The impact of comprehensive fall prevention training on early postural control disorders in elderly pa-tients with Parkinson's disease
10.3969/j.issn.1001-1242.2025.06.007
- VernacularTitle:防跌倒综合训练对老年帕金森病患者早期姿势控制障碍的影响
- Author:
Ruidong GE
1
;
Jiaxin HE
;
Beiyao GAO
Author Information
1. 中日友好医院康复医学科,北京市,100029
- Publication Type:Journal Article
- Keywords:
elderly;
fall;
Parkinson's disease;
early-stage;
postural control training
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(6):847-854
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of a comprehensive fall prevention training program on early postural con-trol disorders in elderly patients with Parkinson's disease(PD).Method:Thirty-five early PD patients were randomized into two groups:a conventional training group(n=18)and a fall prevention training group(n=17).Both groups received standard pharmacological therapy and routine functional training,which included strength training and aerobic exercise.The fall prevention training group ad-ditionally received posture control training based on central regulatory mechanisms.All the training were con-ducted 5 sessions per week over an 8-week period.Assessments were performed using a dynamic and static balance training system prior to the program and again after 8 weeks of intervention.The evaluation comprised the sensory organization test(SOT),limits of stability(LOS),and timed up and go test(TUG),as well as the unified Parkinson's disease rating scale Ⅲ(UPDRS-Ⅲ)and Parkinson's disease questionnaire 39(PDQ-39).Result:Within-group comparisons:the total SOT score,SOT proprioception,SOT vestibular function,and the max excursions(MXE)in forward,backward,leftward,and rightward directions in the fall prevention training group were significantly higher after treatment(P<0.05).The visual dependency and visual scores of the SOT in the fall prevention training group did not show significant differences compared to before treat-ment(P>0.05).In the conventional training group,there were no significant differences in total SOT scores,SOT proprioception,SOT visual dependence,SOT vestibular function,or visual scores before and after treat-ment(P>0.05).The leftward MXE in the conventional training group showed a significant increase after treat-ment(P<0.05),while there were no significant differences in forward,backward,and rightward MXE(P>0.05).Both groups exhibited significant decreased TUG,UPDRS-Ⅲ,and PDQ-39 scores after treatment(P<0.05).Between-group comparisons:the total SOT score and vestibular function score in the fall prevention training group was higher than in the conventional training group after treatment(P<0.05,P<0.01).The TUG score in the fall prevention training group was lower than in the conventional training group after treatment(P<0.05).Prior to treatment,there were no significant differences in all indicators between the two groups(P>0.05).There were no significant differences in SOT proprioception,SOT visual dependence,SOT visual scores,MXE in forward,backward,leftward,and rightward directions,UPDRS-Ⅲ,and PDQ-39 after treat-ment between the two groups(P>0.05).Conclusion:The fall prevention training program designed for early PD patients in this study can significantly improve the balance-related sensory integration,proprioception,and vestibular function in these patients,en-hance their MXE in LOS.However,the effects on functional mobility,motor function,and quality of life re-main unclear.Further studies are needed to explore the long-term efficacy of this training program on early postural control disorders in PD patients and its effects on PD patients with cognitive impairments.
