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Titre : | Is Highly Challenging and Progressive Balance Training Feasible in Older Adults With Parkinson's Disease? (2014) |
Auteurs : | David Conradsson ; Niklas Löfgren ; Agneta Ståhle |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/5, 2014) |
Article en page(s) : | p. 1000-1003 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Etudes de faisabilité ; Exercice physique ; Maladie de Parkinson ; Rééducation et réadaptation |
Mots-clés: | Exercise ; Feasibility studies ; Parkinson disease |
Résumé : |
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, 6980y) 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |