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Is highly challenging and progressive balance training feasible in older adults with Parkinson's disease?
Arch Phys Med Rehabil. 2014 May; 95(5):1000-3.AP

Abstract

OBJECTIVE

To develop a highly challenging and progressive group balance training regime specific to Parkinson's disease (PD) symptoms and to investigate its feasibility in older adults with mild to moderate PD.

DESIGN

Intervention study, before-after trial with a development and feasibility design.

SETTING

University hospital setting.

PARTICIPANTS

Feasibility was evaluated in older adults (N=5; mean age, 72y; age range, 69-80y) with mild to moderate idiopathic PD.

INTERVENTION

A balance training regime emphasizing specific and highly challenging exercises, performed 3 times per week for 12 weeks, was developed through discussion and workshops by a group of researchers and physiotherapists.

MAIN OUTCOME MEASURES

Indicators of feasibility included attendance rate, safety (adverse events, physical function, and pain), participants' perceptions of the intervention (level of difficulty of the exercises, motivation level, and appreciation), and efficacy of the intervention (balance performance assessed with the Mini-Balance Evaluation Systems Test [Mini-BESTest]).

RESULTS

The incidence rate was high (93%) for attendance and low (1.2%) for adverse events. Ratings by the participants indicated progression throughout the training period. All participants considered the training motivational and stated that they would recommend it to others. The efficacy of the intervention measured with the Mini-BESTest showed that 4 out of 5 participants improved their balance performance.

CONCLUSIONS

These findings support the overall feasibility of this novel balance program in older adults with mild to moderate PD. However, to further evaluate the efficacy of the program, a larger randomized controlled trial is required.

Authors+Show Affiliations

Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden; Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden. Electronic address: David.Conradsson.1@ki.se.Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden.Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden; Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden.Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden; Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24239585

Citation

Conradsson, David, et al. "Is Highly Challenging and Progressive Balance Training Feasible in Older Adults With Parkinson's Disease?" Archives of Physical Medicine and Rehabilitation, vol. 95, no. 5, 2014, pp. 1000-3.
Conradsson D, Löfgren N, Ståhle A, et al. Is highly challenging and progressive balance training feasible in older adults with Parkinson's disease? Arch Phys Med Rehabil. 2014;95(5):1000-3.
Conradsson, D., Löfgren, N., Ståhle, A., & Franzén, E. (2014). Is highly challenging and progressive balance training feasible in older adults with Parkinson's disease? Archives of Physical Medicine and Rehabilitation, 95(5), 1000-3. https://doi.org/10.1016/j.apmr.2013.10.024
Conradsson D, et al. Is Highly Challenging and Progressive Balance Training Feasible in Older Adults With Parkinson's Disease. Arch Phys Med Rehabil. 2014;95(5):1000-3. PubMed PMID: 24239585.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is highly challenging and progressive balance training feasible in older adults with Parkinson's disease? AU - Conradsson,David, AU - Löfgren,Niklas, AU - Ståhle,Agneta, AU - Franzén,Erika, Y1 - 2013/11/13/ PY - 2013/08/28/received PY - 2013/10/29/revised PY - 2013/10/29/accepted PY - 2013/11/19/entrez PY - 2013/11/19/pubmed PY - 2014/6/11/medline KW - Exercise KW - Feasibility studies KW - Parkinson disease KW - Rehabilitation SP - 1000 EP - 3 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 95 IS - 5 N2 - OBJECTIVE: To develop a highly challenging and progressive group balance training regime specific to Parkinson's disease (PD) symptoms and to investigate its feasibility in older adults with mild to moderate PD. DESIGN: Intervention study, before-after trial with a development and feasibility design. SETTING: University hospital setting. PARTICIPANTS: Feasibility was evaluated in older adults (N=5; mean age, 72y; age range, 69-80y) with mild to moderate idiopathic PD. INTERVENTION: A balance training regime emphasizing specific and highly challenging exercises, performed 3 times per week for 12 weeks, was developed through discussion and workshops by a group of researchers and physiotherapists. MAIN OUTCOME MEASURES: Indicators of feasibility included attendance rate, safety (adverse events, physical function, and pain), participants' perceptions of the intervention (level of difficulty of the exercises, motivation level, and appreciation), and efficacy of the intervention (balance performance assessed with the Mini-Balance Evaluation Systems Test [Mini-BESTest]). RESULTS: The incidence rate was high (93%) for attendance and low (1.2%) for adverse events. Ratings by the participants indicated progression throughout the training period. All participants considered the training motivational and stated that they would recommend it to others. The efficacy of the intervention measured with the Mini-BESTest showed that 4 out of 5 participants improved their balance performance. CONCLUSIONS: These findings support the overall feasibility of this novel balance program in older adults with mild to moderate PD. However, to further evaluate the efficacy of the program, a larger randomized controlled trial is required. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/24239585/Is_highly_challenging_and_progressive_balance_training_feasible_in_older_adults_with_Parkinson's_disease L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(13)01121-0 DB - PRIME DP - Unbound Medicine ER -