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

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. Implications for Rehabilitation
Individuals with Parkinson's disease (PD) are twice as likely to have falls
compared to patients with other neurological conditions. This study support
slackline as a simple, safe, and challenging training and rehabilitation tool for
people with PD, which reduce their risk of falls and improve confidence related
to fear of falling. Slackline in people with PD yields a low tiredness or fatigue
impact and involves the major lower limb and lumbar muscles.

Langue : ANGLAIS

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