Performance on clinical tests of balance in Parkinson's disease.


BACKGROUND AND PURPOSE:Due to the high incidence of falls in people with idiopathic Parkinson's disease (PD), the assessment of standing balance is a key component of physical therapist evaluation. This study investigated performance on clinical tests of standing balance in subjects with and without PD. SUBJECTS:The subjects were 10 persons with PD who had a history of falls (age range = 60-80 years), 10 persons with PD who had no history of falls (age range = 63-79 years), and 10 persons with no known neurological impairment (age range = 60-78 years) who served as a comparison group. METHODS:Subjects were tested on their ability to maintain stability in 3 conditions: (1) steady standing (feet apart, feet together, tandem stance, step stance, and single-limb stance), (2) in response to perturbations generated by self-initiated movements (arm raise, functional reach, bend-reach, and step tests), and (3) in response to an external perturbation to upright stance (shoulder tug). Balance was measured at peak dosage in the levodopa medication cycle (in the morning) and 7 days later. RESULTS:The mean Hoehn and Yahr Disability Scale score was 3.0 for the fallers with PD and 2.5 for the nonfallers with PD. Performance on the tandem stance, single-limb stance, functional reach, and shoulder tug tests demonstrated differences between the subjects with PD and the comparison group and between the fallers and nonfallers with PD. The results of these tests were highly repeatable over 7 days (ICC = .61-.94). CONCLUSION AND DISCUSSION:Although there was a small sample size, performance was highly consistent across 7 days when testing occurred during peak dosage of levodopa. A small battery of tests were sensitive enough to discriminate between people with PD who fall and those with no history of falls.


Phys Ther


Physical therapy


Smithson F,Morris ME,Iansek R




Has Abstract


1998-06-01 00:00:00












  • Effects of repetitive handgrip training on endurance, specificity, and cross-education.

    abstract:BACKGROUND AND PURPOSE:Exercise programs are more likely to be successful when they are based on research that predicts the outcomes of such training. This study determined the effect of submaximal rhythmic handgrip training on rhythmic handgrip endurance or work (RHW), isometric handgrip endurance time (IHE), and maxi...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Shields RK,Leo KC,Messaros AJ,Somers VK

    更新日期:1999-05-01 00:00:00

  • Balance performance and step width in noninstitutionalized, elderly, female fallers and nonfallers.

    abstract::The purposes of this study were to compare age, static balance performance, and step-width variables between elderly noninstitutionalized women with and without a history of falls and to determine the relationship between balance performance and step width. Each subject performed a maximum of three timed trials on the...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Heitmann DK,Gossman MR,Shaddeau SA,Jackson JR

    更新日期:1989-11-01 00:00:00

  • Disability following hip fracture.

    abstract::Risks for hip fractures are greater for women than for men and increase with age. Individuals who sustain hip fractures exhibit higher mortality than age-matched cohorts, and survivors often demonstrate permanent disability and dependency despite successful surgical repair. This review explores de scriptions of the ex...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审


    authors: Craik RL

    更新日期:1994-05-01 00:00:00

  • Relationship between functional electrical stimulation duty cycle and fatigue in wrist extensor muscles of patients with hemiparesis.

    abstract::The purpose of this study was to investigate, in a sample of patients with hemiparesis secondary to cerebrovascular accident, the relationship between the ratio of stimulus on time to off time and muscle fatigue using a commercial electrical stimulation unit. An experimental model was used to test the hypothesis that ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Packman-Braun R

    更新日期:1988-01-01 00:00:00

  • Association of pain and physical dependency with depression in physically ill middle-aged and elderly persons.

    abstract::To investigate the relationship of pain and physical dependency to depression, the authors conducted a panel survey of 133 middle-aged and elderly persons with recent exacerbations of various physical illnesses. Of the original 133 subjects, 114 participated in two in-depth personal interviews conducted about three mo...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Williams AK,Schulz R

    更新日期:1988-08-01 00:00:00

  • Statistical analysis of productivity in one physical therapy department.

