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Does elongation training effectively improve motor function?-a single-case design verification study
Takaaki Nishimura1,2, Ryo Miyachi3
1Nanto City Visiting Nursing Station: 938 Inami, Nanto-shi, Toyama 932-0211, Japan.
Journal of Physical Therapy Science
|June 26, 2020
Summary
Elongation training (ELT) improved motor function, including balance and mobility, in a 90-year-old with Parkinson's syndrome. These benefits were observed during the training period and reversed upon cessation, suggesting ELT's effectiveness.
Area of Science:
- Gerontology
- Neurology
- Physical Therapy
Background:
- Parkinson's syndrome significantly impairs motor function in older adults.
- Limited evidence exists on targeted interventions for motor function improvement in elderly Parkinson's patients.
- Elongation training (ELT) is a novel approach to potentially enhance motor capabilities.
Observation:
- A single-case study design (A-B-A) was employed with a 90-year-old male diagnosed with Parkinson's syndrome.
- Motor function was assessed using one-leg standing time and the Timed Up and Go Test (TUG).
- Intervention involved a 2-week period of normal exercises (A), followed by 2 weeks of ELT using an elongation band (B), and a final 2-week period of normal exercises (A).
Findings:
- During the ELT phase (B), significant improvements were noted in one-leg standing time and reduced TUG scores.
- Motor function declined back to baseline levels when ELT was withdrawn (return to A phase).
- No improvements in motor function were observed during the initial and final normal exercise periods (A).
Implications:
- ELT demonstrates potential as a safe and effective home-based intervention for improving motor function in elderly individuals with Parkinson's syndrome.
- The study highlights the reversibility of ELT benefits, emphasizing the need for continued training.
- Findings suggest ELT could be a valuable addition to the management of motor deficits in geriatric neurology.

