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Chapter 5 – Discussion embarrassment domains (Elble, et al., 2006; Lundervold, Pahwa, Ament, & Corbin, 2003; Traub, Gerbin, Mullaney, & Louis, 2010). The mean baseline SF-36 scores of this study were observed to be, on average, lower than those of the general older adult population of New Zealand and Australia (Australian Bureau of Statistics, 1997; New Zealand Ministry of Health, 1999). This observation was comparable to the results found by Lorenz et al. (2006) who compared 102 ET patients to the general German population. The authors found SF-36 scores of the ET group to be lower than the scores attained by the general German population. Improvements in muscular strength may potentially translate to improved QoL (Kell, Bell, & Quinney, 2001). In this study however, there were no significant effects noted after the training period for either QoL scale. This also contrasts previous findings in special populations such as PD and stroke, where a RT intervention has resulted in QoL improvements (Dibble, Hale, Marcus, Gerber, & LaStayo, 2009; H. Lee, Kim, & Noh, 2008). It is possible that the short duration of this project did not allow for sufficient time to achieve meaningful gains in physical function that may have resulted in improved QoL. There also appeared to be some within-subject variation in their scores on some of these outcomes between assessment occasions. While the QoL measures have been shown to be valid and reliable measures (Chia, et al., 2006; Troster, et al., 2005) such variability may reflect a difficulty in “translation” to a different population (New Zealand older ET patients) 67
Chapter 5 – Discussion than that used in the reliability / validation studies or inherent variability in individual perceptions of QoL over a 14 week period. Practical Significance The findings of this pilot study indicate that RT may warrant further investigation as a therapy for improving hand and finger dexterity in ET patients, but that six weeks of RT may prove ineffective in improving QOL. 68
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Can resistance training improve han
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unrelated hospitalisation. Each par
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Statement of Originality I hereby d
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Table of Contents Abstract ........
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Figures Figure 1: Rationale for RT
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Tables Table 1: Review of training
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Chapter 1 - Introduction ET is typi
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Chapter 1 - Introduction number of
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Chapter 2 - Literature Review Chapt
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Chapter 2 - Literature Review 2010)
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Chapter 2 - Literature Review diffi
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Chapter 2 - Literature Review Gait
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Chapter 2 - Literature Review inste
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Page 31 and 32: Chapter 2 - Literature Review Louis
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Page 35 and 36: Chapter 2 - Literature Review RT co
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Page 39 and 40: Condition/Tool Symptoms/Adaptations
Page 41 and 42: Chapter 2 - Literature Review Korna
Page 43 and 44: Chapter 3 - Methods Participants Ch
Page 45 and 46: Study Protocol 1 Week Figure 2: Stu
Page 47 and 48: Figure 3: Dumbbell elbow flexion Fi
Page 49 and 50: Chapter 3 - Methods correlation coe
Page 51 and 52: Chapter 3 - Methods Figure 6: PPT i
Page 53 and 54: Chapter 3 - Methods Takata, et al.,
Page 55 and 56: Chapter 3 - Methods Additionally, t
Page 57 and 58: Table 2: Participant demographics P
Page 59 and 60: Strength - 5RM Assessment Chapter 4
Page 61 and 62: Wrist flexion Chapter 4 - Results F
Page 63 and 64: Hand and finger dexterity - Purdue
Page 65 and 66: Chapter 4 - Results Following the s
Page 67 and 68: SF-36 (change score percentage) 80
Page 69 and 70: Physical and Psychosocial Chapter 4
Page 71 and 72: Work and Finance Chapter 4 - Result
Page 73 and 74: Chapter 5 - Discussion Often decrea
Page 75 and 76: Chapter 5 - Discussion reduce postu
Page 77: Chapter 5 - Discussion Significant
Page 81 and 82: Chapter 6 - Study Limitations & Fut
Page 83 and 84: References References Adam, A., de
Page 85 and 86: References Cochrane, T., Munro, J.,
Page 87 and 88: References Elble, R. J., Pullman, S
Page 89 and 90: References Hirsch, M. A., Toole, T.
Page 91 and 92: References Lafayette Instrument Com
Page 93 and 94: References Lundervold, D. A., Belwo
Page 95 and 96: References International Journal of
Page 97 and 98: References tremor. Parkinsonism & R
Page 99 and 100: References Traub, R. E., Gerbin, M.
Page 101 and 102: Appendices Appendix A - Abbreviatio
Page 103 and 104: Appendix B 92
Page 105 and 106: 5RM - Wrist Flexion Most Affected L
Page 107 and 108: Hand and Finger dexterity PPT - Mos
Page 109 and 110: Quality of life - SF-36 SF36 - Gene
Page 111 and 112: SF36 - Role Emotional (%) Figure 30
Page 113 and 114: Quality of Life - QUEST Figure 34:
Page 115: QUEST - Work/Finance (%) 100.00 90.
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