Heel-Elevation Effects on Sit-to-Stand Movement in Patients with Parkinson's Disease—A Randomized Crossover Study.

Objective: To examine the effect of heel elevation using a tilting plate on sit-to-stand performance in Parkinson's disease (PD) patients, evaluate the influence of different tilt angles, and identify clinical factors associated with this effect. Methods: Thirty-six PD patients participated in a ran...

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Publicado en:NeuroRehabilitation Vol. 57; no. 4; pp. 586 - 596
Autores principales: Nakayama, Tomoharu, Nakajima, Fuka, Tai, Mami, Yamasaki, Hiroshi, Furuya, Hirokazu, Matsushita, Takuya
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 57
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Heel-Elevation Effects on Sit-to-Stand Movement in Patients with Parkinson's Disease—A Randomized Crossover Study.
      aug:
        au:
          Nakayama, Tomoharu
          Nakajima, Fuka
          Tai, Mami
          Yamasaki, Hiroshi
          Furuya, Hirokazu
          Matsushita, Takuya
        affil: Department of Neurology, Kochi Medical School, Kochi University, Nankoku-shi, Kochi, Japan
      sug:
        subj:
          Parkinson Disease
          Rising
          Movement
          Heel
          Balance, Postural
          Human
          Randomized Controlled Trials
          Random Assignment
          Crossover Design
          Male
          Female
          Aged
          Aged, 80 and Over
          Wilcoxon Signed Rank Test
          Pearson's Correlation Coefficient
          Multiple Regression
          Data Analysis Software
          Mann-Whitney U Test
          T-Tests
          Fisher's Exact Test
          Scales
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: To examine the effect of heel elevation using a tilting plate on sit-to-stand performance in Parkinson's disease (PD) patients, evaluate the influence of different tilt angles, and identify clinical factors associated with this effect. Methods: Thirty-six PD patients participated in a randomized crossover trial. Half started in a flat position, and half in a heel-elevated position, using three tilting angles. The time to complete five times sit-to-stand tests (FTSST) was measured under flat and heel-elevated conditions. Results: The fastest FTSST in the heel-elevated condition was reduced by a median decrease of 2.3 s and a median reduction of 14.0% when compared to the flat condition. Neither tilt angle nor ankle dorsiflexion range of motion was not associated with the reduction in FTSST duration. Multivariable regression analyses revealed that the time of FTSST under the flat condition and the standing subscale in the Unified Parkinson's Disease Rating Scale Part III exhibited significant positive associations with the observed shortening effects of FTSST induced by heel elevation. Conclusions: The use of a heel-elevation intervention reduces the duration of transitioning from a seated to a standing position among patients with PD, particularly among those with a more pronounced disability. (UMIN000048428, https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000055160)
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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