Studies in Sport Medicine

Effect of 12 weeks Dynamic Neuromuscular Stabilization training on balance in People with Parkinson's disease

Document Type : Research Paper

Authors

1 Ph.D. Candidate, Department of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran

2 2. Associate Professor, Department of Corrective Exercise and Sport Injuries, Faculty of Sport Sciences, University of Isfahan.

3 Ph.D. of Sports Biomechanics, Assistant Professor in, Faculty of Sport Sciences, University of Isfahan, Iran.

Abstract
Parkinson's disease is one of the most common diseases of the central nervous system, occurring mainly in the elderly age group. It affects the balance of these patients and increases the risk of falls and eventually dangerous hip fractures. Therefore, it seems necessary to find a way to improve the balance in these patients. The aim of the current study was to investigate the effect of twelve weeks of dynamic neuromuscular stability exercises on the static and dynamic balance of people with Parkinson's disease. In this semi-experimental study, 30 men and women with Parkinson's disease were selected according to the Hun and Yar scale. Then, the participants were randomly paired into two groups including experimental groups of 15 subjects and control. First, both groups were subjected to a pretest. Then the experimental group performed the DNS exercises in for 12 weeks, 3 sessions per week and each session lasted 45 minutes. The control group also led a normal life, and a posttest was performed on both groups at the end of 12 weeks. The foot scan was used to measure static balance and time to get up and go (TUG) test was used to measure dynamic balance. The repeated measures ANOVA was used to analyze the data. The results of the analysis showed that DNS can improve the static and dynamic balance of elderly people with PD. According to the findings, it can be implied that these exercises can make improvements in the rehabilitation programs for people with Parkinson's disease.

