Tags

Type your tag names separated by a space and hit enter

Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: a comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training.
Mov Disord. 2009 Jun 15; 24(8):1139-43.MD

Abstract

Freezing is a disabling symptom in patients with Parkinson's disease. We investigated the effectiveness of a new rehabilitation strategy based on treadmill training associated with auditory and visual cues. Forty Parkinsonian patients with freezing were randomly assigned to two groups: Group 1 underwent a rehabilitation program based on treadmill training associated with auditory and visual cues, while Group 2 followed a rehabilitation protocol using cues and not associated with treadmill. Functional evaluation was based on the Unified Parkinson's Disease Rating Scale Motor Section (UPDRS III), Freezing of Gait Questionnaire (FOGQ), 6-minute walking test (6MWT), gait speed, and stride cycle. Patients in both the groups had significant improvements in all variables considered by the end of the rehabilitation program (all P = 0.0001). Patients treated with the protocol including treadmill, had more improvement than patients in Group 2 in most functional indicators (P = 0.007, P = 0.0004, P = 0.0126, and P = 0.0263 for FOGQ, 6MWT, gait speed, stride cycle, respectively). The most striking result was obtained for 6MWT, with a mean increase of 130 m in Group 1 compared with 57 m in Group 2. Our results suggest that treadmill training associated with auditory and visual cues might give better results than more conventional treatments. Treadmill training probably acts as a supplementary external cue.

Authors+Show Affiliations

Department of Physical Therapy, Scientific Institute of Montescano, S. Maugeri Foundation IRCCS, Montescano, Italy. miangiu@yahoo.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19370729

Citation

Frazzitta, Giuseppe, et al. "Rehabilitation Treatment of Gait in Patients With Parkinson's Disease With Freezing: a Comparison Between Two Physical Therapy Protocols Using Visual and Auditory Cues With or Without Treadmill Training." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 24, no. 8, 2009, pp. 1139-43.
Frazzitta G, Maestri R, Uccellini D, et al. Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: a comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training. Mov Disord. 2009;24(8):1139-43.
Frazzitta, G., Maestri, R., Uccellini, D., Bertotti, G., & Abelli, P. (2009). Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: a comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training. Movement Disorders : Official Journal of the Movement Disorder Society, 24(8), 1139-43. https://doi.org/10.1002/mds.22491
Frazzitta G, et al. Rehabilitation Treatment of Gait in Patients With Parkinson's Disease With Freezing: a Comparison Between Two Physical Therapy Protocols Using Visual and Auditory Cues With or Without Treadmill Training. Mov Disord. 2009 Jun 15;24(8):1139-43. PubMed PMID: 19370729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: a comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training. AU - Frazzitta,Giuseppe, AU - Maestri,Roberto, AU - Uccellini,Davide, AU - Bertotti,Gabriella, AU - Abelli,Paola, PY - 2009/4/17/entrez PY - 2009/4/17/pubmed PY - 2009/9/18/medline SP - 1139 EP - 43 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 24 IS - 8 N2 - Freezing is a disabling symptom in patients with Parkinson's disease. We investigated the effectiveness of a new rehabilitation strategy based on treadmill training associated with auditory and visual cues. Forty Parkinsonian patients with freezing were randomly assigned to two groups: Group 1 underwent a rehabilitation program based on treadmill training associated with auditory and visual cues, while Group 2 followed a rehabilitation protocol using cues and not associated with treadmill. Functional evaluation was based on the Unified Parkinson's Disease Rating Scale Motor Section (UPDRS III), Freezing of Gait Questionnaire (FOGQ), 6-minute walking test (6MWT), gait speed, and stride cycle. Patients in both the groups had significant improvements in all variables considered by the end of the rehabilitation program (all P = 0.0001). Patients treated with the protocol including treadmill, had more improvement than patients in Group 2 in most functional indicators (P = 0.007, P = 0.0004, P = 0.0126, and P = 0.0263 for FOGQ, 6MWT, gait speed, stride cycle, respectively). The most striking result was obtained for 6MWT, with a mean increase of 130 m in Group 1 compared with 57 m in Group 2. Our results suggest that treadmill training associated with auditory and visual cues might give better results than more conventional treatments. Treadmill training probably acts as a supplementary external cue. SN - 1531-8257 UR - https://www.unboundmedicine.com/medline/citation/19370729/Rehabilitation_treatment_of_gait_in_patients_with_Parkinson's_disease_with_freezing:_a_comparison_between_two_physical_therapy_protocols_using_visual_and_auditory_cues_with_or_without_treadmill_training_ L2 - https://doi.org/10.1002/mds.22491 DB - PRIME DP - Unbound Medicine ER -