    abstract::The purposes of this retrospective study were to document productivity-relevant measurements, describe the relationships between these measurements, and discuss the implications of the relationships in one physical therapy department. The department's inputs (clinician and staff hours worked), outputs (patient visits,...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Bohannon RW

    更新日期:1987-10-01 00:00:00

  • Shoulder arthroplasty in rheumatoid arthritis.

    abstract::Replacement arthroplasty for the shoulder in rheumatoid arthritis is an operation which is being performed increasingly often. Several types of arthroplasty may be performed. One type is a true total shoulder replacement which involves replacing both the head of the humerus and the glenoid fossa. In a second type of a...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Paradis DK,Ferlic DC

    更新日期:1975-02-01 00:00:00

  • Use of transcutaneous electrical nerve stimulation for a patient with a cardiac pacemaker. A case report.

    abstract::Transcutaneous electrical nerve stimulation units used in conjunction with cardiac pacemakers have traditionally been an absolute contraindication for these patients. In this case report, a patient successfully used a TENS unit in conjunction with a temporary cardiac pacemaker. No interference was noted by the ECG rea...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Shade SK

    更新日期:1985-02-01 00:00:00

  • Reliability of impairment and physical performance measures for persons with Parkinson's disease.

    abstract:BACKGROUND AND PURPOSE:Parkinson's disease (PD) is characterized by rigidity, postural instability, bradykinesia, and tremor, as well as other musculoskeletal impairments and functional limitations. The purpose of this investigation was to determine the reliability and stability of measures of impairments and physical ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Schenkman M,Cutson TM,Kuchibhatla M,Chandler J,Pieper C

    更新日期:1997-01-01 00:00:00

  • Gait characteristics of elderly people with a history of falls: a dynamic approach.

    abstract:BACKGROUND AND PURPOSE:This study investigated changes in the kinematics of elderly people who experienced at least one fall 6 months prior to data collection. The authors hypothesized that, in order to decrease variability of walking, people with a history of falls would show different kinematic adaptations of their w...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Barak Y,Wagenaar RC,Holt KG

    更新日期:2006-11-01 00:00:00

  • Emerging Role of Quality Indicators in Physical Therapist Practice and Health Service Delivery.

    abstract::Quality-based care is a hallmark of physical therapy. Treatment effectiveness must be evident to patients, managers, employers, and funders. Quality indicators (QIs) are tools that specify the minimum acceptable standard of practice. They are used to measure health care processes, organizational structures, and outcom...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Westby MD,Klemm A,Li LC,Jones CA

    更新日期:2016-01-01 00:00:00

  • BDNF Val66Met Polymorphism Is Related to Motor System Function After Stroke.

    abstract:BACKGROUND:The val(66)met polymorphism in brain-derived neurotrophic factor (BDNF) has been associated with poorer outcomes after stroke. The mechanism for this finding remains uncertain but might be related to the reduced motor system activation associated with this polymorphism in healthy people. OBJECTIVE:The curre...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Kim DY,Quinlan EB,Gramer R,Cramer SC

    更新日期:2016-04-01 00:00:00

  • How does explicit prioritization alter walking during dual-task performance? Effects of age and sex on gait speed and variability.

    abstract:BACKGROUND:Previous studies have demonstrated that the performance of a secondary task during walking alters gait. OBJECTIVE:This study investigated the effects of task prioritization on walking in young and older adults to evaluate the "default" prioritization scheme used, the flexibility to alter prioritization and ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Yogev-Seligmann G,Rotem-Galili Y,Mirelman A,Dickstein R,Giladi N,Hausdorff JM

    更新日期:2010-02-01 00:00:00

  • Barriers to exercise in people with Parkinson disease.

    abstract:BACKGROUND:Exercise is known to reduce disability and improve quality of life in people with Parkinson disease (PD). Although barriers to exercise have been studied in older adults, barriers in people with chronic progressive neurological diseases, such as PD, are not well defined. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Ellis T,Boudreau JK,DeAngelis TR,Brown LE,Cavanaugh JT,Earhart GM,Ford MP,Foreman KB,Dibble LE

