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Effects of supervised slackline training on postural instability, freezing of gait, and falls efficacy in people with Parkinson's disease
Journal article   Peer reviewed

Effects of supervised slackline training on postural instability, freezing of gait, and falls efficacy in people with Parkinson's disease

Luis Santos, Javier Fernandez-Rio, Kristian Winge, Beatriz Barragan-Perez, Vicente Rodriguez-Perez, Vicente Gonzalez-Diez, Miguel Blanco-Traba, Oscar E Suman, Charles P Gabel and Javier Rodriguez-Gomez
Disability and Rehabilitation, Vol.39(16), pp.1573-1580
2017
url
https://doi.org/10.1080/09638288.2016.1207104View
Published Version

Abstract

balance health motor control physical activity rehabilitation self-confidence
Purpose: The aim of this study was to assess whether supervised slackline training reduces the risk of falls in people with Parkinson's disease (PD). Methods: Twenty-two patients with idiopathic PD were randomized into experimental (EG, N=11) and control (CG, N=11) groups. Center of Pressure (CoP), Freezing of Gait (FOG), and Falls Efficacy Scale (FES) were assessed at pre-test, post-test and re-test. Rate perceived exertion (RPE, Borg's 6-20 scale) and local muscle perceived exertion (LRPE) were also assessed at the end of the training sessions. Results: The EG group showed significant improvements in FOG and FES scores from pre-test to post-test. Both decreased at re-test, though they did not return to pre-test levels. No significant differences were detected in CoP parameters. Analysis of RPE and LRPE scores revealed that slackline was associated with minimal fatigue and involved the major lower limb and lumbar muscles. Conclusions: These findings suggest that slacklining is a simple, safe, and challenging training and rehabilitation tool for PD patients. It could be introduced into their physical activity routine to reduce the risk of falls and improve confidence related to fear of falling.

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