Adopting a multidisciplinary telemedicine approach for falls prevention in Parkinson’s disease

Source: Neurology

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Date of publication: 13 April 2021, Vol. 96 Suppl. 15

Publication type: Journal article

In a nutshell: This multidisciplinary study aims to evaluate the effects of a home-based intervention programme delivered by a multidisciplinary health team using telemedicine, and wearable sensors to reduce the incidence of falls in PD.

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Rehabilitation of older people with Parkinson’s disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies

Source: BMC Neurology

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Date of publication: 13 May 2020, Vol. 20 Iss. 186

 Publication type: Journal article

In a nutshell: Parkinson’s disease is one of the most frequent causes of disability among the older adults. It is a chronic-progressive neuro-degenerative disease, characterized by several motor disorders. Balance disorders are a symptom that involves the body axis and do not respond to dopaminergic therapy used in Parkinson’s disease. Therefore, physiotherapy becomes an important intervention for the management of motor disorders. Originally, these rehabilitative approaches were based on empirical experiences, but several scientific evidences suggests that neuronal plasticity is exercise-dependent. In this context, robotic rehabilitation plays an important role because it allows to perform task-oriented exercises and to increase the number of repetitions and their intensity. This protocol study aims to evaluate the effectiveness of robotic-based intervention of the older adults with Parkinson’s disease, designed to improve the gait and to reduce the risk of falling.

 Length of publication: 8 pages

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Home-based prescribed exercise improves balance-related activities in people with Parkinson’s disease and has benefits similar to centre-based exercise: a systematic review

Source: Journal of Physiotherapy

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Date of publication: October 2019, Vol. 65(4) pps. 189-199

 Publication type: journal article

In a nutshell: In people with Parkinson’s disease, does home-based prescribed exercise improve balance-related activities and quality of life compared with no intervention? Are the effects of home-based exercise similar to those of equivalent centre-based exercise?

 Length of publication: 10 pages

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Step length determines minimum toe clearance in older adults and people with Parkinson’s disease

Source: Journal of Biomechanics, 2017, online

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Date of publication: December 2017

Publication type: Journal article

In a nutshell: Reduced foot clearance when walking may increase the risk of trips and falls in people with Parkinson’s disease (PD). Changes in foot clearance in PD are likely to be associated with temporal-spatial characteristics of gait such as walking slowly which evokes alterations in the temporal-spatial control of stepping patterns. Enhancing the understanding of the temporal-spatial determinants of foot clearance may inform the design of falls prevention therapies. Results suggest step length is the primary determinant of MTC regardless of pathology. Interventions that focus on increasing step length may help to reduce the risk of trips and falls during gait, however, clinical trials are required for robust evaluation.

Length of publication: 1 page

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Does perturbation training prevent falls after discharge from stroke rehabilitation?

Source: Journal of Stroke and Cerebro-Vascular Diseases, 2017, online

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: Individuals with stroke fall frequently, and no exercise intervention has been shown to prevent falls post stroke. Perturbation-based balance training (PBT), which involves practicing reactions to instability, shows promise for preventing falls in older adults and individuals with Parkinson’s disease. This study aimed to determine if PBT during inpatient stroke rehabilitation can prevent falls after discharge into the community. These findings suggest that PBT is promising for reducing falls post stroke. While this was not a randomized controlled trial, this study may provide sufficient evidence for implementing PBT in stroke rehabilitation practice.

Length of publication: 1 page

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Home based training for dexterity in Parkinson’s disease: A randomized controlled trial

Source: Parkinsonism & Related Disorders

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Date of publication: 25 May 2017

Publication type: Journal article

In a nutshell: The aim of the present study was to investigate the effectiveness of a home-based dexterity program on fine motor skills in a single-blinded, randomized controlled trial, in patients with Parkinson’s disease.

Length of publication: 7 pages

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An interactive videogame for arm and hand exercise in people with Parkinson’s disease: a randomized controlled trial

Source: Parkinsonism & Related Disorders

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Date of publication: 15th May 2017

Publication type: Journal article

In a nutshell: People with Parkinson’s disease (PD) have difficulty performing upper extremity (UE) activities. The aim of this study was to investigate if exergames targeting the UE improve arm and hand activities and impairments and to establish the acceptability and feasibility of these games in people with PD.

Length of publication: 7 pages

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Parkinsonian signs are a risk factor for falls

Source: Gait & Posture, 2017 p. 1-5

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: This cohort study looked at how likely people with Parkinson’s disease were to fall compared to those without, as Parkinsonian symptoms are common in older adults and are associated with increased rates of dementia and mortality. Even adjusting for age, cognitive function and co-morbidities, those with signs were still 38% more likely to fall than those without, and those falls were also more likely to lead to injury. Parkinsonian signs are a significant and independent risk factor for falls, and early detection is essential to implement fall prevention programmes.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.