    更新日期:2013-05-01 00:00:00

  • Teaching human anatomy in physical therapy education in the United States: a survey.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine how human anatomy was being taught in physical therapy programs in the United States. SUBJECTS:Faculty in 103 physical therapy programs participated in the study. METHODS:A six-page questionnaire, which was mailed to 145 physical therapy programs, cont...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Mattingly GE,Barnes CE

    更新日期:1994-08-01 00:00:00

  • Effectiveness of Rehabilitation Interventions to Improve Gait Speed in Children With Cerebral Palsy: Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Children with cerebral palsy (CP) have decreased gait speeds, which can negatively affect their community participation and quality of life. However, evidence for effective rehabilitation interventions to improve gait speed remains unclear. PURPOSE:The purpose of this study was to determine the effectivenes...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析,评审


    authors: Moreau NG,Bodkin AW,Bjornson K,Hobbs A,Soileau M,Lahasky K

    更新日期:2016-12-01 00:00:00

  • Are maximal inspiratory breathing exercises or incentive spirometry better than early mobilization after cardiopulmonary bypass?

    abstract::Forty-nine adults who had undergone cardiopulmonary bypass surgery were randomly assigned to one of three exercise programs to determine if either maximal inspiratory breathing exercises or incentive spirometry offered a therapeutic advantage over early mobilization alone. After extubation, the patients started their ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Dull JL,Dull WL

    更新日期:1983-05-01 00:00:00

  • High-Flow Oxygen Therapy During Exercise Training in Patients With Chronic Obstructive Pulmonary Disease and Chronic Hypoxemia: A Multicenter Randomized Controlled Trial.

    abstract:OBJECTIVE:The study aimed to evaluate whether high-flow oxygen therapy (HFOT) during training was more effective than oxygen in improving exercise capacity in hypoxemic chronic obstructive pulmonary disease (COPD). METHODS:A total of 171 patients with COPD and chronic hypoxemia were consecutively recruited in 8 rehabi...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Vitacca M,Paneroni M,Zampogna E,Visca D,Carlucci A,Cirio S,Banfi P,Pappacoda G,Trianni L,Brogneri A,Belli S,Paracchini E,Aliani M,Spinelli V,Gigliotti F,Lanini B,Lazzeri M,Clini EM,Malovini A,Ambrosino N,Associazi

    更新日期:2020-08-12 00:00:00

  • An exercise and education program improves well-being of new mothers: a randomized controlled trial.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effect of a physical therapy exercise and health care education program on the psychological well-being of new mothers. DESIGN:This was a randomized controlled trial. PARTICIPANTS:Primiparous and multiparous English-speaking women ready for discharge from The An...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验


    authors: Norman E,Sherburn M,Osborne RH,Galea MP

    更新日期:2010-03-01 00:00:00

  • Effects of length on the catchlike property of human quadriceps femoris muscle.

    abstract:BACKGROUND AND PURPOSE:Recent reports have suggested that electrical stimulation trains that take advantage of the catchlike property of skeletal muscle can produce higher forces from skeletal muscle than traditionally used constant-frequency trains. This study investigated the effects of catchlike-inducing trains on h...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Lee SC,Gerdom ML,Binder-Macleod SA

    更新日期:1999-08-01 00:00:00

  • Measurement and treatment in cerebral palsy: an argument for a new approach.

    abstract::This article describes the need for a shift in our therapeutic strategies for patients with cerebral palsy. Changes in functional abilities must be stressed in therapy. Coincident with this emphasis must be the development of functional assessments to be used when documenting intervention outcomes. Research on functio...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Fetters L

    更新日期:1991-03-01 00:00:00

  • Measurement of reactive vasodilation during cold gel pack application to nontraumatized ankles.

    abstract::Conflicting results regarding local vascular response during cryotherapy have been reported in the literature. The purpose of this study was to determine whether application of a cold pack reduced blood volume in a nontraumatized ankle. Thirteen subjects ranging in age from 18 to 30 years (X = 22; SD = 3.9) participat...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Taber C,Contryman K,Fahrenbruch J,LaCount K,Cornwall MW

