{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:33:41Z","timestamp":1790735621462,"version":"4.1.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Coordena\u00e7\u00e3o de Aperfi\u00e7oamento de Pessoal de Nivel Superior","award":["BEX 2194\/15-5"],"award-info":[{"award-number":["BEX 2194\/15-5"]}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["Investigator Grant"],"award-info":[{"award-number":["Investigator Grant"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Falls are frequent and devastating events for people with Parkinson\u2019s disease (PD). Here, we investigated whether laboratory-based reactive step training combined with home-based volitional step training was effective in improving balance recovery and stepping ability in people with PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty-four people with idiopathic PD were randomized into intervention or control groups. Intervention participants performed unsupervised volitional step training using home-based exergames (80+\u2009minutes\/week) for 12\u2009weeks and attended reactive step training sessions in which they were exposed to slip and trip perturbations at 4 and 8\u2009weeks. Control participants continued their usual activities. Primary outcomes were balance recovery following an induced-trip\/slip and choice stepping reaction time (CSRT) at the 12-week reassessment. Secondary outcomes comprised sensorimotor, balance, cognitive, psychological, complex stepping (inhibitory CSRT and Stroop Stepping Test [SST]), gait measures, and falls experienced in everyday life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At reassessment, the intervention group had significantly fewer total laboratory-induced falls and faster CSRT compared to the control group ( P\u2009&lt;\u2009.05). The intervention group also had significantly faster inhibitory CSRT and SST movement times and made fewer mistakes in the SST ( P\u2009&lt;\u2009.05). There were no significant differences in the rate of every day falls or other secondary outcome measures between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Combined volitional and reactive step training improved balance recovery from an induced-perturbation, voluntary stepping time, and stepping accuracy in cognitively challenging tests in people with PD. Further research is required to determine whether such combined step training can prevent daily-life falls in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15459683231206743","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T05:06:14Z","timestamp":1697864774000},"page":"694-704","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Combined Reactive and Volitional Step Training Improves Balance Recovery and Stepping Reaction Time in People With Parkinson\u2019s Disease: A Randomised Controlled Trial"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3168-3388","authenticated-orcid":false,"given":"Paulo H. S.","family":"Pelicioni","sequence":"first","affiliation":[{"name":"Neuroscience Research Australia, University of New South Wales, Randwick, NSW, Australia"},{"name":"School of Population Health, University of New South Wales, Randwick, NSW, Australia"},{"name":"School of Health Sciences, University of New South Wales, Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen R.","family":"Lord","sequence":"additional","affiliation":[{"name":"Neuroscience Research Australia, University of New South Wales, Randwick, NSW, Australia"},{"name":"School of Population Health, University of New South Wales, Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8686-0500","authenticated-orcid":false,"given":"Jasmine C.","family":"Menant","sequence":"additional","affiliation":[{"name":"Neuroscience Research Australia, University of New South Wales, Randwick, NSW, 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