+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

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



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



Gait and Posture 61: 90-97



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 RTI was more effective than RT in improving biomechanical constraints and stability in gait (BESTest sections) at post-training (P < 0.05). There were strong correlations between relative changes in BESTest and MoCA (r = 0.72, P = 0.005), and FES-I and MoCA (r = -0.75, P = 0.003) after RTI. Due to the increased motor complexity in RTI, RTI is recommended for improving balance and fear of falling, which are associated with improvement in cognitive function of PD.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052003865

Download citation: RISBibTeXText

PMID: 29310015

DOI: 10.1016/j.gaitpost.2017.12.027


Related references

Balance and fear of falling in subjects with Parkinsons disease is improved after exercises with motor complexity. Gait & Posture 61: 90-97, 2018

Balance and fear of falling in Parkinson's disease. Parkinsonism and Related Disorders 11(7): 427-433, 2005

Influence of fear of falling on gait and balance in Parkinson's disease. Disability and Rehabilitation 36(9): 744-748, 2014

Perceived Impacts of a Yoga Intervention for Individuals with Parkinson's Disease Related to Balance and Fear of Falling. Archives of Physical Medicine and Rehabilitation 97(10): E61-E62, 2016

The effects of high frequency subthalamic stimulation on balance performance and fear of falling in patients with Parkinson's disease. Journal of Neuroengineering and Rehabilitation 6: 13, 2009

Effect of Modified Otago Exercises on Postural Balance, Fear of Falling, and Fall Risk in Older Fallers With Knee Osteoarthritis and Impaired Gait and Balance: A Secondary Analysis. Pm and R 10(3): 254-262, 2018

The association between fear of falling and quality of life for balance impairments based on hip and ankle strategies in the drug On- and Off-phase of patients with idiopathic Parkinson' disease. Medical Journal of the Islamic Republic of Iran 30: 453, 2017

Influence of balance exercises during an attention task on fear of falling among frail elderly fallen. Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 47(3): 220-225, 2010

Does fear of falling relate to low physical function in frail elderly persons?: associations of fear of falling, balance, and gait. Journal of the Japanese Physical Therapy Association 7(1): 41-47, 2004

On the nature of fear of falling in Parkinson's disease. Behavioural Neurology 24(3): 219-228, 2011

Fear of falling and postural control in Parkinson's disease. Movement Disorders 18(5): 496-502, 2003

Factors associated with fear of falling in people with Parkinson's disease. Bmc Neurology 14: 19, 2014

Effect of Fear of Falling on Turning Performance in Parkinson's Disease in the Lab and at Home. Frontiers in Aging Neuroscience 10: 78, 2018

Experiences of fear of falling in persons with Parkinson's disease - a qualitative study. Bmc Geriatrics 18(1): 44, 2018

Falling, Balance Confidence, and Fear of Falling After Chronic Stroke. Physical & Occupational Therapy in Geriatrics 32(4): 353-367, 2014