Author: Pohl, Marcus; Rockstroh, Gunter; Ruckriem, Stefan; Mrass, Gregor; Mehrholz, Jan
Description: OBJECTIVE: To compare the immediate effects of different training interventions on gait parameters in patients with early Parkinson’s disease (PD).
DESIGN: Randomized, multiple intervention crossover pilot study.
SETTING: A rehabilitation center for adult persons with neurologic disorders.
PARTICIPANTS: Seventeen patients with early PD (Hoehn and Yahr stages I through III) and gait disturbances.
INTERVENTION: Patients were randomly assigned to varying sequences of the following interventions over 4 consecutive days: structured speed-dependent treadmill training (STT), limited progressive treadmill training (LTT), conventional gait training (CGT), and a control intervention.
MAIN OUTCOME MEASURES: Basic gait parameters (overground walking speed and stride length at self-adapted speeds) and parameters of gait analysis based on vertical ground reaction forces.
RESULTS: STT and LTT improved all basic gait parameters and the double stance duration compared with preintervention values (P<.05). No changes were found after CGT and the control intervention (P<.05). Significantly higher gains were observed in all basic gait parameters after STT and LTT when compared with CGT and the control intervention (P<.05). Additionally, a greater reduction of double stance duration was found after STT than after the control intervention (P<.001). No significant differences in gains were observed between STT and LTT, or between CGT and the control intervention, in all gait parameters.
CONCLUSION: The main disturbances of gait in PD, namely, speed and stride length, can be improved through a single intervention of STT or LTT, but not through CGT and the control intervention.
Subject headings: Adaptation, Physiological; Adult; Aged; Cross-Over Studies; Female; Gait Disorders; Neurologic; Humans; Male; Middle Aged; Parkinson Disease; Physical Therapy Modalities; Pilot Projects; Treatment Outcome
Publication year: 2003
Journal or book title: Archives of Physical Medicine and Rehabilitation
Volume: 84
Issue: 12
Pages: 1760-1766
Find the full text: https://www.archives-pmr.org/action/showPdf?pii=S0003-9993%2803%2900433-7
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Serial number: 3283