Does attentional focus during balance training in people with Parkinson's disease affect outcome? A randomised controlled clinical trial
Does attentional focus during balance training in people with Parkinson's disease affect outcome? A randomised controlled clinical trial
复制标题
DOI：
10.1177/0269215515570377
复制
发表时间：
2016-01-01
影响因子：
3
通讯作者：
Rosenlof, Leslee E.
中科院分区：
文献类型：
--
作者：
Landers, Merrill R.;Hatlevig, Rebecca M.;Rosenlof, Leslee E.
目的：比较注意力集中对帕金森病患者平衡功能的影响。设计：随机对照临床试验。地点：大学步态和平衡研究实验室。参与者：49名特发性帕金森病患者。干预：参与者被随机分为四组(三个平衡干预组和一个对照组)。这三个干预组都接受了同样的为期4周的平衡训练计划，并增加了外部、内部或没有重点指导。主要测量：在基线、干预后、干预后2周和干预后8周对结果进行评估，包括：感觉组织测试、Berg平衡量表、自选步态速度、动态步态指数、特定活动平衡置信度和障碍完成时间。结果：两组在整个试验过程中的轨迹没有差异(PS.135)。除自选步态速度在试验过程中没有变化(P=.121)外，所有组在干预后从基线到干预后以及从基线到干预后2周的结果都有所改善(P=.121)。结论：在帕金森氏病患者中，增加4周平衡训练计划的注意力集中指令不会导致与对照组相比步态和平衡测量的任何变化。此外，虽然所有四组都有所改善，但包括对照组在内的组之间没有差异，这表明在这项试验中为期4周的平衡训练计划是无效的。
Objective: To compare the effects of attentional focus to augment balance outcomes in individuals with Parkinson's disease.Design: Randomised controlled clinical trial.Setting: University gait and balance research laboratory.Participants: Forty-nine individuals with idiopathic Parkinson's disease.Interventions: Participants were randomly assigned into one of four groups (three balance intervention groups and one control). The three intervention groups all received the same 4-week balance training program augmented with either external, internal, or no focus instructions. The control group did not receive any balance training.Main measures: Outcomes were measured at baseline, post intervention, 2-weeks post intervention, and 8-weeks post intervention and included: Sensory Organization Test, Berg Balance Scale, Self-Selected Gait Velocity, Dynamic Gait Index, Activities-Specific Balance Confidence Scale, and obstacle course completion time.Results: There were no differences among the groups in trajectory over the course of the trial for all outcomes (ps .135). All groups improved from baseline to post intervention and from baseline to 2-weeks post intervention for all outcomes (ps .003), except Self-Selected Gait Velocity, which did not change over the course of the trial (P = .121).Conclusions: Attentional focus instructions to augment a 4-week balance training program did not result in any change over and above a control group in measures of gait and balance in individuals with Parkinson's disease. Additionally, while all four groups improved, there was no difference among the groups, including the control, suggesting that the 4-week balance training program in this trial was not effective.