Lurie 2020.
| Methods | RCT |
| Participants | Setting: multicentre across 8 outpatient physiotherapy clinics in the USA. N = 66 in the PD subgroup Sample: recruited from patients referred for physiotherapy for gait and/or balance problems at participating clinics. Age: not reported for the PD group. Inclusion criteria (PD group): aged 65 years or older; one of the following fall risk factors, timed up and go ≥ 8 seconds, Dynamic Gait Index ≤ 22/24, Berg BalancecScale < 54/56. Exclusion criteria: primary problem positional vertigo; not able to undertake intervention due to severe physical limitations Disease severity at baseline: not reported |
| Interventions | Exercise 1. Exercise: surface perturbation treadmill training plus multi‐modal balance training. For the perturbation training, participants wore a harness and practised responding to perturbations (forwards, backwards and occasionally sideways) using the ActiveStep system. Multimodal balance training included strength, flexibility and balance exercise, gait training and education. Participants attended a supervised session around 2 to 3 times per week for 4 to 6 weeks, approximately 45 minutes per session with 15 minutes of this perturbation training, plus home unsupervised sessions 4 to 5 times per week. 2. Exercise: multi‐modal balance training alone, including strength, flexibility and balance exercise, gait training and education. Participants attended a supervised session around 2 to 3 times per week for 4 to 6 weeks, approximately 45 minutes per session, plus home unsupervised sessions 4 to 5 times per week. |
| Outcomes | 1. Number of fallers Other outcomes reported but not included in this review |
| Notes | At randomisation, 34 participants were in the perturbation group and 32 in the standard care group. At 3 months there was data for 24 participants in the perturbation group and 25 in the standard care group. Participants having any fall at 3 months: 9 (37%) perturbation group; 8 (32%) standard care group. Fall data collected using a fall diary and 3‐monthly telephone calls for 12 months. Funding source: Agency for Healthcare Research and Quality |