Power vs strength training to improve muscular strength, power, balance and functional movement in individuals diagnosed with Parkinson's disease

Cherup, Nicholas P.; Buskard, Andrew N.L.; Strand, Keri; Roberson, Kirk B.; Michiels, Emma R.; Kuhn, Jessica; Lopez, Francisco A.; Signorile, Joseph F.

doi:10.1016/j.exger.2019.110740

Cited by 30 publications

(40 citation statements)

References 68 publications

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“…The MFES is a 14-item questionnaire regarding daily indoor and outdoor physical activities and is a valid tool for measuring fall-related self-efficacy in PD [32].…”

Section: Mfesmentioning

confidence: 99%

Effects of interactive video-game–based exercise on balance in older adults with mild-to-moderate Parkinson’s disease

Yuan

Chen

Peng

et al. 2020

J NeuroEngineering Rehabil

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Background: This study aimed to evaluate the effectiveness of a customized interactive video game-based (IVGB) training on balance in older adults with mild-to-moderate Parkinson's disease (PD). Methods: In this 12-week crossover trial, PD patients ≥65 years of age were randomly divided into Group A (a 6week intervention phase followed by a 6-week control phase) and Group B (a 6-week control phase followed by a 6-week intervention phase). Participants received IVGB exercise training during the intervention phase and no exercise during the control phase. Functional outcomes were measured using behavioral evaluation scales and questionnaires at baseline, week 6 and week 12. Results: Twenty-four PD patients were included in this study, and were evenly divided into two groups. After Bonferroni adjustment, the changes in Modified Falls Efficacy Scale (MFES) and two subscales of Multi-Directional Reach Test were significantly different between two groups in the first 6-week period. In addition, the changes in Berg Balance Scale, MFES, and two subscales of Maximum Step Length were significantly different between two groups in the second 6-week period. Compared to controls, 6-week IVGB exercise intervention significantly improved different but overlapping functional outcomes in two groups of PD patients. Conclusions: The customized IVGB exercise training improves balance, postural stability and confidence in preventing falls in older adults with mild-to-moderate PD. However, this IVGB exercise doesn't have a significant impact on quality of life.

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“…The MFES is a 14-item questionnaire regarding daily indoor and outdoor physical activities and is a valid tool for measuring fall-related self-efficacy in PD [32].…”

Section: Mfesmentioning

confidence: 99%

Effects of interactive video-game–based exercise on balance in older adults with mild-to-moderate Parkinson’s disease

Yuan

Chen

Peng

et al. 2020

J NeuroEngineering Rehabil

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“…By utilizing the comparability between muscle power and reactive balance, such as forceful and controlled movements with high velocity, all power training groups in the current analysis demonstrated improvements in measures of reactive balance. There are a handful of studies investigating the correlations between muscle power and reactive balance performances (Muehlbauer et al, 2015 ); however, the effectiveness of power training on reactive balance has been explored only in a few, recent trials (Pamukoff et al, 2014 ; Inacio et al, 2018 ; Cherup et al, 2019 ). The results of this study may have implications for future directions in assessing the relationship between muscle power and reactive balance.…”

Section: Discussionmentioning

confidence: 99%

Which Exercise Interventions Can Most Effectively Improve Reactive Balance in Older Adults? A Systematic Review and Network Meta-Analysis

Kim

Vakula

Bolton

et al. 2022

Front. Aging Neurosci.

