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Six weeks of intensive treadmill training improves gait and quality of life in patients with Parkinson's disease: a pilot study.
Arch Phys Med Rehabil. 2007 Sep; 88(9):1154-8.AP

Abstract

OBJECTIVE

To evaluate the effects of 6 weeks of intensive treadmill training on gait rhythmicity, functional mobility, and quality of life (QOL) in patients with Parkinson's disease (PD).

DESIGN

An open-label, before-after pilot study.

SETTING

Outpatient movement disorders clinic.

PARTICIPANTS

Nine patients with PD who were able to ambulate independently and were not demented. Mean age was 70+/-6.8 years. Patients had mild to moderate PD (Hoehn and Yahr stage range, 1.5-3).

INTERVENTIONS

Patients walked on a treadmill for 30 minutes during each training session, 4 training sessions a week, for 6 weeks. Once a week, usual overground walking speed was re-evaluated and the treadmill speed was adjusted accordingly.

MAIN OUTCOME MEASURES

The 39-item Parkinson's Disease Questionnaire (PDQ-39), motor part of the Unified Parkinson's Disease Rating Scale (UPDRS), gait speed, stride time variability, swing time variability, and the Short Physical Performance Battery (SPPB).

RESULTS

A comparison of the measures taken before and after the treadmill intervention indicates general improvement. QOL, as measured by the PDQ-39, was reduced (improved) from 32 to 22 (P<.014). Parkinsonian symptoms, as measured by the UPDRS, decreased (improved) from 29 to 22 (P<.043). Usual gait speed increased from 1.11 to 1.26 m/s (P<.014). Swing time variability was lower (better) in all but one patient, changing from 3.0% to 2.3% (P<.06). Scores on the SPPB also improved (P<.008). Interestingly, many of the improvements persisted even 4 weeks later.

CONCLUSIONS

These results show the potential to enhance gait rhythmicity in patients with PD and suggest that a progressive and intensive treadmill training program can be used to minimize impairments in gait, reduce fall risk, and increase QOL in these patients.

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Authors+Show Affiliations

Herman T
Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, Department of Physical Therapy, Sackler School of Medicine, Tel-Aviv University, Israel.
Giladi N
No affiliation info available
Gruendlinger L
No affiliation info available
Hausdorff JM
No affiliation info available

MeSH

AgedExercise TherapyExercise ToleranceFemaleFollow-Up StudiesGaitHumansMaleParkinson DiseasePilot ProjectsQuality of LifeSurveys and QuestionnairesTime FactorsTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17826461

Clinical Trial Links

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Citation

Herman, Talia, et al. "Six Weeks of Intensive Treadmill Training Improves Gait and Quality of Life in Patients With Parkinson's Disease: a Pilot Study." Archives of Physical Medicine and Rehabilitation, vol. 88, no. 9, 2007, pp. 1154-8.
Herman T, Giladi N, Gruendlinger L, et al. Six weeks of intensive treadmill training improves gait and quality of life in patients with Parkinson's disease: a pilot study. Arch Phys Med Rehabil. 2007;88(9):1154-8.
Herman, T., Giladi, N., Gruendlinger, L., & Hausdorff, J. M. (2007). Six weeks of intensive treadmill training improves gait and quality of life in patients with Parkinson's disease: a pilot study. Archives of Physical Medicine and Rehabilitation, 88(9), 1154-8.
Herman T, et al. Six Weeks of Intensive Treadmill Training Improves Gait and Quality of Life in Patients With Parkinson's Disease: a Pilot Study. Arch Phys Med Rehabil. 2007;88(9):1154-8. PubMed PMID: 17826461.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Six weeks of intensive treadmill training improves gait and quality of life in patients with Parkinson's disease: a pilot study. AU - Herman,Talia, AU - Giladi,Nir, AU - Gruendlinger,Leor, AU - Hausdorff,Jeffrey M, PY - 2007/05/07/received PY - 2007/05/10/accepted PY - 2007/9/11/pubmed PY - 2007/10/12/medline PY - 2007/9/11/entrez SP - 1154 EP - 8 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 88 IS - 9 N2 - OBJECTIVE: To evaluate the effects of 6 weeks of intensive treadmill training on gait rhythmicity, functional mobility, and quality of life (QOL) in patients with Parkinson's disease (PD). DESIGN: An open-label, before-after pilot study. SETTING: Outpatient movement disorders clinic. PARTICIPANTS: Nine patients with PD who were able to ambulate independently and were not demented. Mean age was 70+/-6.8 years. Patients had mild to moderate PD (Hoehn and Yahr stage range, 1.5-3). INTERVENTIONS: Patients walked on a treadmill for 30 minutes during each training session, 4 training sessions a week, for 6 weeks. Once a week, usual overground walking speed was re-evaluated and the treadmill speed was adjusted accordingly. MAIN OUTCOME MEASURES: The 39-item Parkinson's Disease Questionnaire (PDQ-39), motor part of the Unified Parkinson's Disease Rating Scale (UPDRS), gait speed, stride time variability, swing time variability, and the Short Physical Performance Battery (SPPB). RESULTS: A comparison of the measures taken before and after the treadmill intervention indicates general improvement. QOL, as measured by the PDQ-39, was reduced (improved) from 32 to 22 (P<.014). Parkinsonian symptoms, as measured by the UPDRS, decreased (improved) from 29 to 22 (P<.043). Usual gait speed increased from 1.11 to 1.26 m/s (P<.014). Swing time variability was lower (better) in all but one patient, changing from 3.0% to 2.3% (P<.06). Scores on the SPPB also improved (P<.008). Interestingly, many of the improvements persisted even 4 weeks later. CONCLUSIONS: These results show the potential to enhance gait rhythmicity in patients with PD and suggest that a progressive and intensive treadmill training program can be used to minimize impairments in gait, reduce fall risk, and increase QOL in these patients. SN - 0003-9993 UR - https://www.unboundmedicine.com/medline/citation/17826461/Six_weeks_of_intensive_treadmill_training_improves_gait_and_quality_of_life_in_patients_with_Parkinson's_disease:_a_pilot_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(07)00379-6 DB - PRIME DP - Unbound Medicine ER -