Patients with PD exhibited significant differences in all variables of interest compared to the controls. The step length and foot clearance height as well as the TUG test during the turning phase may be helpful for measuring turning in patients with different severity levels of PD.
Background: This study aimed to examine the effect of a 12-week progressive trunk resistance and stretching exercise program on fall-related factors in patients with Parkinson’s disease (PD). Methods: A randomized study assessed a progressive trunk resistance and stretching exercise program over a 12-week period. A total of 17 patients with PD participated and wererandomly allocated into an exercise group (n = 10) or a control group (n = 7). Participants in the exercise group completed the exercise program in 60- to 90-min sessions for three days per week. Primary and secondary outcome measures included the trunk mobility scale, functional fitness test, standing balance, and sit-to-walk test. Results: The exercise group showed improvements in functional fitness, trunk mobility, standing balance, and dynamic stability compared with the control group (all p < 0.05). The 2.44 m timed up and go test (odds ratio (OR): 0.125) and the 2 min step test (OR: 10.584) of the functional fitness test, and the first-step length (OR: 3.558) and first-toe clearance height (OR: 4.777) of the sit-to-walk test, were different between the groups following the exercise program. Conclusion: This 12-week exercise program improved fall-related factors in patients with PD and may lead to prevention of fall-related injuries.
[Purpose] The purpose of this study was to investigate the effects of chronic ankle
instability and induced mediolateral muscular fatigue of the ankle on competitive
Taekwondo athletes during single-leg drop landing. [Subjects and Methods] Fourteen
competitive taekwondo athletes with chronic ankle instability and 14 healthy adults
participated, and they performed three single-leg drop landings from a 40-cm height before
and after induced fatigue. Ankle angular position, peak vertical ground reaction force,
loading rate, eccentric work, and contribution were calculated and analyzed. [Results]
Athletes had lower ankle eversion and abduction angle than the controls did at maximum
knee flexion both pre- and post-fatigue. Furthermore, athletes had lower eccentric work of
the hip than the controls did post-fatigue, and they had lower eccentric work of the knee
than controls at both pre- and post-fatigue. The eccentric work of the knee increased
while, peak vertical ground reaction force decreased in both, athletes as well as controls
post-fatigue. [Conclusion] Taekwondo athletes with chronic ankle instability who
participate in a high-intensity training program are continuously exposed to potential
injuries of their ankle or knee joints. Therefore, competitive taekwondo athletes with
chronic ankle instability should limit their participation in regular training until they
complete the rehabilitation process.
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