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  • Article
    Effects of Sensorimotor-Cognitive Training on Balance and Gait in Patients with Idiopathic Parkinson’s Disease: A Randomized Controlled Trial
    (Springer London Ltd, 2026) Korkusuz, Suleyman; Elibol, Bulent; Ozcan, Aysenur; Korkusuz, Busra Seckinogullari; Fil, Ayla; Cakmakli, Gul Yalcin; Yigit, Oznur
    Background Sensory-motor-cognitive integration deficits are common in Parkinson's disease(PD) and significantly limit functional performance, highlighting the growing need for holistic training approaches that target these domains simultaneously. Aims This study aimed to examine the effects of sensory-motor-cognitive integration training on balance and gait in patients with Parkinson's disease (PwPD). Methods A total of 40 PwPD, aged between 45 and 75 years, were included. The intervention group received 24 sessions (3 days per week for 8 weeks) of 60-minute sensory-motor-cognitive integration training. The control group was placed on a waiting list and continued their routine daily activities. All participants were assessed at baseline, at the end of the 8th week, and at the 12th week. Static posturography was used to evaluate balance [Limits of Stability and the Modified Sensory Integration and Balance Clinical Test] and gait (Walk Across test). Additionally, balance was assessed using the Functional Reach Test (FRT), and gait performance was evaluated with the Modified Dynamic Gait Index (mDGI). Results Significant time & times; group interactions were observed for functional balance and gait outcomes. The intervention group showed significant improvements in FRT and mDGI scores over time (p < 0.001), whereas no significant changes were observed in the control group. Static posturography also demonstrated significant time-related changes and group differences for most parameters (p < 0.05), except for movement velocity, directional control, and step length symmetry. Conclusion These findings suggest that individualized, multidomain sensory-motor-cognitive integration training may represent a particularly effective rehabilitation approach for enhancing balance and gait in PwPD.
  • Article
    Citation - WoS: 13
    Citation - Scopus: 15
    Daily Living Activities, Exercise Capacity, Cognition, and Balance in Copd Patients With and Without Frailty
    (Springer London Ltd, 2022) Kagiali, Sezen; Inal-Ince, Deniz; Cakmak, Aslihan; Calik-Kutukcu, Ebru; Saglam, Melda; Vardar-Yagli, Naciye; Coplu, Lutfi
    Background Information on the interaction between frailty and chronic obstructive pulmonary disease (COPD) is limited. Aims This study aimed to compare activities of daily living (ADL), exercise capacity, balance, and cognition in COPD patients with and without frailty. Methods Twenty frail and 28 non-frail COPD patients aged 55 years and over were included. Frailty was determined according to Fried et al. Dyspnea was evaluated using the modified Medical Research Council (mMRC) dyspnea scale. Respiratory and peripheral muscle strength were measured. Functional capacity was assessed using a 6-min walk test (6MWT); ADL performance was evaluated using the Glittre ADL test. The balance was evaluated using the functional reach test (FRT). Cognitive function was assessed using the Montreal Cognitive Evaluation (MoCA) Test. Quality of life was measured using the COPD Assessment Test (CAT). Results The mMRC and CAT scores were higher in the frail patients as compared with the non-frail patients (p < 0.05). The maximal inspiratory pressure, handgrip strength, 6MWT distance, and FRT score were lower in the frail patients as compared with the non-frail patients (p < 0.05). The duration for the Glittre ADL test was longer in the frail patients than the non-frail patients (p < 0.05). There was no significant difference between MoCA scores between groups (p > 0.05). Conclusions Frail COPD patients have increased dyspnea perception, impaired muscle strength, and functional capacity, ADL performance, balance, and quality of life. Whether pulmonary rehabilitation programs for patients with frail COPD need to be adapted with new rehabilitation strategies, including components of frailty, needs further investigation.