Retention Effect of Dual Task Training on Mobility, Fear of Fall and Quality of Life in Subjects with Parkinson’s Disease

A. Chandraprabha, S. Kunduru
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Abstract

Background: Impairment in the ability to perform another task while walking i.e. , dual tasking isassociated with an increased risk of fall, diminished mobility, loss of independence leading to decreasein the quality of life among patients with Parkinson’s disease. So, the present study aims to determinethe retention effect of dual task training on mobility, fear of fall, quality of life.Method: 30 subjects between the age group of 65-75 years diagnosed with PD were included in thestudy and were allocated to a single group after fulfilling inclusion and exclusion criteria. Baselinedata like age, gender, Hoehn&Yahr stage was noted. Subjects underwent dual task training 5 times aweek, for 4 weeks. All the subjects were assessed using Timed Up and Go test, Fall Efficacy Scale andParkinson’s Disease Questionnaire-39.Results: The dual task training on mobility showed significant improvement in mobility, fear of falland quality of life in post-test 1. Retention effect (post-test 2) also showed significant improvement butcompared to post-test 1 (p<0.001), it has reduced (p<0.05).Conclusion: The result of present study shows significant retention effect of dual task training onmobility, fear of fall and quality of life. The results also show that regular training is required for thesubjects to maintain the progress achieved.
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双任务训练对帕金森病患者行动能力、跌倒恐惧及生活质量的影响
背景:行走时执行另一项任务的能力受损,即双重任务,与跌倒风险增加、活动能力下降、独立性丧失相关,导致帕金森病患者生活质量下降。因此,本研究旨在确定双任务训练对行动能力、跌倒恐惧、生活质量的保留效应。方法:选取年龄在65 ~ 75岁之间的PD患者30例作为研究对象,在满足纳入和排除标准后分为单组。基线数据,如年龄,性别,hoe&yhr阶段被注意到。受试者接受双任务训练,每周5次,共4周。采用定时起跑测试、跌倒效能量表和帕金森病问卷-39对所有受试者进行评估。结果:双任务训练在活动能力、跌倒恐惧和生活质量方面均有显著改善。保留效应(后测2)也有显著改善,但与后测1相比(p<0.001)有所降低(p<0.05)。结论:双任务训练对运动能力、跌倒恐惧和生活质量有显著的保留作用。研究结果还表明,为了保持取得的进步,受试者需要定期接受培训。
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