Keywords

  1. De Rijk MC, Rocca WA, Anderson DW, Melcon MO, Breteler MM, Maraganore DM. A population perspective on diagnostic criteria for Parkinson's disease. Neurology. 1997 May 1;48(5):1277-81.
  2. Lee A, Gilbert RM. Epidemiology of Parkinson disease. Neurologic clinics. 2016 Nov 1;34(4):955-65.
  3. Von Campenhausen S, Bornschein B, Wick R, Bötzel K, Sampaio C, Poewe W, Oertel W, Siebert U, Berger K, Dodel R. Prevalence and incidence of Parkinson's disease in Europe. European neuropsychopharmacology. 2005 Aug 1;15(4):473-90.
  4. Crispino P, Gino M, Barbagelata E, Ciarambino T, Politi C, Ambrosino I, Ragusa R, Marranzano M, Biondi A, Vacante M. Gender differences and quality of life in Parkinson’s disease. International Journal of Environmental Research and Public Health. 2021 Jan;18(1):198.
  5. Schoneburg B, Mancini M, Horak F, Nutt JG. Framework for understanding balance dysfunction in Parkinson's disease. Movement disorders. 2013 Sep 15;28(11):1474-82.
  6. Opara JA, Małecki A, Małecka E, Socha T. Motor assessment in Parkinsons disease. Annals of Agricultural and Environmental Medicine. 2017;24(3).
  7. SADEGHI, HEIDAR, A. Sarshin, and FARIBORZ HOVANLOO. "The effect of whole body vibration training on dynamic balance in athletic students." (2010): 9-19.
  8. Winser SJ, Paul LF, Magnus LK, Yan S, Shenug TP, Sing YM, Cheing G. Economic evaluation of exercise-based fall prevention programs for people with Parkinson's disease: a systematic review. The Journal of Alternative and Complementary Medicine. 2019 Dec 1;25(12):1225-37.
  9. Paul SS, Dibble LE, Peterson DS. Motor learning in people with Parkinson’s disease: Implications for fall prevention across the disease spectrum. Gait & Posture. 2018 Mar 1;61:311-9.
  10. Cho BL, Scarpace D, Alexander NB. Tests of stepping as indicators of mobility, balance, and fall risk in balance‐impaired older adults. Journal of the American Geriatrics Society. 2004 Jul;52(7):1168-73.
  11. Guskiewicz KM, Perrin DH, Gansneder BM. Effect of mild head injury on postural stability in athletes. Journal of athletic training. 1996 Oct;31(4):300.
  12. Jafari Oori M, Najafi Ghezlzah T, Mehrtak M, Nasiri K, Aryapoor S. THE EFFECT OF A MULTIDIMENSIONAL FALL PREVENTION PROGRAM ON STATIC AND DYNAMIC BALANCE IN NURSING HOMES IN TEHRAN. Nursing and Midwifery Journal 2015; 13 (5) :367-376. (In Persian)
  13. Daneshmandi H, hoseinpour M. The role of muscle weakness in balance and postural instability in the elderly with and without falls: A Systematic review. joge 2022; 6 (4) :89-104. (In Persian)
  14. Robinson K, Dennison A, Roalf D, Noorigian J, Cianci H, Bunting-Perry L, Moberg P, Kleiner-Fisman G, Martine R, Duda J, Jaggi J. Falling risk factors in Parkinson's disease. NeuroRehabilitation. 2005 Jan 1;20(3):169-82.
  15. Voss TS, Elm JJ, Wielinski CL, Aminoff MJ, Bandyopadhyay D, Chou KL, Sudarsky LR, Tilley BC. Fall frequency and risk assessment in early Parkinson's disease. Parkinsonism & related disorders. 2012 Aug 1;18(7):837-41.
  16. Contreras A, Grandas F. Risk of falls in Parkinson’s disease: a cross-sectional study of 160 patients. Parkinson’s disease. 2012 Jan 1; 2012.
  17. Dibble LE, Christensen J, Ballard DJ, Foreman KB. Diagnosis of fall risk in Parkinson disease: an analysis of individual and collective clinical balance test interpretation. Physical therapy. 2008 Mar 1;88(3):323-32.
  18. Grace Gaerlan M, Alpert PT, Cross C, Louis M, Kowalski S. Postural balance in young adults: the role of visual, vestibular and somatosensory systems. Journal of the American Academy of Nurse Practitioners. 2012 Jun;24(6):375-81.
  19. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. International journal of sports physical therapy. 2013 Feb;8(1):62.
  20. Sharma K, Yadav A. Dynamic neuromuscular stabilization-a narrative. International Journal of Health Sciences and Research. 2020;10(9):221-31.
  21. Jafarnezhadgero A, Madadi-Shad M, McCrum C, Karamanidis K. Effects of corrective training on drop landing ground reaction force characteristics and lower limb kinematics in older adults with genu valgus: A randomized controlled trial. J Aging Phys Act. 2019;27(1):9-17.
  22. Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology. 1998 Feb 1; 50(2):318-.
  23. Jafarnezhadgero A, Fatollahi A, Amirzadeh N, Siahkouhian M, Granacher U. Ground reaction forces and muscle activity while walking on sand versus stable ground in individuals with pronated feet compared with healthy controls. PloS one. 2019 Sep 26;14(9):e0223219.
  24. Christopher A, Kraft E, Olenick H, Kiesling R, Doty A. The reliability and validity of the Timed Up and Go as a clinical tool in individuals with and without disabilities across a lifespan: a systematic review: Psychometric properties of the Timed Up and Go. Disability and rehabilitation. 2021 Jun 19;43(13):1799-813.
  25. Richardson JT. Eta squared and partial eta squared as measures of effect size in educational research. Educ Res Rev. 2011;6(2):135-47.
