Balance and fear of falling in subjects with Parkinson's disease is improved after exercises with motor complexity

Gait & Posture
Carla Silva-BatistaCarlos Ugrinowitsch

Abstract

Resistance training with instability (RTI) uses exercises with high motor complexity that impose high postural control and cognitive demands that may be important for improving postural instability and fear of falling in subjects with Parkinson's disease (PD). Here, we hypothesized that: 1) RTI will be more effective than resistance training (RT) in improving balance (Balance Evaluation Systems Test [BESTest] and overall stability index [Biodex Balance System®]) and fear of falling (Falls Efficacy Scale-International [FES-I] score) of subjects with Parkinson's disease (PD); and 2) changes in BESTest and FES-I after RTI will be associated with changes in cognitive function (Montreal Cognitive Assessment [MoCA] score - previously published) induced by RTI. Thirty-nine subjects with moderate PD were randomly assigned to a nonexercising control, RT, and RTI groups. While RT and RTI groups performed progressive RT twice a week for 12 weeks, the RTI group added progressive unstable devices to increase motor complexity of the resistance exercises. There were significant group × time interactions for BESTest, overall stability index, and FES-I scores (P < 0.05). Only RTI improved BESTest, overall stability index and FES-I scores, and R...Continue Reading

Citations

Jun 28, 2018·Journal of Neurophysiology·Jeann L Sabino-CarvalhoLauro C Vianna
Jul 7, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Jumes Leopoldino de Oliveira LiraCarla Silva-Batista
Feb 6, 2020·The Journal of Physiology·Jumes Leopoldino Oliveira LiraCarla Silva-Batista
Jun 20, 2020·Movement Disorders : Official Journal of the Movement Disorder Society·Carla Silva-BatistaCarlos Ugrinowitsch
Aug 20, 2020·Biomedical Engineering Online·Ehsan PourghayoomiGholam Ali Shahidi
Jan 15, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Salem F Alatawi
Jun 23, 2021·Journal of Physiotherapy·Marco Yc Pang
Jul 29, 2021·Clinical Parkinsonism & Related Disorders·Merrill R LandersJason K Longhurst
Jul 29, 2019·Journal of the American Medical Directors Association·Hye-Mi NohYong Soon Park
Oct 29, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Nader SalariShamarina Shohaimi

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