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Protocol for a home-based integrated physical therapy program to reduce falls and improve mobility in people with Parkinson’s disease

Morris, Meg E., Martin, Clarissa, McGinley, Jennifer L., Huxham, Frances E., Menz, Hylton B., Taylor, Nicholas F., Danoudis, Mary, Watts, Jennifer J., Soe, Sze Ee, Evans, Andrew H., Horne, Malcolm and Kempster, Peter 2012, Protocol for a home-based integrated physical therapy program to reduce falls and improve mobility in people with Parkinson’s disease, BMC neurology, vol. 12, Article No.54, pp. 1-7, doi: 10.1186/1471-2377-12-54.

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Title Protocol for a home-based integrated physical therapy program to reduce falls and improve mobility in people with Parkinson’s disease
Author(s) Morris, Meg E.
Martin, Clarissa
McGinley, Jennifer L.
Huxham, Frances E.
Menz, Hylton B.
Taylor, Nicholas F.
Danoudis, Mary
Watts, Jennifer J.ORCID iD for Watts, Jennifer J. orcid.org/0000-0001-8095-8638
Soe, Sze Ee
Evans, Andrew H.
Horne, Malcolm
Kempster, Peter
Journal name BMC neurology
Volume number 12
Season Article No.54
Start page 1
End page 7
Total pages 7
Publisher BioMed Central
Place of publication London, England
Publication date 2012-07-16
ISSN 1471-2369
1471-2377
Keyword(s) Parkinson’s disease
accidental falls
randomized controlled trial
falls prevention
Summary Background The high incidence of falls associated with Parkinson’s disease (PD) increases the risk of injuries and immobility and compromises quality of life. Although falls education and strengthening programs have shown some benefit in healthy older people, the ability of physical therapy interventions in home settings to reduce falls and improve mobility in people with Parkinson’s has not been convincingly demonstrated.
Methods/design 180 community living people with PD will be randomly allocated to receive either a home-based integrated rehabilitation program (progressive resistance strength training, movement strategy training and falls education) or a home-based life skills program (control intervention). Both programs comprise one hour of treatment and one hour of structured homework per week over six weeks of home therapy. Blinded assessments occurring before therapy commences, the week after completion of therapy and 12 months following intervention will establish both the immediate and long-term benefits of home-based rehabilitation. The number of falls, number of repeat falls, falls rate and time to first fall will be the primary measures used to quantify outcome. The economic costs associated with injurious falls, and the costs of running the integrated rehabilitation program from a health system perspective will be established. The effects of intervention on motor and global disability and on quality of life will also be examined.
Discussion This study will provide new evidence on the outcomes and cost effectiveness of home-based movement rehabilitation programs for people living with PD.
Language eng
DOI 10.1186/1471-2377-12-54
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2012, BioMed Central
Persistent URL http://hdl.handle.net/10536/DRO/DU:30054596

Document type: Journal Article
Collections: School of Health and Social Development
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.