Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Impact of Reactive Neuromuscular Training on Falling in Parkinson's Disease


Affiliations
1 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
     

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Purpose: The purpose of the study was to examine the influence of reactive neuromuscular training (RNT) on falling in patients with Parkinson's disease (PD).

Subjects: Thirty male and female patients were selected, their ages ranged from 50-60 years. They were randomly divided into two equal groups: Control and study.

Methods: Balance was evaluated by Biodex balance system (BBS), falling was assessed by the Unified Parkinson Rating Scale (UPDRS), step length, velocity, and cadence were also assessed by motion analysis system and finally, muscle EMG activity for rectus abdominus and erector spinae were recorded before and after the study period. Both groups received conventional physical therapy program. In addition, the study group received RNT and balance training by Biodex multi-joint system (BMJS) and BBS respectively.

Results: There was significant improvement in the test parameters in the study group after treatment compared to that of the control group (p<0.01).

Conclusion: Reactive neuromuscular training is considered a new useful and effective modality in preventing falling in patients with Parkinson's disease.


Keywords

Parkinson's Disease, Reactive Neuromuscular Training, Falling, Biodex Balance system, Biodex Multi Joint System
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  • Impact of Reactive Neuromuscular Training on Falling in Parkinson's Disease

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Authors

Yasser Seada
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
Enas Elsayed
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
Waleed Talat
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt

Abstract


Purpose: The purpose of the study was to examine the influence of reactive neuromuscular training (RNT) on falling in patients with Parkinson's disease (PD).

Subjects: Thirty male and female patients were selected, their ages ranged from 50-60 years. They were randomly divided into two equal groups: Control and study.

Methods: Balance was evaluated by Biodex balance system (BBS), falling was assessed by the Unified Parkinson Rating Scale (UPDRS), step length, velocity, and cadence were also assessed by motion analysis system and finally, muscle EMG activity for rectus abdominus and erector spinae were recorded before and after the study period. Both groups received conventional physical therapy program. In addition, the study group received RNT and balance training by Biodex multi-joint system (BMJS) and BBS respectively.

Results: There was significant improvement in the test parameters in the study group after treatment compared to that of the control group (p<0.01).

Conclusion: Reactive neuromuscular training is considered a new useful and effective modality in preventing falling in patients with Parkinson's disease.


Keywords


Parkinson's Disease, Reactive Neuromuscular Training, Falling, Biodex Balance system, Biodex Multi Joint System

References