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BackgroundReactive balance is the last line of defense to prevent a fall when the body loses stability, and beneficial effects of various exercise-based interventions on reactive balance in older adults have been reported. However, their pooled evidence on the relative effects has yet to be described.ObjectiveTo review and evaluate the comparative effectiveness of various exercise-based interventions on reactive balance in older adults.MethodsNine electronic databases and reference lists were searched from inception to August 2021. Eligibility criteria according to PICOS criteria were as follows: (1) population: older adults with the mean age of 65 years or above; (2) intervention and comparison: at least two distinct exercise interventions or one exercise intervention with a no-exercise controlled intervention (NE) compared in each trial; (3) outcome: at least one measure of reactive balance; (4) study: randomized controlled trial. The main network meta-analysis was performed on data from the entire older adult population, involving all clinical conditions as well as healthy older adults. Subgroup analyses stratified by characteristics of participants (healthy only) and reactive balance outcomes (simulated slip or trip while walking, simulated forward falls, being pushed or pulled, and movable platform) were also conducted.ResultsThirty-nine RCTs (n = 1388) investigating 17 different types of exercise interventions were included in the network meta-analysis. Reactive balance training as a single intervention presented the highest probability (surface under the cumulative ranking (SUCRA) score) of being the best intervention for improving reactive balance and the greatest relative effects vs. NE in the entire sample involving all clinical conditions [SUCRA = 0.9; mean difference (95% Credible Interval): 2.7 (1.0 to 4.3)]. The results were not affected by characteristics of participants (i.e., healthy older adults only) or reactive balance outcomes.Summary/ConclusionThe findings from the NMA suggest that a task-specific reactive balance exercise could be the optimal intervention for improving reactive balance in older adults, and power training can be considered as a secondary training exercise.

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“…The Keiser leg press is used in many sports facilities worldwide for testing and monitoring athletes; moreover, the device has been used in several recent research studies 5,[18][19][20][21][22] . We confirm that the Keiser leg press device records valid force and velocity data.…”

Section: Practical Applicationsmentioning

confidence: 99%

“…The pneumatic resistance-based Keiser leg press (utilizing air pressure as means of resistance 17 ) is a commercial device available in many sports and research facilities all over the world (applied in over 30 original, peer-reviewed papers the last four years) 5,[18][19][20][21][22] . Compared to weight-based exercises, the resistance from the pneumatic leg press is minimally influenced by inertia and bodyweight.…”

Section: Introductionmentioning

confidence: 99%

Validity of Force–Velocity Profiling Assessed With a Pneumatic Leg Press Device

Lindberg¹,

Eythorsdottir²,

Solberg³

et al. 2021

International Journal of Sports Physiology and Performance

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Purpose: The aim of this study was to examine the concurrent validity of force–velocity (FV) variables assessed across 5 Keiser leg press devices. Methods: A linear encoder and 2 independent force plates (MuscleLab devices) were mounted on each of the 5 leg press devices. A total of 997 leg press executions, covering a wide range of forces and velocities, were performed by 14 participants (29 [7] y, 181 [5] cm, 82 [8] kg) across the 5 devices. Average and peak force, velocity, and power values were collected simultaneously from the Keiser and MuscleLab devices for each repetition. Individual FV profiles were fitted to each participant from peak and average force and velocity measurements. Theoretical maximal force, velocity, and power were deduced from the FV relationship. Results: Average and peak force and velocity had a coefficient of variation of 1.5% to 8.6%, near-perfect correlations (.994–.999), and a systematic bias of 0.7% to 7.1% when compared with reference measurements. Average and peak power showed larger coefficient of variations (11.6% and 17.2%), despite excellent correlations (.977 and .952), and trivial to small biases (3.9% and 8.4%). Extrapolated FV variables showed near-perfect correlations (.983–.997) with trivial to small biases (1.4%–11.2%) and a coefficient of variation of 1.4% to 5.9%. Conclusions: The Keiser leg press device can obtain valid measurements over a wide range of forces and velocities across different devices. To accurately measure power, theoretical maximal power calculated from the FV profile is recommended over average and peak power values from single repetitions, due to the lower random error observed for theoretical maximal power.

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Power vs strength training to improve muscular strength, power, balance and functional movement in individuals diagnosed with Parkinson's disease

Cited by 30 publications

References 68 publications

Effects of interactive video-game–based exercise on balance in older adults with mild-to-moderate Parkinson’s disease

Effects of interactive video-game–based exercise on balance in older adults with mild-to-moderate Parkinson’s disease

Which Exercise Interventions Can Most Effectively Improve Reactive Balance in Older Adults? A Systematic Review and Network Meta-Analysis

Validity of Force–Velocity Profiling Assessed With a Pneumatic Leg Press Device

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