What is an aged trial balance

what is an aged trial balance

Author information

  • 1 Primary Care Research Group, Peninsula College of Medicineand Dentistry (PCMD), UK. victoria.goodwin@pms.ac.uk

Abstract

OBJECTIVES:

To compare the effectiveness of an exercise programme with usual care in people with Parkinson's disease (PD) who have a history of falls.

Pragmatic randomised controlled trial.

SETTING:

Recruitment was from three primary and four secondary care organisations, and PD support groups in South West England. The intervention was delivered in community settings.

PARTICIPANTS:

People with PD, with a history of two or more falls in the previous year, who were able to mobilise independently.

INTERVENTION:

10 week, physiotherapy led, group delivered strength and balance training programme with supplementary home exercises (intervention) or usual care (control).

MAIN OUTCOME MEASURE:

Number of falls during the (a)

10 week intervention period and (b) the 10 week follow-up period.

130 people were recruited and randomised (64 to the intervention; 66 to usual care). Seven participants (5.4%) did not complete the study. The incidence rate ratio for falls was 0.68 (95% CI 0.43 to 1.07, p=0.10) during the intervention period and 0.74 (95% CI 0.41 to 1.33, p=0.31) during the follow-up period. Statistically significant between group differences were observed in Berg balance, Falls Efficacy Scale-International scores and recreational physical activity levels.

The study did not demonstrate a statistically significant between group difference in falls although the difference could be considered clinically significant. However, a type 2 error cannot be ruled out. The findings from this trial add to the evidence base for physiotherapy and exercise in the management of people with PD. Trial registration ISRCTN50793425.

Source: www.ncbi.nlm.nih.gov

Category: Forex

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