A randomized controlled trial to reduce falls in people with Parkinson's Disease

Morris, Meg E., Menz, Hylton B., McGinley, Jennifer L., Watts, Jennifer J., Huxham, Frances E., Murphy, Anna T., Danoudis, Mary E. and Iansek, Robert 2015, A randomized controlled trial to reduce falls in people with Parkinson's Disease, Neurorehabilitation and neural repair, vol. 29, no. 8, pp. 777-785, doi: 10.1177/1545968314565511.

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Title A randomized controlled trial to reduce falls in people with Parkinson's Disease
Author(s) Morris, Meg E.
Menz, Hylton B.
McGinley, Jennifer L.
Watts, Jennifer J.ORCID iD for Watts, Jennifer J. orcid.org/0000-0001-8095-8638
Huxham, Frances E.
Murphy, Anna T.
Danoudis, Mary E.
Iansek, Robert
Journal name Neurorehabilitation and neural repair
Volume number 29
Issue number 8
Start page 777
End page 785
Total pages 9
Publisher Sage
Place of publication London, Eng.
Publication date 2015-09
ISSN 1552-6844
Keyword(s) Parkinson’s disease
falls prevention
movement strategy training
physical therapy
progressive resistance strength training
Summary Background. Falls are common and disabling in people with Parkinson's disease (PD). There is a need to quantify the effects of movement rehabilitation on falls in PD. Objective. To evaluate 2 physical therapy interventions in reducing falls in PD. Methods. We randomized 210 people with PD to 3 groups: progressive resistance strength training coupled with falls prevention education, movement strategy training combined with falls prevention education, and life-skills information (control). All received 8 weeks of out-patient therapy once per week and a structured home program. The primary end point was the falls rate, recorded prospectively over a 12 month period, starting from the completion of the intervention. Secondary outcomes were walking speed, disability, and quality of life. Results. A total of 1547 falls were reported for the trial. The falls rate was higher in the control group compared with the groups that received strength training or strategy training. There were 193 falls for the progressive resistance strength training group, 441 for the movement strategy group and 913 for the control group. The strength training group had 84.9% fewer falls than controls (incidence rate ratio [IRR] = 0.151, 95% CI 0.071-0.322, P < .001). The movement strategy training group had 61.5% fewer falls than controls (IRR = 0.385, 95% CI 0.184-0.808, P = .012). Disability scores improved in the intervention groups following therapy while deteriorating in the control group. Conclusions. Rehabilitation combining falls prevention education with strength training or movement strategy training reduces the rate of falls in people with mild to moderately severe PD and is feasible.
Language eng
DOI 10.1177/1545968314565511
Field of Research 110308 Geriatrics and Gerontology
110317 Physiotherapy
110904 Neurology and Neuromuscular Diseases
Socio Economic Objective 920204 Evaluation of Health Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30072268

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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