Lisbon Intensive Falls Trampoline Training (LIFTT) Program for people with Parkinson's for balance, gait, and falls: study protocol for a randomized controlled trial

被引:2
作者
Domingos, Josefa [1 ,2 ]
Dean, John [3 ]
Fernandes, Julio B. [1 ]
Ramos, Catarina [4 ]
Grunho, Miguel [1 ,5 ]
Proenca, Luis [6 ]
Vaz, Joao R. [7 ,8 ]
Godinho, Catarina [1 ,7 ]
机构
[1] Ctr Invest Interdisciplinar Egas Moniz CiiEM, Grp Patol Med Nutr & Exercicio Clin PaMNEC, Monte De Caparica, Portugal
[2] Radboud Univ Nijmegen, Donders Inst Brain Cognit & Behav, Ctr Expertise Parkinson & Movement Disorders, Med Ctr,Dept Neurol, Nijmegen, Netherlands
[3] Triad Hlth, Aurora, CO USA
[4] Ctr Invest Interdisciplinar Egas Moniz CiiEM, LabPSI I Lab Psicol Egas Moniz, Monte De Caparica, Portugal
[5] Hosp Garcia Orta, Dept Neurol, Almada, Portugal
[6] Ctr Invest Interdisciplinar Egas Moniz CiiEM, Monte De Caparica, Portugal
[7] Egas Moniz Physiotherapy Clin & Res Ctr, Almada, Portugal
[8] Univ Lisbon, CIPER, Fac Human Kinet, Neuromuscular Res Lab, Lisbon, Portugal
关键词
Falls; Trampoline training; Effectiveness; Balance; Parkinson's disease; Randomized controlled trial; QUALITY-OF-LIFE; COGNITIVE DECLINE; DUAL-TASKING; DISEASE; EXERCISE; VALIDATION; EFFICACY; FEAR;
D O I
10.1186/s13063-023-07131-4
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background Falling and gait difficulties in people with Parkinson's disease (PD) are associated with impaired reactive postural adjustments and impairments in attentional resources. Combined intensive balance motor and cognitive exercise can be beneficial. However, uncertainties persist regarding the true effects and safety when applying such training. Using trampoline beds may be a favorable safe environment for a highly intensive, cognitive, and balancing training approach. The primary goal of this randomized controlled trial is to assess the effects of an intensive cognitive-motor training program in a safe trampoline environment in addition to usual care on balance impairment, gait, physical capacity, fear of falling, falls frequency and severity, cognition, and clinical impairments in people with mild or moderate PD.Methods Sixty participants diagnosed with idiopathic PD, in stage 2-4 Hoehn and Yahr, with a clinical history of gait deficits and a fall history (at least one fall in the last 6 months) will be recruited and randomly allocated to an intervention group receiving cognitive-motor trampoline training or a control group undergoing their usual care. The intervention will consist of 8-week individual training sessions (1-h training, 3 days per week) led by specialized physiotherapists that will provide progressive, challenging training, and guarantee safety. Assessment will be conducted prior to and immediately after the 8-week intervention and at 3 months follow-up after participating in the study. Primary outcome measures will be balance performance (assessed using the Mini-BEST Test and nonlinear analysis) and change in gait parameters (Motor and Cognitive Timed-Up-Go and nonlinear analysis). Secondary outcomes will be change in clinical improvement (Movement Disorder Society Unified Parkinson's Disease Rating Scale), falls (falls weekly registry), fear of falling (assessed using the Falls Efficacy Scale), physical capacity (6-min walk test), and cognition (Montreal Cognitive Assessment).Discussion This study will provide new evidence on the benefits of intensive cognitive-motor balance training on a trampoline for people living with PD. Better guidance on how professionals can apply safer dual-task balance and gait training in rehabilitation is needed.
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页数:9
相关论文
共 38 条
[21]   Impact of Falls and Fear of Falling on Health-Related Quality of Life in Patients with Parkinson's Disease [J].
Grimbergen, Yvette A. M. ;
Schrag, Annette ;
Mazibrada, Gordon ;
Borm, George F. ;
Bloem, Bastiaan R. .
JOURNAL OF PARKINSONS DISEASE, 2013, 3 (03) :409-413
[22]   The effect of modified trampoline training on balance, gait, and falls efficacy of stroke patients [J].
Hahn, Joohee ;
Shin, Seonhae ;
Lee, Wanhee .
JOURNAL OF PHYSICAL THERAPY SCIENCE, 2015, 27 (11) :3351-3354
[23]   A common cognitive profile in elderly fallers and in patients with Parkinson's disease: The prominence of impaired executive function and attention [J].
Hausdorff, Jeffrey M. ;
Doniger, Glen M. ;
Springer, Shmuel ;
Yogev, Galit ;
Giladi, Nir ;
Simon, Ely S. .
EXPERIMENTAL AGING RESEARCH, 2006, 32 (04) :411-429
[24]   Motor dual-tasking deficits predict falls in Parkinson's disease: A prospective study [J].
Heinzel, Sebastian ;
Maechtel, Mirjam ;
Hasmann, Sandra E. ;
Hobert, Markus A. ;
Heger, Tanja ;
Berg, Daniela ;
Maetzler, Walter .
PARKINSONISM & RELATED DISORDERS, 2016, 26 :73-77
[25]   Reliability and Validity of 39-Item Parkinson's Disease Questionnaire and Parkinson's Disease Quality of Life Questionnaire [J].
Jesus-Ribeiro, Joana ;
Vieira, Elsa ;
Ferreira, Pedro ;
Januario, Cristina ;
Freire, Antonio .
ACTA MEDICA PORTUGUESA, 2017, 30 (05) :395-401
[26]  
KEUS SHJ., 2014, European Physiotherapy Guideline for Parkinsons Disease
[27]   Utilization of Safe Fall Landing Strategies in Physical Therapist Management of Geriatric Populations: A Case Report [J].
Kinney, S. G. ;
Kiesel, J. D. .
PHYSICAL THERAPY, 2021, 101 (03)
[28]   A home program of strength training, movement strategy training and education did not prevent falls in people with Parkinson's disease: a randomised trial [J].
Morris, Meg E. ;
Taylor, Nicholas F. ;
Watts, Jennifer J. ;
Evans, Andrew ;
Horne, Malcolm ;
Kempster, Peter ;
Danoudis, Mary ;
McGinley, Jennifer ;
Martin, Clarissa ;
Menz, Hylton B. .
JOURNAL OF PHYSIOTHERAPY, 2017, 63 (02) :94-100
[29]   Cueing Paradigms to Improve Gait and Posture in Parkinson's Disease: A Narrative Review [J].
Muthukrishnan, Niveditha ;
Abbas, James J. ;
Shill, Holly A. ;
Krishnamurthi, Narayanan .
SENSORS, 2019, 19 (24)
[30]   Cueing training in the home improves gait-related mobility in Parkinson's disease: the RESCUE trial [J].
Nieuwboer, A. ;
Kwakkel, G. ;
Rochester, L. ;
Jones, D. ;
van Wegen, E. ;
Willems, A. M. ;
Chavret, F. ;
Hetherington, V. ;
Baker, K. ;
Lim, I. .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2007, 78 (02) :134-140