    更新日期:1992-04-01 00:00:00

  • Planning infant learning programs.

    abstract::Based on a review of the literature, a theoretical basis for planning learning programs for infants is presented. The prerequisites for effective programming include attention to the characteristics of the learning environment, the infant or learner, and the stimulus-response mechanism. The goals of such a program inc...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Campbell SK,Wilson JM

    更新日期:1976-12-01 00:00:00

  • McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study.

    abstract:BACKGROUND:Patellar taping is widely used clinically to treat patients with patellofemoral pain syndrome (PFPS). Although patellar taping has been demonstrated to reduce patellofemoral pain in patients with PFPS, the kinematic source for this pain reduction has not been identified. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Derasari A,Brindle TJ,Alter KE,Sheehan FT

    更新日期:2010-03-01 00:00:00

  • Responsiveness and Minimal Important Change for Pain and Disability Outcome Measures in Pregnancy-Related Low Back and Pelvic Girdle Pain.

    abstract:BACKGROUND:Pregnancy-related low back pain and pelvic girdle pain (LBP/PGP) are common and negatively impact the lives of many pregnant women. Several patient-based outcome instruments measure treatment effect, but there is no consensus about which measure to use with women who have these pain presentations. OBJECTIVE...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验


    authors: Ogollah R,Bishop A,Lewis M,Grotle M,Foster NE

    更新日期:2019-11-25 00:00:00

  • Participants' perspectives on the feasibility of a novel, intensive, task-specific intervention for individuals with chronic stroke: a qualitative analysis.

    abstract:BACKGROUND:Evidence-based practice promotes patient-centered care, yet the majority of rehabilitative research fails to take patient perspectives into consideration. Qualitative research provides a unique opportunity for patients to express opinions and provide valuable insight on intervention processes. OBJECTIVE:The...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Merlo AR,Goodman A,McClenaghan BA,Fritz SL

    更新日期:2013-02-01 00:00:00

  • Hospital Readmission Following Discharge From Inpatient Rehabilitation for Older Adults With Debility.

    abstract:BACKGROUND:Debility accounts for 10% of inpatient rehabilitation cases among Medicare beneficiaries. Debility has the highest 30-day readmission rate among 6 impairment groups most commonly admitted to inpatient rehabilitation. OBJECTIVE:The purpose of this study was to examine rates, temporal distribution, and factor...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Galloway RV,Karmarkar AM,Graham JE,Tan A,Raji M,Granger CV,Ottenbacher KJ

    更新日期:2016-02-01 00:00:00

  • Low Back Pain--Related Disability in Parkinson Disease: Impact on Functional Mobility, Physical Activity, and Quality of Life.

    abstract:BACKGROUND:People with Parkinson disease (PD) frequently experience low back pain (LBP), yet the impact of LBP on functional mobility, physical activity, and quality of life (QOL) has not been described in PD. OBJECTIVE:The objectives of this study were to describe body positions and functional activities associated w...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Duncan RP,Van Dillen LR,Garbutt JM,Earhart GM,Perlmutter JS

    更新日期:2019-10-28 00:00:00

  • Physical therapy for a patient through six stages of amyotrophic lateral sclerosis.

    abstract:BACKGROUND AND PURPOSE:This case report describes the use of Sinaki and Mulder's approach to staging amyotrophic lateral sclerosis (ALS) and functional outcome measures in designing a treatment program for a 59-year-old woman with ALS. CASE DESCRIPTION AND OUTCOMES:As the patient progressed from stage I through stage ...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Dal Bello-Haas V,Kloos AD,Mitsumoto H

    更新日期:1998-12-01 00:00:00

  • Cross-sectional study of gross and fine motor development. Birth to 6 years of age.

    abstract::A total of 187 healthy children between birth and six years of age were administered a comprehensive gross and fine motor development assessment. The assessment device was a hybrid instrument consisting of 192 items derived from 15 commonly used instruments. The purpose of the study was to 1) define motor behavior rel...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Noller K,Ingrisano D

    更新日期:1984-03-01 00:00:00