  26. Paul SS, Sherrington C, Fung VS, Canning CG. Motor and cognitive impairments in Parkinson disease: relationships with specific balance and mobility tasks. Neurorehabilitation and Neural Repair. 2013 Jan; 27(1):63-71.
  27. Safari H, Zolaktaf V. Effect of eight weeks of dynamic neuromuscular stabilization training on balance in elderly men. The Scientific Journal of Rehabilitation Medicine. 2021 May 25. (In Persian)
  28. Dehghani E, Ghasemi G. Effects of eight week of Dynamic Neuromuscular Stabilization exercises on posture, strength and trunk endurance in educable mentally retarded students. Studies in Sport Medicine. 2021 Aug 23;13(29):229-52. (In Persian)
  29. Rahimi M, Hasanpori Z, Sharifi R, Haghighi M. Effect of Eight-Week Dynamic Neuromuscular Stabilization Training on Balance, Fall Risk and Lower Extremity Strength in Healthy Elderly Women1. Studies in Sport Medicine. 2020 Sep 22; 12(28):107-26. (In Persian)
  30. Marand LA, Dehkordi SN, Roohi-Azizi M, Dadgoo M. Effect of Dynamic Neuromuscular Stabilization on Balance, Trunk Function, Falling, and Spasticity in People With Multiple Sclerosis: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation. 2022 Oct 4.
  31. Zamani, Sima, Behnaz Ganji, and Saeed Shahbeigi. "Effect of eight weeks of DNS exercise on fatigue and balance in woman with multiple sclerosis (MS)." (2016). (In Persian)
  32. Mansori MH, Moghadas Tabrizi Y, Mohammadkhani K. Evaluation of the Effectiveness of Dynamic Neuromuscular Stability Exercises on Balance and Walking Function in the Elderly. Iranian Rehabilitation Journal. 2021 Sep 10; 19(3):0-. (In Persian)
  33. Son MS, Jung DH, You JS, Yi CH, Jeon HS, Cha YJ. Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy. NeuroRehabilitation. 2017 Jan 1; 41(4):739-46.
  34. McLeod TC, Armstrong T, Miller M, Sauers JL. Balance improvements in female high school basketball players after a 6-week neuromuscular-training program. Journal of sport rehabilitation. 2009 Nov 1; 18(4):465-81.
  35. Alinejad S, Shahdadi A, Zare M. Evaluation of a Selected Balance Training on Physiological, Motor and Balance Performance in Patients with Parkinson's disease. Journal of Mazandaran University of Medical Sciences. 2023 Jan 10; 32(217):66-74.1 (Persian).
  36. Salari N, Hayati A, Kazeminia M, Rahmani A, Mohammadi M, Fatahian R, Shohaimi S. The effect of exercise on balance in patients with stroke, Parkinson, and multiple sclerosis: A systematic review and meta-analysis of clinical trials. Neurological Sciences. 2021:1-9 (Persian).
  37. Keykhahoseinpoor A, Rahnama N, Chitsaz, A. Effects of eight weeks laughter Yoga training on motor function, balance, and flexibility in subjects with Parkinson's disease. JRRS 2013; 9(1): 39-47 (Persian).
  38. Reuter I, Mehnert S, Leone P, Kaps M, Oechsner M, Engelhardt M. Effects of a flexibility and relaxation programme, walking, and Nordic walking on Parkinson's disease. J Aging Res 2011; 2011: 232473.
  39. Geuze RH. Static balance and developmental coordination disorder. Human movement science. 2003 Nov 1; 22(4-5):527-48.
  40. Jobbagy A, Furnee E, Harcos P, Tarczy M. Early detection of Parkinson's disease through automatic movement evaluation. IEEE Engineering in Medicine and Biology Magazine. 1998 Mar; 17(2):81-8.
  41. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Physical therapy. 1997 Aug 1; 77(8):812-9.
  42. Tang KS, Honegger F, Allum JH. Movement patterns underlying first trial responses in human balance corrections. Neuroscience. 2012 Dec 6; 225:140-51.
  43. Allum JH, Honegger F. A postural model of balance-correcting movement strategies. Journal of Vestibular Research. 1992 Jan 1; 2(4):323-47.
  44. Irandoust K, Taheri M. The impact of yoga and pilates exercises on older adults. Iranian Journal of Ageing. 2016 Apr 10; 11(1):152-61. (In Persian)
  45. Haruyama K, Kawakami M, Otsuka T. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients: a randomized controlled trial. Neurorehabilitation and neural repair. 2017 Mar; 31(3):240-9.
  46. Ghavipanje V, Rahimi NM, Akhlaghi F. Six weeks effects of dynamic neuromuscular stabilization (DNS) training in obese postpartum women with low back pain: A randomized controlled trial. Biological Research for Nursing. 2022 Jan; 24(1):106-14.
  47. Sannicandro, Italo. "Effects of Integrative Core Stability Training on Balance and Walking Speed in Healthy Elderly People." (2020): 421-435.
  48. Ghassemi SA, Rahnama N, Daneshmandi H. Effect of Core Stability Training on Static and Dynamic Balance and Strength in Disabled Veterans with Unilateral Below Knee Amputation. Iranian Journal of War and Public Health. 2019 Dec 10;11(4):189-96. (In Persian)

Kim DH, and DH, Yoo WG. Effects of 4 weeks of dynamic neuromuscular stabilization training on balance and gait performance in an adolescent with spastic hemi paretic cerebral palsy. Journal of physical therapy science. 2017; 29(10):1881-2.

Studies in Sport Medicine
Volume 14, Issue 34
February 2023
Pages 143-168

  • Receive Date 15 January 2023
  • Revise Date 22 February 2023
  • Accept Date 13 March 2023

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