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The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson's disease.
Aging Clin Exp Res. 2016 Dec; 28(6):1169-1177.AC

Abstract

BACKGROUND

Parkinson's disease (PD) is a progressive, neurodegenerative disease which leads to postural and gait disorders, limitation in mobility, activities of daily living and disability.

AIMS

The aim of the study is to assess the effects of the rehabilitation program on balance, gait, motor performance and trunk rotations in PD patients.

METHODS

Sixty-four patients with 1.5-3.0 stage PD in the Hoehn and Yahr scale were randomly allocated to rehabilitation and control groups. Sixty-one patients completed the study. Patients were assessed three times, at month intervals. Between the first and second assessments, the rehabilitation group participated in a rehabilitation training program focused on mobility, balance and gait exercises, consisting of 28 sessions. Balance was assessed with tandem stance and the Pastor test (shoulder tug). Gait was assessed with a 10 m walk at preferred speed and 360° turn. Motor performance was evaluated by means of the Physical Performance Test (PPT) and timed motor activities. The trunk rotations were measured in the lumbar and thoraco-lumbar spine with a tape measure.

RESULTS

The rehabilitation group significantly improved (p < 0.05) in balance and gait outcomes, PPT score, timed activities and trunk rotations both in comparison to the control group and baseline results. The positive effects of the exercise program maintained for at least 1 month.

CONCLUSION

The 4-week rehabilitation training program focused on mobility, balance and gait exercises improved balance, gait, physical performance and trunk rotations in patients with PD.

Authors+Show Affiliations

Department of Clinical Rehabilitation, University School of Physical Education, Cracow, Poland. jstozek@poczta.fm.Department of Neurology, Medical University of Silesia, Katowice, Poland.Department of Clinical Rehabilitation, University School of Physical Education, Cracow, Poland.Department of Neurology, Jagiellonian University Medical College, Cracow, Poland.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26661467

Citation

Stożek, Joanna, et al. "The Effect of the Rehabilitation Program On Balance, Gait, Physical Performance and Trunk Rotation in Parkinson's Disease." Aging Clinical and Experimental Research, vol. 28, no. 6, 2016, pp. 1169-1177.
Stożek J, Rudzińska M, Pustułka-Piwnik U, et al. The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson's disease. Aging Clin Exp Res. 2016;28(6):1169-1177.
Stożek, J., Rudzińska, M., Pustułka-Piwnik, U., & Szczudlik, A. (2016). The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson's disease. Aging Clinical and Experimental Research, 28(6), 1169-1177.
Stożek J, et al. The Effect of the Rehabilitation Program On Balance, Gait, Physical Performance and Trunk Rotation in Parkinson's Disease. Aging Clin Exp Res. 2016;28(6):1169-1177. PubMed PMID: 26661467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson's disease. AU - Stożek,Joanna, AU - Rudzińska,Monika, AU - Pustułka-Piwnik,Urszula, AU - Szczudlik,Andrzej, Y1 - 2015/12/10/ PY - 2015/02/06/received PY - 2015/11/18/accepted PY - 2015/12/15/pubmed PY - 2017/1/31/medline PY - 2015/12/15/entrez KW - Motor functions KW - Parkinson’s disease KW - Physical performance KW - Rehabilitation SP - 1169 EP - 1177 JF - Aging clinical and experimental research JO - Aging Clin Exp Res VL - 28 IS - 6 N2 - BACKGROUND: Parkinson's disease (PD) is a progressive, neurodegenerative disease which leads to postural and gait disorders, limitation in mobility, activities of daily living and disability. AIMS: The aim of the study is to assess the effects of the rehabilitation program on balance, gait, motor performance and trunk rotations in PD patients. METHODS: Sixty-four patients with 1.5-3.0 stage PD in the Hoehn and Yahr scale were randomly allocated to rehabilitation and control groups. Sixty-one patients completed the study. Patients were assessed three times, at month intervals. Between the first and second assessments, the rehabilitation group participated in a rehabilitation training program focused on mobility, balance and gait exercises, consisting of 28 sessions. Balance was assessed with tandem stance and the Pastor test (shoulder tug). Gait was assessed with a 10 m walk at preferred speed and 360° turn. Motor performance was evaluated by means of the Physical Performance Test (PPT) and timed motor activities. The trunk rotations were measured in the lumbar and thoraco-lumbar spine with a tape measure. RESULTS: The rehabilitation group significantly improved (p < 0.05) in balance and gait outcomes, PPT score, timed activities and trunk rotations both in comparison to the control group and baseline results. The positive effects of the exercise program maintained for at least 1 month. CONCLUSION: The 4-week rehabilitation training program focused on mobility, balance and gait exercises improved balance, gait, physical performance and trunk rotations in patients with PD. SN - 1720-8319 UR - https://www.unboundmedicine.com/medline/citation/26661467/The_effect_of_the_rehabilitation_program_on_balance_gait_physical_performance_and_trunk_rotation_in_Parkinson's_disease_ L2 - https://dx.doi.org/10.1007/s40520-015-0506-1 DB - PRIME DP - Unbound Medicine ER -