The efficacy of a trunk strengthening program for improving postural stability in people with Parkinson’s Disease: A randomised controlled trial

Thesis


Hubble, Ryan. (2017). The efficacy of a trunk strengthening program for improving postural stability in people with Parkinson’s Disease: A randomised controlled trial [Thesis]. https://doi.org/10.4226/66/5a9db89f33614
AuthorsHubble, Ryan
Qualification nameDoctor of Philosophy (PhD)
Abstract

Parkinson’s disease (PD) is a neurodegenerative disorder characterized by a series of motor and non-motor symptoms that collectively impact the independence and quality of life of this population. Symptoms of postural instability are amongst the most disabling and appear to be significantly influenced by a reduced capacity to control the trunk segment due to impaired trunk muscle function, muscle weakness and reduced inter-segmental mobility. Considering the trunk comprises approximately 60% of the body’s weight and that standard pharmacological therapies are known to be largely ineffective for the management of symptoms affecting this segment (i.e. axial symptoms), it is clear that alternative therapies are required to ensure postural stability during dynamic tasks. Exercise has been shown to be successful for improving various measures of clinical balance and motor function in people with PD, but the evidence for its capacity to improve dynamic postural stability and reduce falls in this population is less conclusive. The inconsistent findings presented in previous studies may be explained, at least in part, by the tendency for such research to rely upon clinical tests of mobility and balance that incorporate Likert scales that lack the capacity to detect subtle changes in function. With recent advances in the usability of wearable sensor technologies, it is now possible to incorporate these highly sensitive devices to improve the objectivity of postural stability assessments. Despite the potential of these systems, there is a need for clearer guidelines regarding the best placements and outcome measures to use to help guide their use in clinical settings. To address the apparent shortcomings of the existing literature, the four studies presented in this dissertation sought to determine whether wearable sensors could be used to improve clinical assessments of postural stability in people with PD and to examine whether a 12-week trunk-specific exercise intervention was capable of improving measures of static and dynamic postural stability in this population.

Year2017
PublisherAustralian Catholic University
Digital Object Identifier (DOI)https://doi.org/10.4226/66/5a9db89f33614
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Final version
Publication dates01 Feb 2017
Permalink -

https://acuresearchbank.acu.edu.au/item/86w19/the-efficacy-of-a-trunk-strengthening-program-for-improving-postural-stability-in-people-with-parkinson-s-disease-a-randomised-controlled-trial

  • 157
    total views
  • 142
    total downloads
  • 4
    views this month
  • 2
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Trunk exercises improve balance in Parkinson disease: A phase II randomized controlled trial
Hubble, Ryan P., Silburn, Peter A., Naughton, Geraldine and Cole, Michael H.. (2019). Trunk exercises improve balance in Parkinson disease: A phase II randomized controlled trial. Journal of Neurologic Physical Therapy. 43(2), pp. 96 - 105. https://doi.org/10.1097/NPT.0000000000000258
Trunk exercises improve gait symmetry in Parkinson disease: a blind phase ii randomised-controlled trial
Hubble, Ryan P., Naughton, Geraldine, Silburn, Peter A. and Cole, Michael H.. (2018). Trunk exercises improve gait symmetry in Parkinson disease: a blind phase ii randomised-controlled trial. American Journal of Physical Medicine and Rehabilitation. 97(3), pp. 151 - 159. https://doi.org/10.1097/PHM.0000000000000858
Assessing stability in mild and moderate Parkinson's disease : Can clinical measures provide insight?
Hubble, Ryan P., Silburn, Peter A., Naughton, Geraldine A. and Cole, Michael H.. (2016). Assessing stability in mild and moderate Parkinson's disease : Can clinical measures provide insight? Gait & Posture. 49(1), pp. 7-13. https://doi.org/10.1016/j.gaitpost.2016.06.002
Wearable sensor use for assessing standing balance and walking stability in people with Parkinson’s Disease: A systematic review
Hubble, Ryan, Naughton, Geraldine, Silburn, Peter and Cole, Michael. (2015). Wearable sensor use for assessing standing balance and walking stability in people with Parkinson’s Disease: A systematic review. PLoS ONE. 10(4), pp. 1 - 22. https://doi.org/10.1371/journal.pone.0123705
Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial
Hubble, Ryan P., Naughton, Geraldine A., Silburn, Peter and Cole, Michael H.. (2014). Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial. BMJ Open. 4(12), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-006095