@article{ref1,
title="Multimodal training reduces fall frequency as physical activity increases in individuals with Parkinson's disease",
journal="Journal of physical activity and health",
year="2019",
author="Penko, Amanda L. and Barkley, Jacob E. and Rosenfeldt, Anson B. and Alberts, Jay L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Parkinson's disease (PD) results in a global decrease in information processing, ultimately resulting in dysfunction executing motor-cognitive tasks. Motor-cognitive impairments contribute to postural instability, often leading to falls and decreased physical activity. The aim of this study was to determine the effects of a multimodal training (MMT) versus single-modal (SMT) training on motor symptoms, fall frequency, and physical activity in patients with PD classified as fallers. <br><br>METHODS: Individuals with PD were randomized into SMT (n = 11) or MMT (n = 10) and completed training 3 times per week for 8 weeks. The SMT completed gait and cognitive training separately, whereas MMT completed gait and cognitive training simultaneously during each 45-minute session. Physical activity, 30-day fall frequency, and PD motor symptoms were assessed at baseline, posttreatment, and during a 4-week follow-up. <br><br>RESULTS: Both groups exhibited significant (P <.05) improvements in clinical ratings of motor function, as symptoms improved by 8% and 15% for SMT and MMT, respectively. Physical activity significantly increased (P <.05) for both groups from baseline (mean steps 4942 [4415]) to posttreatment (mean steps 5914 [5425]). The MMT resulted in a significant 60% reduction in falls. <br><br>CONCLUSIONS: Although SMT and MMT approaches are both effective in improving physical activity and motor symptoms of PD, only MMT reduced fall frequency after the intervention.<p /> <p>Language: en</p>",
language="en",
issn="1543-3080",
doi="10.1123/jpah.2018-0595",
url="http://dx.doi.org/10.1123/jpah.2018-0595"
}