symmetry in PD. Design Twenty-four PD patients with a falls history completed baseline assessments of symptom severity, balance confidence, mobility and quality of life. Step-to-step symmetry was assessed by deriving harmonic ratios from three-dimensional accelerations collected for the head and trunk. Patients were randomly assigned to either 12-weeks of exercise and falls prevention education or falls prevention education only. Both groups repeated the baseline tests 12- and 24-weeks following the initial assessment. The Australian and New Zealand Clinical Trials Registry number is ACTRN12613001175763. Results At 12-weeks, the Exercise group had statistically significant and clinically relevant improvements in anterior-posterior step-to-step trunk symmetry. In contrast, the Education group recorded statistically significant and clinically meaningful reductions in medial-lateral and vertical step-to-step trunk symmetry at 12-weeks. Conclusion Given that step-to-step symmetry improved for the Exercise group and declined for the Education group post-intervention, active interventions appear more suited to increasing independence and quality of life for people with PD.

Journal

American Journal of Physical Medicine & RehabilitationWolters Kluwer Health

Published: Jan 1, 2017

References

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