Evidence map›Paper›PMID 17119004›Full record

Trial reportJournal of neurology, neurosurgery, and psychiatry2007

A randomised controlled trial of a home based exercise programme to reduce the risk of falling among people with Parkinson's disease.

Ann Ashburn, Louise Fazakarley, Claire Ballinger, Ruth Pickering, Lindsay D McLellan, Carolyn Fitton

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of neurology, neurosurgery, and psychiatry, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 114 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 18 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02302144 nacompletednot on this mapstarted 2011, after this paper: background citation

A Multifactorial Exercise Program to Reduce Falls in People With Parkinson Disease

TypeinterventionalSponsorBoston University Charles River CampusRan2011 to 2013Enrolled32ConditionsParkinson DiseaseArmsBalance & Strengthening Exercises
NCT03329833 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Motivational Interviewing and Physical Activity Change in Parkinson's Disease

TypeinterventionalSponsorShirley Ryan AbilityLabRan2017 to 2021Enrolled44ConditionsParkinson DiseaseArmsMotivational Interviewing, Web-based application
NCT07618728 narecruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility and Preliminary Effectiveness of an Individualised Multimodal Group-Based Exercise Programme for People With Parkinson's Disease: A Non-Randomized Feasibility Study

TypeinterventionalSponsorUniversidad Rey Juan CarlosRan2025 to 2027Enrolled64ConditionsPARKINSON DISEASE (Disorder)ArmsExercise Group
3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 18 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Interventions for preventing falls in Parkinson's disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  6. Guideline
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Physiotherapy versus placebo or no intervention in Parkinson's disease.The Cochrane database of systematic reviews · 2013
    Pooled it
  13. Effects of exercise on fracture reduction in older adults: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Pooled it
  14. Pooled it
  15. Interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2012
    Pooled it
  16. Pooled it
  17. Pooled it
  18. Pooled it
  19. Trial
  20. Trial

54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ann AshburnRehabilitation Research Unit, School of Health Professions and Rehabilitation Sciences, University of Southampton, Level E, Centre Block, Mailpoint 886, Southampton General Hospital, Tremona Rd, Southampton SO16 6YD, UK. ann@soton.ac.uk
Louise Fazakarley
Claire Ballinger
Ruth Pickering
Lindsay D McLellan
Carolyn Fitton

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a personalised home programme of exercises and strategies for repeat fallers with Parkinson's disease (PD).

methodPatients with a confirmed diagnosis of idiopathic PD, independently mobile, living at home in the community, experiencing more than one fall in the previous 12 months and with intact gross cognitive function were invited to participate in this randomised controlled trial. Usual care was compared with a personalised 6 week, home based exercise and strategy programme. The primary outcomes were rates of falling at 8 weeks and 6 months. Whether participants had repeat fallen, nearly fallen or experienced injurious falls were also examined. Functional Reach, the Berg Balance Test, PD Self-assessment Scale and the Euro Quol were rated by a blinded assessor.

resultsParticipants were randomised to the exercise (n = 70) and control (n = 72) groups. There was a consistent trend towards lower fall rates in the exercise group at both 8 weeks and 6 months and lower rates of injurious falls needing medical attention at 6 months. Lower rates of repeat near falling were evident for the exercise group at 8 weeks (p = 0.004) and 6 months (p = 0.007). There was a positive effect of exercises at 6 months on Functional Reach (p = 0.009) and quality of life (p = 0.033). No significant differences were found on other secondary outcomes measures.

conclusionThere was a trend towards a reduction in fall events and injurious falls with a positive effect of exercises on near falls and quality of life.

Indexed as

Exercise TherapyAccidental FallsAdultAgedAged, 80 and overFemaleHome Care ServicesHumansMaleMiddle AgedParkinson DiseaseQuality of LifeRecurrenceTreatment Outcome

Identifiers

PMID17119004
PMCPMC2117667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.