Generalization of In-Place Balance Perturbation Training in People With Parkinson Disease.
Background and Purpose: Reactive balance training improves reactive postural control in people with Parkinson disease (PwPD). However, the extent to which reactive balance training generalizes to a novel, unpracticed reactive balance task is unknown. This study aimed to determine whether reactive tr...
| Publicado en: | Journal of Neurologic Physical Therapy Vol. 48; no. 3; pp. 165 - 174 |
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| Autores principales: | , , , , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178963901&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178963901 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15570576 1FUT jtl: Journal of Neurologic Physical Therapy issn: 15570576 maglogo: N pubinfo: dt: Jul2024 vid: 48 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 178963901 178963901 178963901 10.1097/NPT.0000000000000471 178963901 ppf: 165 ppct: 9 formats: tig: atl: Generalization of In-Place Balance Perturbation Training in People With Parkinson Disease. aug: au: Monaghan, Andrew S. Hooyman, Andrew Dibble, Leland E. Mehta, Shyamal H. Peterson, Daniel S. affil: Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, Georgia sug: subj: Parkinson Disease Rehabilitation Balance Training, Physical Methods Task Performance and Analysis Accidental Falls Prevention and Control Step Treadmills Treatment Outcomes Human Male Female Middle Age Aged Funding Source Scales Pretest-Posttest Design Prospective Studies Quasi-Experimental Studies Neuropsychological Tests Clinical Trials Descriptive Statistics Comparative Studies Linear Regression Effect Size Confidence Intervals Correlational Studies Kinematics Motion Capture Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and Purpose: Reactive balance training improves reactive postural control in people with Parkinson disease (PwPD). However, the extent to which reactive balance training generalizes to a novel, unpracticed reactive balance task is unknown. This study aimed to determine whether reactive training stepping through support surface translations can be generalized to an unpracticed, instrumented tether-release task. Methods: Twenty-five PwPD (70.52 years ± 7.15; Hoehn and Yahr range 1-3) completed a multiple baseline, open-label, uncontrolled pre-post intervention study. Stepping was trained through a 2-week (6-session) intervention with repeated support surface translations. Performance on an untrained tether-release task (generalization task) was measured at 2 baseline assessments (B1 and B2, 2 weeks apart), immediately after the intervention (P1), and 2 months after training (P2). The tether-release task outcomes were the anterior-posterior margin of stability (MOS), step length, and step latency during backward and forward steps. Results: After support surface translation practice, tether-release stepping performance improved in MOS, step length, and step latency for both backward and forward steps compared to baseline (P < 0.05). Improvements in MOS and step length during backward and forward steps in the tether-release task, respectively, were related to stepping changes in the practiced task. However, the improvements in the generalization task were not retained for 2 months. Discussion and Conclusions: These findings support short-term generalization from trained balance tasks to novel, untrained tasks. These findings contribute to our understanding of the effects and generalization of reactive step training in PwPD. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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