Balance and fear of falling in subjects with Parkinson's disease is improved after exercises with motor complexity

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dc.citation.volumev. 61
dc.contributor.authorSilva-Batista, Carla
dc.contributor.authorCorcos, Daniel M.
dc.contributor.authorKanegusuku, Helcio
dc.contributor.authorPiemonte, Maria Elisa Pimentel
dc.contributor.authorGobbi, Lilian Teresa Bucken
dc.contributor.authorLima-Pardini, Andrea C. de
dc.contributor.authorMello, Marco Tulio de [UNIFESP]
dc.contributor.authorForjaz, Claudia L. M.
dc.contributor.authorUgrinowitsch, Carlos
dc.coverageClare
dc.date.accessioned2020-07-20T16:31:21Z
dc.date.available2020-07-20T16:31:21Z
dc.date.issued2018
dc.description.abstractResistance training with instability (RTI) uses exercises with high motor complexity that impose high postural control and cognitive demands that may be important for improving postural instability and fear of falling in subjects with Parkinson's disease (PD). Here, we hypothesized that: 1) RTI will be more effective than resistance training (RT) in improving balance (Balance Evaluation Systems Test [BESTest] and overall stability index [Biodex Balance System (R)]) and fear of falling (Falls Efficacy Scale-International [FES-I] score) of subjects with Parkinson's disease (PD)en
dc.description.abstractand 2) changes in BESTest and FES-I after RTI will be associated with changes in cognitive function (Montreal Cognitive Assessment [MoCA] score -previously published) induced by RTI. Thirty-nine subjects with moderate PD were randomly assigned to a nonexercising control, RT, and RTI groups. While RT and RTI groups performed progressive RT twice a week for 12 weeks, the RTI group added progressive unstable devices to increase motor complexity of the resistance exercises. There were significant group x time interactions for BESTest, overall stability index, and FES-I scores (P < 0.05). Only RTI improved BESTest, overall stability index and FES-I scores, and RTI was more effective than RT in improving biomechanical constraints and stability in gait (BESTest sections) at post-training (P < 0.05). There were strong correlations between relative changes in BESTest and MoCA (r= 0.72, P= 0.005), and FES-I and MoCA (r=-0.75, P= 0.003) after RTI. Due to the increased motor complexity in RTI, RTI is recommended for improving balance and fear of falling, which are associated with improvement in cognitive function of PD.en
dc.description.affiliationUniv Sao Paulo, Sch Phys Educ & Sport, Lab Neuromuscular Adaptat Strength Training, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Sch Arts Sci & Humanities, Sao Paulo, Brazil
dc.description.affiliationNorthwestern Univ, Dept Phys Therapy & Human Movement Sci, Chicago, IL 60611 USA
dc.description.affiliationRush Univ, Med Ctr, Dept Neurol Sci, Chicago, IL 60612 USA
dc.description.affiliationUniv Sao Paulo, Sch Phys Educ & Sport, Exercise Hemodynam Lab, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Fac Med Sci, Sao Paulo, Brazil
dc.description.affiliationSao Paulo State Univ Rio Claro, Posture & Gait Studies Lab, Rio Claro, Brazil
dc.description.affiliationUniv Sao Paulo, Sch Phys Educ & Sport, Human Motor Syst Lab, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Dept Radiol, LIM 44, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Ctr Psychobiol & Exercise Studies, Dept Psychobiol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Ctr Psychobiol & Exercise Studies, Dept Psychobiol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFAPESP
dc.description.sponsorshipCAPES
dc.description.sponsorshipCNPq
dc.description.sponsorshipIDFAPESP: 2011/042423
dc.description.sponsorshipIDFAPESP: 2012/03056-4
dc.description.sponsorshipIDFAPESP: 2013/04970-4
dc.description.sponsorshipIDCAPES: 3095/2015-00
dc.description.sponsorshipIDCNPq: 406609/2015-2
dc.format.extent90-97
dc.identifierhttp://dx.doi.org/10.1016/j.gaitpost.2017.12.027
dc.identifier.citationGait & Posture. Clare, v. 61, p. 90-97, 2018.
dc.identifier.doi10.1016/j.gaitpost.2017.12.027
dc.identifier.issn0966-6362
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55898
dc.identifier.wosWOS:000428028400013
dc.language.isoeng
dc.publisherElsevier Ireland Ltd
dc.relation.ispartofGait & Posture
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectResistance trainingen
dc.subjectUnstable deviceen
dc.subjectPostural instabilityen
dc.subjectFallen
dc.subjectCognitive impairmenten
dc.subjectMuscle strengthen
dc.titleBalance and fear of falling in subjects with Parkinson's disease is improved after exercises with motor complexityen
dc.typeinfo:eu-repo/semantics/article
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