Home-based prescribed exercise improves balance-related activities and gait speed in people with Parkinson 's disease , and these improvements are similar to improvements with equivalent centre-based exercise .
QUESTIONS 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 ?
Long-term effects of highly challenging balance training in Parkinson’s disease—a randomized controlled trial
Objectives : To determine long-term effects of a highly challenging training program in people with Parkinson ’s disease , as well as describe how initially observed improvements of the program deteriorated over time . Design : Long-term follow-up of previously reported outcomes at 10 weeks of a r and omized controlled trial . Setting : University hospital setting . Participants : One-hundred elderly with mild-to-moderate ( Hoehn and Yahr 2–3 ) Parkinson ’s disease . Interventions : Participants in the training group ( n = 51 ) received 10 weeks ( three times/week ) of balance and gait exercises , incorporating dual-tasks , while the control group ( n = 49 ) received care as usual . Main Outcome Measures : Balance control ( Mini-Balance Evaluation System Test ( Mini-BESTest ) ) and gait velocity . Mixed- design analyses of variance were used to determine potential training effects at 6- and 12-month follow-up , and piecewise regression models predicted the rate of deterioration . Results : Seventy-six participants were included at final follow-up . No significant ( P > .05 ) between-group differences remained at either 6 or 12 months following the intervention . The mean Mini-BESTest scores of the training and control group were 19.9 ( SD 4.4 ) and 18.6 ( SD 4.3 ) , respectively , at the 12-month follow-up . Gait speed was 1.2 ( SD 0.2 ) m/s in both groups at 12 months . The training group showed a larger deterioration rate per month in balance performance ( 0.21 point ) and gait velocity ( 0.65 cm/s ) than controls ( P < .05 ) . Conclusion : These results suggest that training effects diminish within 6 months after balance training , implying that the program may need to be repeated regularly
Home-based prescribed exercise improves balance-related activities and gait speed in people with Parkinson 's disease , and these improvements are similar to improvements with equivalent centre-based exercise .
QUESTIONS 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 ?